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Forged in the Fires of COVID-19: The Evolution of Systemic Therapy for Online Practice and Beyond
Get PDFThere has been a swift uptake in the use of teletherapy since the start of the COVID-19 pandemic, which has corresponded with an increase in clinical scholarship focused on conducting systemic therapy in an online format. A majority of this scholarship offers ideas for adapting therapeutic tasks developed around in-person contact for a remote format. The current article moves beyond adapting and offers ideas for remote systemic therapy that are born from our experiences of evolving through teletherapy. We begin by noting some of the significant differences between in-person therapy and teletherapy before describing how these differences can influence client presence and professionalism in session. Following this discussion, we offer ideas for how systemic therapists can enhance client presence, communicate the importance of the work, and inspire client initiative for change while working remotely
Integral Conversion: A Catholic Pedagogical Framework for Teaching Environmental Sustainability and Ecological Citizenship from Japan
No full textAs Vatican efforts expand to move awareness of environmental sustainability from the peripheries to the center of public consciousness, Catholic schools face the challenge of instilling in the next generation of graduates a distinctly Catholic sense of ecological citizenship. To this end, Catholic educators are faced with the challenge of presenting complex environmental problems in a manner that honors both the data of science and the transcendental worldview the Church proclaims. This paper offers a framework for examining environmental sustainability issues in the classroom from the perspective of Catholic social teaching. The author’s professional context of teaching Catholic social ethics and Christian humanism at a major Catholic Jesuit university in Japan revealed the need for and inspired the creation of the following pedagogical framework in an effort to help students see the bigger picture of environmental sustainability as understood by Pope Francis, his predecessors, and the entire Catholic Church. The framework may also be a help within contexts of high familiarity with the Catholic faith since it provides a birds-eye view, so to speak, of the various inputs consequential to thinking about ecological issues as a Catholic
Ski Resorts and Climate Change: The Environmental and Business Conflicts of the Relationship
Get PDFSki Resorts and Climate Change: The Environmental and Business Conflicts of the Relationship by Jordan Comerio explores the effect that the changing climate has on the ski industry. The project looks at the sport of skiing and the impact on personal, communal, and economic levels and an analysis of how the changing of the sport’s season will be affecting each and will provide specific data and accounts.
After the relationship between the sport and changing climate is established, the critical question is how to combat the issue. Suggestions will be given in ways that help continue the sport of skiing and add longevity whereas other ideas focus on business incentives for ski companies to drive revenue in other areas. Regardless, the goal of this project is to raise awareness of the drastic negative impacts on the ski industry and how to combat the issue as individuals and businesses in sustainable ways
MS ENVIRONMENTAL BIOLOGY CAPSTONE PROJECT
Get PDFThis project is presented in partial fulfillment of the requirements for the degree Masters of Science in Environmental Biology at Regis University. Chapter 1 is a literature review that discusses the management implications of designing bird habitat on anthropogenic structures. Chapter 2 is a grant proposal to explore niche dominance by anthropophilic bird species in Denver, CO. Chapter 3 is a journal manuscript discussing how musth impacts captive bull Asian elephant (Elephas maximus) behavior at Denver Zoo. Finally, Chapter 4 is a stakeholder analysis for Northern Bobwhite recovery at Bridgestone-Firestone Centennial Wilderness Area, White County, Tennessee
Deriving Meaning: A Conceptual Analysis
Get PDFThis article serves as a conceptual analysis to explore and interrogate the definition of meaning through the framework of collective trauma and uncertainty. The author uses the COVID19 pandemic as a reference point to illustrate models of behavior sustained by the onset of collective trauma. Unpredictability and adversity are amongst the factors identified as key underpinnings preluding the search for meaning, while the implication of resilience, identification of self, and group dynamics are examined. Previous research is integrated to understand the foundational constructs of meaning, while semantic interpretations challenge the objectivity of identified constructs. The relationship between self-satisfaction and meaning is explored, with gratitude being recognized as a mediator factor. Concluding remarks advocate for continued exploration to facilitate self-fulfillment and satisfaction while flexibility, patience, and the accommodation of protective factors are cited as adaptive resources to facilitate collective healing
The Need and Emergence of Political Power for \u27Asian American\u27 or AAPI and Its Impacts Today: Comparison Between the Black Power Movement, the Civil Rights Movement, and the Rise of Asians
