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An Acupressure Training Program for Nurses
No full textOccupational stress is an undeniable situation for nurses working in a progressive care unit in Midwest hospitals. Nurses experience much uncertainty and unpredictable healthcare situations such as the COVID-19 pandemic, a heavy patient-to-nurse workload, long work hours, and conflicts with intra and inter-disciplinary teams. Nurses’ uncontrolled long-term occupational stress increases the risk of adverse health outcomes such as hypertension, heart attack, or stroke. Therefore, self-care is necessary for nurses to reduce stress and maintain health, and well-being. An acupressure therapy used as a self-care practice has been proven to effectively reduce stress and other ailments. This therapy is an easy and powerful way of shifting stress and balancing energy in the body with gentle pressure on acupoints by using hand techniques. Thus, an acupressure therapy training program for nurses with the guidance from Jean Watson’s Theory of Human Caring needs to be established in the progressive care unit at the Midwest hospital. An educational module for acupressure therapy training formatted consisting of a PowerPoint presentation and video training for nurses is proposed in this project. This educational module will teach nurses about the dangers of occupational stress, the importance of self- care, and the benefits of acupressure therapy utilizing Watson’s Caritas Processes. Pre and post assessment tools will be used to evaluate the nurses’ perceived stress, their improvement in awareness of self-care and using self-administered acupressure therapy. The future plans include implementing the acupressure therapy training program at the progressive care unit and integrating this therapy into nursing practice
Women in Christianity in the Age of Empire
No full textChapter 4, Women, religion, science, and technology in the Age of Empire, ca. 1780–1920
In a chapter that brings together a number of disciplines, the author creates a layered approach to the discussion of Women, Religion, Science, and Technology and the Age of Empire. In doing so, she seeks to demonstrate that the categories are mutually constitutive, often working along lines of mutual interest. This happened in the areas of gender and race identity. The shift in thinking from a divinely ordered world to one explicable in terms of natural concepts, cannot be overstated, and this chapter covers the period in which this took place. The chapter analyses the impact of new thinking on the concept of women\u27s nature. Medical innovations prompted new debates about the relative authority of science and religion. Dissenting denominations were both more accepting of scientific thinking, and more open to egalitarian gender relations. But as science itself became professionalized, women\u27s knowledge and experience were excluded, and the study even of gender was conducted by men. Thus, the claim to scientific objectivity gave credence to views that were based on gender-exclusive observation. This had an impact on women\u27s health care, which can be discerned up to the present day. Through intense struggle, women did enter the scientific and medical professions, and bring about change, though there is still more to be done.https://idun.augsburg.edu/monographs/1084/thumbnail.jp
Alcohol Use Disorder and Major Depressive Episodes: Findings from the National Survey on Drug Use and Health
Get PDFAlcohol use disorder (AUD) is one of the leading causes of death and disability among individuals in the United States (Bergmann et al., 2013; Jung, 2019; Sliedrecht et al., 2019; Witkiewitz, 2019). A number of individuals reporting an AUD diagnosis also report difficulties related to numerous physical, social, and mental health consequences, most notably, major depression. Major depressive disorder (MDD) and AUD co-occur at high rates, and researchers have been investigating the negative consequences and outcomes related to these co-occurring illnesses (McHugh & Weiss, 2019; Tolliver & Anton, 2022). Using a large nationally representative sample of 18–36-year-olds, treatment completion within various treatment modalities (i.e., hospital settings; mental health settings; and family and community support settings) were examined among those diagnosed with a co-occurring AUD and a lifetime Major Depressive Episode (MDE), and with a single alcohol use diagnosis. Logistic regression analyses revealed individuals with a co-occurring AUD and MDE were six times more likely to drop out of treatment prematurely compared to individuals with a single AUD diagnosis. This study also revealed that men and women do not differ in treatment completion in general. However, a significant finding was observed among women receiving treatment in hospital and primary care settings: women with a single AUD diagnosis were more likely to leave treatment in these settings prematurely compared to men. The findings may be accounted for by the increased complexity and challenges associated with a co-occurring AUD and MDE and highlights the need for targeted mental health care within substance use treatment centers (Archie et al., 2012; Bazargan-Hejazi et al., 2016; Holma et al., 2020; McHugh & Weiss, 2019; Pavkovic et al., 2018)
