1997 research outputs found
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Provider Adherence to Practice Guidelines in Overcoming Hypothermia in the Postoperative Period
Get PDFBackground: The implementation of a standardized warming protocol aims to prevent hypothermia in the postoperative period. Hypothermia in the postoperative period can result in inadvertent adverse outcomes for patients undergoing surgical procedures. In 2011, The Joint Commission (TJC) and Center for Medicare and Medicaid (CMS) issued the Surgical Care Improvement Project (SCIP) Inf-10 guidelines, known as the body temperature management guidelines, to decrease morbidity and mortality in surgical patients undergoing general anesthesia. These guidelines recommend using an active warming system, such as the 3MTM Bair Hugger TM System to warm patients intraoperatively.
Review of Literature: Randomized control trials (RCTs) and meta-analysis were included as part of the literature review with the use of Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Collaboration and Medline databases.
Purpose: In this study, the research aims to evaluate the effectiveness of preventing hypothermia in a hospital that adopted the evidence-based body temperature management guidelines.
Methods: The author retrospectively analyzed a total of 243 medical records, which included 158 paper medical records and 85 electronic medical records using the hospital’s information management system. As part of the study, two groups, each consisting of 50 patient medical records meeting inclusion criteria, were analyzed. A total of 108 paper medical records and 85 electronic medical records were excluded from the study for not meeting criteria.
Results: Patients were randomized and divided into two groups. Group A (n=50) consisting of patients who did not receive active warming in 2010, and Group B (n=50) consisting of patients who received the active warming intervention in 2020. Group B revealed a mean body temperature that was 0.1° Celsius higher than Group A. At the end of surgery, Group A demonstrated nearly a 15% higher incidence of hypothermia when compared to Group B. Descriptive statistics were analyzed using an independent sample t-test, assuming unequal variance for the two groups. There was a statistically significant difference between the two groups (P \u3c 0.028). The study’s results support the use of forced air warming (FAW) in the intraoperative period as an effective way of preventing postoperative hypothermia in the Post Anesthesia Care Unit (PACU).
Implications/Conclusion: This study assessed the effectiveness of SCIP Inf-10 guidelines in preventing hypothermia in patients undergoing surgical procedures. Prior to 2011, there were no recommendations issued by TJC or CMS to actively warm patients. Active warming, as characterized by the 3MTM Bair Hugger TM System warming system has been shown to be decrease morbidity and mortality, surgical site infections and other complications. Group B, which consisted of patients having undergone surgical procedures in 2020, were actively warmed and experienced a 0% incidence of hypothermia. Group A, which consisted of patients having undergone surgery before the release of SCIP Inf-10 guidelines, experienced nearly a 15% incidence of hypothermia. It is reasonable to conclude that the utilization of body temperature management guidelines is effective in preventing hypothermia in patients undergoing surgical procedures
Sister Act: Applied Historical Research Methods
No full textHow do can we make our research methods courses more impactful, inclusive, and integrated? How can we engage students more effectively in a course many dread? My answer is to transform our Historical Research Methods course into an applied studies format that integrates active research subjects into the framework of the course. Students will utilize multiple historical research methods throughout the course as they work towards a larger research project on social justice history. As a class, we will be working with the Sisters of St. Francis Oldenburg to collect interviews, conduct archival research, and work towards a joint publication on the history of the order and its relationship to social justice movements since its founding. There will be opportunities for individual undergraduate publications and conference presentations, co-authored work between faculty and students, and student contributions to a larger book project moving forward. This class is a pilot for potentially shifting all research methods courses in the Department of History and Social Science to an applied studies model
Online Team-Teaching: Sharing Best Practices to Improve Student Learning Outcomes and Increase Student Satisfaction
Get PDFNSG 493 \u27Transition to Practice’ is a final semester course within the LSON BSN Curriculum in the traditional, on campus accelerated, and online accelerated programs. The team of 4 online faculty, in partnership with school leadership and various online site locations, analyzed previous student and faculty feedback and subsequently identified opportunities for improvement which were implemented in the fall 2019 semester. The aim was higher quality content, information, synchronous communication and assignments for students to enhance learning potential and increase student and faculty satisfaction. To achieve this, faculty incorporated feedback to plan, develop, and implement the following: new processes, revised content, re-aligned assignments, updated rubrics, synchronous activities, and innovative team communication strategies. This also helped to ensure consistency with the on-campus course. To help students ascribe value to their NCLEX prep activities, faculty worked with our third party to ensure NCLEX practice test scheduling and delivery was an improved process. In terms of evaluation, faculty plan to evaluate ongoing changes based on student and faculty feedback both qualitatively and quantitatively. To increase overall program alignment, faculty worked with the Progression Outcomes committee to bring in the end of program student satisfaction survey to ensure aggregate program data is collected in the course in addition to individual course analysis. Through this whole experience, a faculty aid was created as a process for handing off the course semester to semester which will be shared
The Social Construction of Sex
Get PDFThis is a class activity on the construction of sex. I ask the class for all the terms and expressions they have for having sex. We collect them and put them on the board in the order they offer them. Throughout this process, students are not allowed to ask clarifying questions, so the items offered tell us what they understand sex to be. After collecting the terms, the class is broken into groups to analyze the data for themes and patterns. When we come back together, I ask the students about how the data would be different if, for example, male bodies are missing. We discuss the specific sex act (or acts) their language refers to. In other words, what constitutes sex. Lastly we compare the terms they offer to scientific terms to assess whether the assumptions they make are also contained within more proper terms
Scoundrels Day: Promoting Active Learning in Nursing Research through Librarian-Presented Case-Based Problem-Solving Challenges
Get PDFHighlighting a teaching collaboration between Nursing and Library. Using health/research cases, this team classroom activity and “lightning presentation” allows students to engage and appraise unfamiliar research papers, using research resources, skills, and concepts encountered throughout the semester. Using web-based library resources, each team ultimately discovers how a research study, author or concept has been a “scoundrel.
Efficacy of an Airway Management Educational Primer for Perianesthesia Nursing Staff
Get PDFIt is a requirement of perianesthesia nurses to be competent in caring for patients who are sedated or anesthetized for procedures in a hospital setting. Oftentimes, when patients are sedated, they are unable to maintain their own airways. This can lead to respiratory decompensation of the patient if interventions are not employed. Therefore, perianesthesia nursing requires expert advanced airway assessment and management skills or training to achieve competency. A review of related studies on continuing education of nurses reveals that trainings are beneficial in the realms of knowledge acquisition, practice change, and perceived self-efficacy. The primary purpose of this project was to evaluate the efficacy of such an educational training on knowledge gained utilizing a pre/post-test method of assessment. A secondary aim was to measure if there was a reduction in skill-related anxiety of the nurses following the training utilizing a short-form of the State-Trait Anxiety Inventory for Adults. Long-term follow up of both knowledge gained and anxiety levels was performed at a six-month interval after the initial training. The findings between the initial knowledge and anxiety pre- and post-tests were both statistically significant (p\u3c0.001). However, at the six-month interval, neither the knowledge gained nor reduction of anxiety remained significantly better compared to the initial pre-test. Nurse training and education is effective in increasing knowledge and self-efficacy, but long-term continuing education may be necessary to maintain familiarity and competence with material
From Critical Community Service to Critical Service Learning and the Futures We Must (Still) Imagine
No full textThis reflection offers an introduction of a survey of the theories, practices, and critiques of critical service learning. In doing so, the authors connect the historical lineage of community engagement to current and future practices of critical service learning as well as the need to continually imagine new and as yet unthought possibilities