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Mindfulness-based Stress Reduction for Nurses
Nurses comprise one of the largest health care workforces, and the care provided can be seen in almost every setting. Nurses know the importance of promoting health, well-being, and stress management; however, this may translate into something other than nurses\u27 self-care. Stress and burnout are widespread phenomena in the nursing profession. Within healthcare, nursing has been found to be one of the most stressful occupations. Work-related stress experienced by nurses at work leads to burnout, and it can negatively impact patient care and the overall well-being of nurses. An essential step to support nurses working in the acute care setting suffering from work-related stress is to improve self-care through mindfulness. A quality improvement project to improve nurses’ self- care through Mindfulness-Based Stress Reduction is being developed in a medical- surgical unit at a Midwest hospital. The goal of this project is to increase nurses’ knowledge of the benefit of Mindfulness to improve nurses’ self-care. Watson’s Theory of Human Caring provides a framework to support the educational offering on the use of Mindfulness-Based techniques. A presurvey assessment will be conducted before the educational offering, and a postsurvey assessment to evaluate the effectiveness of the MBSR program to compare the results. Implementing the educational program on mindfulness could improve nurse well-being, ultimately leading to better patient outcomes
Medical Academic Burnout: A US Problem or a Worldwide Problem?
Objective: As a result of the COVID-19 pandemic and the provider shortage, the United States has been conducting a lot of research into the factors that lead to burnout amongst healthcare providers. One such area of particular focus has been academic burnout correlating to the training of future medical providers. The aim of this study will be to explore whether medical academic burnout is only prevalent in the United States or if other countries around the world have recognized this problem in their population of healthcare students and have started to pursue ways to address this problem. Methods: Through the use of a literature review methodology and design, this study analyzed 11 different peer-reviewed studies from 2 different educational databases (PubMed, Google Scholar) as well as qualitative data from personal testimonies of healthcare providers in Costa Rica. All of these studies were focused around whether medical academic burnout was present in these 16 different countries. Results: Following a detailed and standardized review of each study, all 11 studies and 16 countries were found to have evidence of medical academic burnout within their healthcare student population. Conclusion: Medical academic burnout is a worldwide phenomenon and is in urgent need of further research into preventative strategies in order to reduce its prevalence in the healthcare student population across the globe
The Efficacy of Platelet-Rich Plasma in Alopecia Treatment
Alopecia is a prevalent medical condition affecting both men and women that can heavily impact an individual\u27s self-image and mental health. Research has begun to discover new and effective ways of permanent treatment options for those suffering from early onset hair loss. This systematic review investigates one promising treatment modality specifically; platelet-rich plasma (PRP) for the reduction and regrowth of hair loss due to alopecia. PRP therapy acts through multiple mechanisms, including the promotion of new blood vessel formation, improved blood supply to hair follicles, stimulation of dermal papilla cell proliferation, and enhanced production of extracellular matrix proteins. A systematic review was conducted to analyze current research available from specialists evaluating and utilizing PRP for the treatment of alopecia to determine the effectiveness of platelet-rich plasma for both the cessation of hair loss as well as the regrowth of said loss. Search engines used for data collection included Google Scholar and PubMed. The search included keywords “platelet-rich plasma + alopecia”, “alopecia treatment”, “alopecia”, and “platelet-rich plasma + dermatology”.
Inclusion criteria were studies with a p-value \u3c0.05 and published between the years of 2017 through 2023. Exclusion criteria were studies including patients under the age of 18, those released longer than 5 years ago, and those which evaluated hair loss treatments not involving PRP. The analysis findings suggest that platelet-rich plasma treatment is an effective treatment for patients with alopecia, with limited adverse reactions or concerns
Safety First: Assessing First Aid Educational Needs of Outdoor Education Participants
Background: Much of the general population has a lack of first aid knowledge, despite engaging in activities that might end in needing some level of medical care. Even when first aid education is gained, sometimes it is subpar or less relevant to wilderness excursions. In order to create a high quality wilderness first aid course, it should be interactive and take place in a wilderness setting. Having basic first aid skills increases confidence and reduces anxiety of participants, possibly reducing the rate of injury.