Accept Yourself! A Pilot Randomized Controlled Trial of a Self-Acceptance-Based Treatment for Large-Bodied Women With Depression
Get PDFA pilot parallel randomized controlled trial compared a self-acceptance, non-weight-loss intervention, Accept Yourself! (AY), to a weight loss program, Weight Watchers (WW), in order to provide preliminary safety, feasibility, and efficacy data in preparation for a definitive RCT of AY as an intervention to enhance the mental and physical health of larger-bodied women with Major Depressive Disorder(MDD). Adult women with MDD and a Body Mass Index ≥30 were eligible. Nineteen women were randomized by random number table into AY (n = 9) or WW (n = 10). Intake, pretreatment, posttreatment, 3-, 6-, 9-, and 12-month follow-up assessments occurred at a rural academic medical center. Primary outcomes included depression severity and cardiovascular fitness. Chi-square and t-tests assessed attrition and participant preferences for treatment; other analyses used intention-to-treat, linear mixed-effects models for repeated measures, including all participants’ available data. Both groups improved in self-reported, F(5, 43.81) = 7.45, p \u3c .001, partial η2 = .38, and blinded-clinician-rated depression, F(6, 62.03) = 10.41, p \u3c .001, partial η2 = .5. AY was superior to WW in self-reported depression, F(5, 43.81) = 2.72, p = .03, partial η2 = .11. Neither group improved in fitness. Eating disorder symptoms and weight gain worsened in WW. AY appeared safe, feasible, and offered initial evidence of efficacy for depression; it should be investigated in a definitive RCT, with modifications to increase potency. WW may not be suitable as a comparator intervention for AY because of risk to participants
Creating a Complex Care Model
No full textAcute care hospitals experience barriers to discharging patients with complex needs. These complex needs can be related to the psychosocial and/or medical needs of patients. A project to address the care of patients with complex needs at a level-one trauma safety net hospital was developed. A multidisciplinary care team approach is beneficial in providing care and progressing to a timely discharge. A multidisciplinary team, identified as the complex care review team, was created to support the care teams with developing a plan of care, discharge planning, and difficult decision-making for patients with complex needs. Margaret Newman’s Health as Expanded Consciousness theory provided the theoretical foundation for creating and implementing the framework for the model of care. The complex care team model has successfully shifted the care for patients with complex needs, and a tool for tracking trends was created. The tracking tool will provide easy reference to past cases, trends, and identify the frequency that the complex care team is requested. Plans are in place to expand the complex care team model to a sister hospital within the organization
Self-healing With Reiki for Homeless Individuals Suffering from Past Traumatic Events
Get PDFLiving with symptoms that resemble PTSD from past trauma can be detrimental to health, healing, and quality of life. Symptoms that resemble PTSD are intrusive and disruptive to daily life and can cause anxiety, vivid flashbacks and nightmares, and intense memories. Homeless individuals navigate challenges and are at increased risk for developing symptoms that resemble PTSD. This project explored Reiki as a healing modality to improve health, healing, and quality of life from the negative implications of past traumatic experiences. Guided by Martha Roher\u27s SUHB Theory, this project connects Reiki with energy as healing. Understanding energy and energy fields can help individuals with self-healing of the body, mind, spirit, and emotions. Eighteen homeless individuals participated in this project and sixteen of the individuals reported experiencing past traumas while eleven were diagnosed with PTSD. According to the World Health Organization (WHO), there needs to be more outreach with PTSD, and the quality of treatment needs to be improved. This project introduces Reiki as a form of healing in homeless individuals
In patients with malaria, does the use of antimalarial drugs (Artemisinin-based combination therapies) more effective than exchange transfusion for treatment?
