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Mindfulness Meditation for Emergency Department Nurses Experiencing Compassion Fatigue
No full textThe purpose of this scholarly project was to address the clinical questions “Does mindfulness meditation help rural emergency department nurses prevent and manage symptoms of compassion fatigue?” A pre and post survey was given to all participants, and it was discovered that mindfulness meditation was time consuming and not easily able to complete in the ED so instead mindfulness breathing was demonstrated and utilized by 17 participants. The findings showed evidence that mindfulness breathing did help a majority with compassion fatigue in rural emergency department nurses and for those that did not find if beneficial for themselves would recommend to others
Mindful Relapse Prevention
No full textSubstance use disorder (SUD) is an epidemic in the United States. There are established, evidence-based protocols for treating SUD, however relapse remains common. Conventional relapse prevention teaches avoidance of situations and emotions that previously led to substance use. This scholarly project proposes mindfulness-based meditation as an adjunct to conventional relapse prevention. Mindfulness-based meditation focuses on acceptance, rather than avoidance, of emotions and sensations that have previously lead to substance use or relapse. Mindful Relapse Prevention is a group- based mindfulness meditation program designed to promote sobriety in individuals with SUD. Martha Roger’s theory The Science of Unitary Human Beings (SUHB) and her concept of energy fields help illustrate that mindfulness-based mediation may help prevent relapse in individuals with SUD. The SUHB provided the theoretical framework for this scholarly project. Mindful Relapse Prevention was implemented in July and August 2021 at a previously established group meeting of individuals with co-occurring homelessness and substance use disorders. Due to the scale of this project the author was unable to come to any concrete conclusions or address any gaps in the current literature. Rather, Mindful Relapse Prevention confirmed that more research is needed in the efficacy of mindfulness-based mediation as an effective means of preventing relapse in individuals with substance use disorder
Sports, Family, and Leadership in Youth: Impacts of Family Environments and Sport Participation on Youth Leadership Development
Get PDFThis study investigated the effects of family relationships/environment and sport participation on youth leadership development using the 2016 Minnesota Student Survey (MSS) questionnaire. Responses from 9th and 11th graders were used, resulting in 81,885 total participants between the ages of 13 and 19 for this archival, cross-sectional study. This study had two aims: One, to investigate the relationship between family relationships/environment and sport participation, and their impact on youth leadership skills and development; and two, to investigate whether participation in youth sports provides enough scaffolding to foster the development of youth leadership skills despite poor family relationships/environments. Scales were created for this study using questions from the MSS questionnaire. Linear regression was used to test three hypotheses: (1) Both positive family relationships and a positive family environment, as well as greater participation in sports, will each be associated with youth leadership ability; (2) Sport participation will be more strongly related to leadership ability than family relationships and environment; and (3) Adolescents that have non-supportive family relationships/environment and participate in sports will endorse better leadership skills than adolescents that do not participate in sports but have positive family relationships/environments. Results found hypotheses two and three were not supported, while hypothesis one was supported. Implications for findings are discussed including possible clinical application and future research directions
From In-Person to Technology-Based Interpreting: Evolution and the Need for Flexible, Community-Based Standards
Get PDFThis study examines the significance of language access in healthcare and the transformative impact of technology-based interpreting modalities. Language barriers in healthcare can lead to misunderstandings and negative health outcomes for Limited English Proficiency (LEP) patients. The case study presents a Safety Net hospital, Hennepin Healthcare System (HHS), which successfully transitioned from in-person to a hybrid model utilizing Video Remote Interpreting (VRI) and Over-the-Phone Interpreting (OPI). Data analysis revealed improved productivity, reduced wait times, and surplus budget. The study challenges misconceptions around technology-based interpreting and recommends standardized protocols, interpreter documentation, and interhospital collaboration. By embracing technology and cultural understanding, healthcare organizations can enhance language access, improve outcomes, and reduce disparities among vulnerable populations.