Get PDFThe first known Asians arrived in the United States in the 16th century. By the mid-19th century, major waves of Asian immigrants traveled to the United States. During this time, early Asian immigrants faced racist stereotypes, discrimination, and exclusionary legislations. Inspired by the Civil Rights and Black Power Movements, early Asian activists created political coalitions, redefined their identity, and gained political power. Gaining political power ensures they are incorporated into society, their needs are addressed, resources are shared equally, and meaningful influence over government policies were obtained. Through this, early Asians created their self-determined label and political coalition: ‘Asian American’. Yet this label today creates issues with aggregation and the model minority myth. From this, my thesis aims to analyze how early Asian activism worked in solidarity with African American activist, how early Asian activists used similar tactics from the Civil Rights and Black Power Movements to achieve political power, analyze the unique struggles early Asians faced in pursuit for political power, and analyze the issues of the ‘Asian American’ label and model minority myth today. With this, this thesis will argue that despite the achievements gained early Asian activists, Asians today still face issues with integration due to lack of visibility, the model minority myth, and the evolving issues with the label ‘Asian American’. This thesis will argue how the population of ‘Asian American’ has increased and diversified so much today that the ‘Asian American’ label no longer suffice and thus must evolve to reflect what that population is today
Implementation of an Electronic Scheduling Platform
Get PDFImplementation of an Electronic Scheduling Platform
Abstract
Rachel Miles
The relationship between hospital nurse staffing and quality of care continues to be a significant concern for health services researchers, health care executives, policymakers, and consumers. The evidence supporting inadequate nurse staffing and negative patient outcomes is well documented in the literature. A national nursing shortage, nursing turnover, and increased acute care patient admissions intensifies the need for consistent scheduling and staffing for a Denver Metro hospital. The nursing shortage has been further impacted by the recent COVID19 pandemic. The purpose of this quality improvement (QI) DNP pilot project was to look at the implementation of a scheduling and staffing tool for nursing in a medical surgical department of an acute care hospital allowing for transparency of open shifts and allow nurses the ability to fill those needs through a self-scheduling and extra shift option. The intervention was the ClairVia Scheduling Platform after providing specific education to nursing leaders, staffing associates, and frontline nurses. Three outcome objectives were identified (1) improved nursing engagement, (2) decreased nursing turnover, and (3) improved hospital acquired pressure injuries. Pre-data was collected 90 days prior to implementation and 90 days post implementation. Engagement showed a percent improvement of 7.58, the department had zero HAPIs post implementation, and turnover data was not found to be statistically significant with a p-value of 0.2338.
Key words: DNP Project; Nurse Staffing; Self-Scheduling Tool
Notes on Language in the Clinic in a Lacanian Key
Get PDFThere is no shortage of therapeutic modalities and interventions at the therapist’s disposal. Psychotherapy, because it claims to treat the individual, is necessarily multifaceted and complex. The dimension of language which structures much of our experience should be considered as a starting point for a psychotherapeutic technique. French psychoanalyst Jacques Lacan developed a theory and technique of the talking cure beginning from this assumption: that language structures our experience. In the early 1950s he sought to recover a linguistic Freud: to re-center psychoanalytic psychotherapy on language itself. In this paper, I sketch the theoretical reasons for this turn in Lacan and look at current clinical literature to explicate the technique of this linguistic approach to psychotherapy. I begin first with challenging our everyday understanding of language; then, I explore the theoretical aspects of language and speech; finally, I tie these investigations into a clinical approach with a brief case study and analysis
Improving Antibiotic Administration Timing in Neonatal Early-Onset Sepsis
Get PDFAbstract
Neonatal early onset sepsis (EOS) remains one of the most common causes of neonatal morbidity and mortality. Neonates requiring evaluation and treatment for suspected EOS inconsistently receive antibiotics within one hour of decision to treat as recommended in the 2012 neonatal sepsis guidelines by the National Institutes for Health and Care Excellence (NICE). A mixed method quality improvement initiative was employed in a level three NICU, applying a standardized admission process to mitigate systems flaws impacting delay of first dose antibiotic. A nursing sepsis education module was provided, and the novel SAM admission prioritization tool was developed to guide neonatal NICU admission activities and teach nursing prioritization skills. Statistically significant improvement was achieved in the aggregate steps related to patient care activities (ppp=.009). Nursing knowledge related to antibiotic timing and prioritization skills improved (p=.038, pr=-.302, p=.017) and a moderate positive correlation between a desire for the SAM tool and use of the SAM tool postintervention (r=.441, p
Key words: neonate, early-onset sepsis, neonatal sepsis, late preterm infant, golden hour, quality improvement, DNP project, antibiotic stewardship, antibiotic timing, neonatal sepsi
Using Stories with Families: A Scoping Review
Get PDFThis article is the fruit of a systematic scoping review, according to PRISMA precepts. Its objective was to explore the use of stories and other symbolic genre on family therapy settings. Thus, it explains how the researchers made the selection of articles in phases or steps, in a total of six, having a final result of 11 articles, in a time-lapse of 28 years. By the one hand, it was observed a relationship between different techniques that are usually grouped separately and, by the other hand, the disparate way in which the same concepts are confused among researchers, where each one of them offers a distinct explanation on the same things. It was also confirmed that the use of stories and congeners offers both to patients and therapists an effective and economic methodology. The article proposes, in its conclusions, an umbrella term, StoryTherapy, which intends to cover such techniques, conceptualize them and offers criteria for those techniques that may be included under it; brings forth the three main elements a story should have; and also recommends the creation of teaching policies for StoryTherapy for professionals who work on family therapy. Further research must also take place