No full textBackground: Malaria remains a significant burden that affects millions of people in Sub-Saharan Africa and Southeast Asia. Artemisinin-based combination therapies (ACT) are widely used for the treatment of Plasmodium falciparum malaria in endemic areas. Exchange transfusion has been used since 1974 as an adjunct for treatment of malaria. But its use has been subject to controversies as its role has not been clearly demonstrated.
Purpose: To determine the best treatment for Plasmodium falciparum malaria.
Methods: A comprehensive literature review was conducted using google scholar, and PubMed using the search terms antimalarial drugs, exchange transfusion, ACT. Inclusion criteria were studies from 2015 to present and exclusion criteria were studies that were older than 2015.
Conclusions: ACTs remain the first line treatment for Plasmodium falciparum malaria. They are effective against Plasmodium falciparum and well tolerated by patients. The evidence for exchange transfusion efficacy remains limited. Exchange transfusion is no longer recommended for treatment of Plasmodium falciparum malaria
What are the Contributing Factors of the Disparities in Maternal Mortality?
No full textBackground: Maternal deaths during pregnancy, parturition, and post-partum is an immense tragedy that impacts families in stark and devastating manner. With maternal mortality rate being exceptionally high, globally and locally, it is imperative more research is done to gain more in- depth and comprehensive understanding of the crisis at large.
Purpose: Since the overall increase of maternal mortality rates is still unknown, further comprehensive research is needed to understand the indirect and direct causes contributing to the alarming trend. This paper will analyze the contributors of maternal mortality and the disparities that exist within maternal health in respect to race, ethnicity and socioeconomic status.
Methods: A comprehensive literature review was conducted using Google Scholar, PubMed, Taylor and Francis Online and Science Direct data bases using the search terms maternal mortality, socioeconomic status, racial and ethnic disparities in maternal mortality, allostatic load and maternal mortality and access to antenatal care.
Conclusions: The studies reviewed revealed the social determinant of health including poor access to quality and equitable care throughout pregnancy, lower educational level, poverty as well as race have all showed to have adverse impact on maternal health outcomes adding to the increasing maternal mortality rates further widening the health disparity gaps. More research is urgently needed to further understand the implications of these findings and coming up with more pragmatic solutions that take into account the challenges and inequities that exist for marginalized and low-resource communities
The Effect of Listening to Relaxing Music Versus Mood Sequence FormulaTM Music on Anxiety, Stress, and Resilience in Healthcare Workers and Hospital Staff: A Pilot Study
Get PDFThe study aims include testing: Effect of music listening interventions to decrease anxiety and stress in healthcare workers compared to attention control. Effect of music listening interventions to improve resilience in healthcare workers compared to attention control. Compare the efficacy of music listening interventions with relaxing music (60-80 beats per minute) to music infused with the Mood Sequence FormulaTM (Stress Break) on stress, anxiety, and resilience in healthcare workers. Use of online intranet platform for delivery of study interventions and participant engagementhttps://idun.augsburg.edu/zyzzogeton/1026/thumbnail.jp
Pediatric Seizures: Access and Utilization of Specialty Care and Mental Health Care
Get PDFEpilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey and investigated whether having private, public, or no insurance affected these children’s access to and utilization of specialty and mental health care. It was hypothesized that children with private insurance would have greater access to and utilization of both types of care. Whether severity of mental health symptoms among these children affected mental health care was also investigated, with the hypothesis that those with more severe symptoms would have less access and utilization. Changes in the relationship between insurance type and mental health care over time were also investigated, with the hypothesis that the disparity in access to and utilization of mental health care among participants who had private vs. public health insurance would be larger in 2011 than in 2016. Contrary to these hypotheses, there were no significant differences in access to and use of specialty care and mental health care across insurance types (public, private, and non-insured). Mental health severity was significantly associated with participants’ access and use of mental health care, but the relationship was positive, not negative as hypothesized. There were no significant differences between 2011 and 2016 in participants’ access to and use of mental health care. Insurance type, symptom severity, and changes related to Affordable Care Act implementation may only be a small factor in disparities of care affecting pediatric seizure patients