Background: Effective language access services are crucial in healthcare settings to provide quality care and better health outcomes for patients with limited English proficiency (LEP). With over 25 million LEP individuals in the US, language barriers pose significant challenges for accessing healthcare. Federal and state laws mandate language assistance for LEP patients to address healthcare disparities. Purpose: This paper aims to explore the unregulated and understudied medical interpreter career, especially in the context of technology-based language services during the COVID-19 pandemic. The goal is to develop flexible, patient-centered, and community-based standards for language access. Problem and PICO question: The lack of community standards for interpreter modalities in medical encounters during the pandemic is perplexing. The PICO question is: What medical encounters should utilize which interpreting modality? Methods: The study surveyed four hospital systems in the Twin Cities metro area in 2021, gathering data on their interpreter services departments, including total LEP patient encounters, the proportion of in-person vs. technology-based modalities, and criteria for prioritizing in- person interpreting. HHS interpreter productivity data was also obtained with permission for use in a master\u27s paper and publications. Literature review involved selecting articles discussing interpreter modalities from Google Scholar and PubMed. Conclusions: The pandemic shifted the language service industry towards technology-based modalities, but the lack of community standards remains a challenge. Key Words: Video Remote Interpreter (VRI), Technology-based interpreters, In-person Interpreter modality, teleinterpreting, phone interpreting, interpreter modality, telehealth for language access
The Combined Effects of Discrimination and Holding Multiple Intersecting Marginalized Identities on Substance Use Among Adolescents
Get PDFIndividuals with multiple intersecting marginalized identities may be at greater risk for negative outcomes and exposure to discrimination during development. The aim of this study was to investigate the effects of discrimination and having multiple marginalized identities on substance use among Minnesota youth. Using data gathered from the 2019 administration of the Minnesota Student Survey, a large statewide survey of 80,456 9th and 11th grade students, this study aimed to identify how holding multiple intersecting identities related to experiences of discrimination and substance use in Minnesota youth. Findings revealed that participants with more marginalized identity statuses experienced higher rates of discrimination and engaged in more frequent substance use than those with fewer marginalized identities. The relationship between holding multiple intersecting oppressed identity statuses and greater substance use was fully mediated by greater perceived discrimination among students with more marginalized identity statuses. In fact, once discrimination was included in the model, the relationship between multiple intersecting oppressed identities and substance use was statistically significant and negative. This suggests that exposure to discrimination may explain the increased risk of substance use among students with more marginalized identities, and that in the absence of discrimination, having multiple marginalized identities may have a protective effect against substance use. This study contributes to the growing research in intersectionality in adolescence and begins the conversation on managing the impact of discrimination and its associated stress
Growing Pains: A Needs-Based Assessment of Aging in Place in the Twin Cities
Get PDFBackground: As they age, older adults are often forced to change their living environments to accommodate their growing medical and personal needs. However, alternative living options are often less desired and present other challenges. Aging in place is the ability for individuals to choose where they live as they age, prioritizing the aging person’s choice and providing resources to support it. Purpose: The Twin Cities metropolitan area of Minnesota currently has a population of nearly 472,000 older individuals, and it is only continuing to rise. Although infrastructure exists that supports aging in place, not all older individuals get adequate services or any services at all. This needs-based assessment identifies the resources available for AIP in the Twin Cities metropolitan area and the major barriers this population faces. Methods: A combination of a case study interview and non-systematic review of national and local resources was used to identify main themes of barriers for aging in place. This mixed approach was chosen to obtain specialized insight to the current resources and needs of the aging community in the Twin Cities metropolitan area while exploring the breadth of resources available at larger levels. Conclusions: Between national and local resources, the Twin Cities metropolitan area offers a number of services that help with ADLs, housing, healthcare and mental health, and financial assistance. Despite these services, there are still challenges with aging in place that prevent many older adults in the area from aging where and how they want. Five major themes were identified as barriers in place: 1) the cost of healthcare and mental health services, 2) limited affordable housing options, 3) the combination of inadequate infrastructure for accessible living spaces and transportation, 4) lack of adequate financial support, and 5) absence of adequate culturally specific services. These barriers are rooted in national systemic inequity and require a more equitable approach to address the challenges faced by older adults in the Twin Cities
Systematic review of the effect of exercise on the reduction of myocardial remodeling following a myocardial infarction compared to a sedentary approach
Get PDFBackground: Cardiovascular disease is one of the leading causes of morbidity and mortality in humans worldwide. Ventricular remodeling following a myocardial infarction leads to detrimental outcomes due to cardiovascular death and ventricular dysfunction. Exercise training is an adjunct strategy to reduce the myocardial remodeling process.