Purpose: This needs assessment sets out to determine the first aid needs and concerns held by outdoor education participants in order to better construct a curriculum to serve their safety needs.
Methods: This needs assessment was conducted during participation in the Augsburg University Boundary Waters Teacher Institute. This was an outdoor education course including 16 participants that took place in the Boundary Waters Canoe Area Wilderness. This course took place from July 9th 2023 until July 15th 2023, and consisted of three nights camping at Sawbill Campground and 3 nights in the remote backcountry. This study involved observation by the researcher of the public behavior by the participants of this trip.
Conclusions: Based on observations from a remote outdoor education program, this research found important topics to cover being diarrheal illness, Lyme Disease, muscle sprain, muscle strain, bone fracture, dislocation, laceration, burns, and head injury. Skills that are good candidates for an experiential component are tick removal, splinting, tourniquet tying, wound dressing, and burn care
Stroke Prevention in Sub-Saharan African Immigrants: Educating for Change
Stroke has a significant impact on Sub-Saharan African (SSA) communities. It is critical to provide appropriate stroke prevention education to these communities. In Minnesota, a lack of education and knowledge with immigrants about the health care system contributes to poor health care outcomes and disease progression. SSA immigrants have poor health outcomes. Despite decent health care, SSA immigrants\u27 lack of information causes health disparities. Due to the lack of knowledge about SSA communities\u27 cultural values, the health care system has failed to provide optimal stroke prevention care. Many SSA immigrants in the Twin Cities area are not receiving adequate education in their native language to help them understand cerebrovascular disease. A project to educate SSA immigrants in Minneapolis, Minnesota to understand their perception about strokes and provide educational materials to increase their knowledge about health care requirements and appropriate actions to prevent strokes and reduce the number of cases in their community was developed. Education was provided in community and religious centers to SSA immigrants on how to prevent stroke through simple lifestyle changes. Ten individuals were recruited from the community and interviewed to evaluate their stroke-related knowledge, and received education based on their knowledge level. The result indicated a significant increase in their knowledge of stroke symptoms and prevention. Following education at this community center and religion centers, participants\u27 knowledge of stroke prevention increased. This scholarly project aided in the advancement of stroke prevention knowledge and the promotion of positive health care outcomes for SSA immigrants
Does Aphid Feeding Trigger the Production of H202 in Wild Barley?
In an in vivo experiment to see if the oxidative burst of reactive oxygen species (ROS) is utilized as a defense mechanism in barley against the bird cherry-oat aphid (Rhopalosiphum padi), aphids were pre- starved then allowed to feed on cultivated (Hordeum vulgare) and wild barley (H. spontaneum) accessions. Hydrogen peroxide (H2O2) generated in barley leaves in response to aphid feeding was quantified with DAB (3,3\u27-diaminobenzidine) staining. Stained leaves were digitized and analyzed using Fiji. Proportions of stained areas were statistically tested for significance (with pooled t-tests and ANOVA at 5%). No significant differences were detected between wild and cultivated barley, nor between aphid-challenged and control tissues. Therefore, ROS are not a notable component of barley’s defense machinery when preyed upon by R. padi.https://idun.augsburg.edu/zyzzogeton/1024/thumbnail.jp
Yoga and Mindfulness to Reduce Stress and Anxiety in Adolescent Boys Through Teamwork and Coaching
According to the Center for Disease Control and Prevention (2019), suicide is among the leading causes of death in adolescents. Depression, a major factor leading to suicide, can be brought on by increased stress and anxiety. It goes without saying, then, that the number of suicides can be reduced by giving those who need it ways to alleviate stress and anxiety they experience. A key way for adolescents to reduce feelings of stress and anxiety is to find ways to improve their self-worth and self-esteem. Impressionable teenage boys, struggling to find out who they are need a strong support base. A strong support base will assist them in making healthy choices with hygiene and diet, helps with academic studies and problem-solving strategies, and educate them in productive ways to manage stress and anxiety. This support base consists of family, teachers, friends, neighbors, and coaches. The purpose of this project is to provide adolescent male hockey players with coping skills to manage stress and anxiety using Hatha Yoga and mindfulness meditation practices. This will be accomplished by using instructional group meetings on integrative techniques and creating trusting relationships, allowing for open discussions about fears, stress, and anxiety while keeping a fluid structure that is able to change as needed will ensure that the project stays on track. The project was guided using the theoretical foundation of Jean Watson\u27s Theory of Human Caring, DNP Essentials, and NONPF Competencies. Results showed a lowering of the average stress and anxiety levels among the group. Concluding that causes of stress and anxiety are something that will remain, but learning how to properly manage those feelings will ultimately improve the health and decrease the risk of suicide of those involved
Essential Medications for Native Americans
Medications are a significant treatment modality in Western medicine. Medication adherence is essential to positive health care outcomes. Non-adherence to medications contributes to poor health care outcomes and leads to disease progression. Native Americans have the poorest medication adherence rates among all of the population groups. Health disparities in health care exist despite the access to basic health care and medications provided to Native Americans through the Indian Health Service. Many health care institutions as a whole and health care providers contribute to health care disparities due to their lack of knowledge about the “history behind the health history” of Native American patients. At a Midwest health care facility, many Native American patients were being discharged without direction for obtaining their medications. A process was developed at a Midwest health care facility to provide Native American patients who list the Indian Health Service (IHS) as their primary pay source, a 3 to 5-day supply of essential medications upon discharge at no cost. Since implementation on September 2020, ninety-nine Native American patients have been discharged from the hospital with enough medication until they are able to fill the prescriptions at the IHS. This scholarly project helped to eliminate one of the barriers to medication adherence and promote positive health care outcomes for Native American patients
Birth Equity in Action: Community Partnerships in Nursing Praxis
This scholarly project discusses both the inception and work of the Birth Equity Community Council (BECC) and its actionable initiatives targeted to reduce maternal and infant health inequities in Ramsey and Hennepin County, through the centering of community experiences and voices. While much work has been done to decrease the pregnancy-related mortality ratio, there remains a strong relationship between negative birth outcomes and populations that have been historically marginalized. In working through local government and public health nursing, BECC works to recenter social justice as nursing praxis, in moving toward emancipatory praxis. The actionable initiatives implemented by the council evolve and develop as BECC engages in developmental evaluation to move and adapt to complex dynamics of multiple intersections expressed in the community’s health status through maternal and infant birth outcome disparities. The BECC model aligns both quantitative data through the Perinatal Periods of Risk (PPOR) framework and qualitative data through community participatory dialogues to drive upstream and downstream initiatives. The BECC model is a model of expanding relational complexity through connecting and capacity building in centering community wisdom and knowledge to drive initiatives relates to the work by Margaret Newman and her Health as Expanding Consciousness (HEC). Within the scope of Doctoral Nursing Practice, engagement and work within the BECC team address ACCN Essential II, V, and VI. The work of BECC has only just begun and there are many possibilities to further partner with the ever-increasing number of health organizations that aim to decrease the impact health disparities have on the next generations
Spanked: How hitting our children is harming ourselves
Spanked: How Hitting Our Children is Harming Ourselves is a historical and cultural analysis of the long accepted practice of hitting children for learning and obedience. The book begins with understanding who spanks and how the practice of using a hand to hit the buttocks of children evolved. Erickson explores the cultural factors from historical magazine articles and parenting books to contemporary beliefs that support this type of discipline. Spanking\u27s connections to a variety of topics are clarified, including the feelings of parents, perceptions of children, potential child abuse, school corporal punishment, attachment and bonding, the legal language that allows hitting of one\u27s children but not others, and international perspectives on physical punishment. The book invites an exploration of who we are as parents, and as a society, and what family leadership really means. Book group questions for families, professionals, and organizations lend the book useful for conversation and dialogue in libraries, living rooms, offices, and classrooms. Erickson gives readers an open platform to discuss respectfully what we are really communicating when we spank children.https://idun.augsburg.edu/monographs/1079/thumbnail.jp