Purpose: The paper seeks to answer the following PICO question: P: Population with post- infarct myocardial-remodeling I: Exercise following a myocardial infarction C: Sedentary approach O: Prevention of deleterious myocardial remodeling post-MI
Methods: A comprehensive literature review was done using PubMed and Science Direct with articles published in 2019 or after. The search was conducted using the terms: myocardial remodeling exercise, post-infarct ventricular remodeling, post-infarct myocardial remodeling exercise, post-infarct myocardial remodeling, and myocardial remodeling training. Peer- reviewed articles and scholarly journals were included in the search.
Conclusions: Studies in which exercise was introduced following a myocardial infarction have demonstrated a reduction in cardiac remodeling and an improvement in overall cardiac function. These findings suggest that an exercise program following a myocardial infarction can benefit patients in reducing negative complications such as cardiac wall thinning, infarct expansion, and heart failure
Unique Posttraumatic Growth Expression Among Homeless Males Currently Enrolled in Chemical Dependency Treatment
Get PDFPosttraumatic growth (PTG) has gained considerable research and clinical attention for the past three decades. While the impact of PTG has been well-researched in relation to trauma exposure, medical ailments, or mood related conditions, there are still a number of mental health conditions requiring further analysis. The current study examined the relationship between PTG and key substance use significance indicators, including diagnostic severity of the use disorder and number of previous substance use treatment attempts, among a sample (N = 136) of adult men who were enrolled in a mental illness/chemical dependency (MICD) intensive outpatient program (IOP). This study also examined how posttraumatic stress disorder (PTSD) symptoms may serve as a moderator of the relationship between PTG and substance use indicators. Results showed that PTG was significantly negatively correlated with both substance use severity and the number of previous substance use treatments. PTSD symptom severity was found to moderate the relationship between PTG and substance use severity for both moderate and high levels of PTSD symptoms, but not for participants with low PTSD symptoms. Specifically, those with high PTSD symptoms showed a significantly more negative relationship between PTG and substance use severity as compared to moderate PTSD symptoms. This same moderation effect of PTSD was not found between the number of previous treatments and PTG. Findings suggest that substance use and trauma exposure appear to correlate with the level of resilience in homeless populations. Findings provide a number of important clinical implications around the importance of addressing substance use concerns with populations who experienced trauma, and the role of mental health care in shelter settings. Future directions based on the present study emphasize the continued need for the inclusion of both positive and negative PTG ratings
Traumatic Brain Injury Severity in Older Adults: Impact on Anxiety and Depression Symptoms and Community Engagement
Get PDFBackground: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.
Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.
Methods: Archival data was analyzed from the TBI Model Systems Program (TBIMS) database. Individuals aged 65 years and older with a diagnosis of TBI and without a military history were included in the sample.
Results: Findings showed no significant relationships between TBI severity and anxiety symptom severity, TBI severity and depression symptom severity, or TBI severity and community engagement. Anxiety symptom severity was found to have no significant impact on community engagement. Depression symptom severity was found to have a significant negative impact on community engagement; however, there was no evidence of depression or anxiety symptom severity moderating the relationship between TBI severity and community engagement.
Conclusions: Despite limitations, the current study highlighted a need for clinicians to avoid assuming that patients with more severe TBI will have more negative mental health outcomes
Cultivating the Strategic use of Storytelling as an Advocacy Skill for Social Justice in Nursing Practice
No full textNurses are called to uphold and advocate for human dignity within care when threats arise. Despite this calling, deeply entrenched social injustices within care, such as racism, health inequities, and health disparities have persisted. Effectively addressing social injustices that threaten human dignity requires transformative change. Transformative change acknowledges, questioning, or reimagining underlying thinking and assumptions embedded within current beliefs and value systems, which are largely subconscious. Though most human thinking and decision making occurs subconsciously, or outside of one’s awareness, many strategies to address complex and evolving issues within nursing fail to target subconscious drivers of transformative change. The purpose of this scholarly project was to prepare faith and community nurses to cultivate storytelling as a skillset to mitigate common, subconscious barriers such as implicit biases and effectively advocate for social justice and transformative change. During a 2-hour workshop designed using concepts from Jean Watson’s Unitary Caring Science, nurses learned about the pervasive impact of implicit bias. Additionally, these nurses were guided through a storytelling framework designed to help them integrate and mitigate bias within storytelling development. As a result of the workshop, the participants felt that they had learned more about implicit biases and stated they were motivated to apply what they had learned within the workshop in their practice. This scholarly project prepared nurses with storytelling as a skillset designed to influence subconscious drivers of transformative change and advocate for social justice within nursing practice