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The Effect of a Stress Management and Resilience Training (SMART) Program Integrated into Perioperative Unit Culture
No full textNursing burnout is a problem for nursing and threatens health care. The author\u27s nursing unit was experiencing staffing turnover issues that adversely affected patient flow and created a negative atmosphere. A quality improvement project (QIP) was created that integrated Dr. Sood’s Stress Management and Resilient Training (SMART) program into the nursing unit culture. The QIP also utilized Watson\u27s Theory of Human Caring, which suggests that the same energy is received back if nurses provide a loving or caring presence to patients. The QIP project includes Dr. Sood\u27s online module program plus six sessions delivered in person or online. Brief prompts will be integrated into morning huddle conversations, a gratitude gallery, and inspirational quotes suggested by the SMART program will be delivered to nurses daily in order to integrate the program fully into the unit culture. The SMART program concepts of gratitude, compassion, acceptance, meaning, and forgiveness align with Watson\u27s theory. The project will use the Perceived Stress Scale, Mindful Attention Awareness Scale, the two-question single item Maslach Burnout Inventory, and the Connor Davidson Resilience Scale to evaluate the success. An organizational grant was applied for in order to fund the well-being project. Integrating the SMART program into nurses\u27 unit culture can decrease stress and build resilience
Development of a Simulation Based on Lived Experiences of Health Care Barriers and Bias for Nursing
No full textBarriers to health care and social determinants of health result in harmful and preventable health outcomes. Gaps in health outcomes and disequilibrium of occurrence of diseases and illness are a result of physical barriers of health, and bias and racism in health care. At an urban hospital in the Midwest, simulation is currently used for exploring and learning about various nursing skills, hospital protocols, practices, and policies. Using Madeline Leininger’s Culture Care Theory, a simulation based on people’s lived experiences highlighting health care barriers and subsequent inequities was developed to educate and expand nurses’ knowledge and understanding of caring for marginalized populations. Literature reviewing simulation in nursing, racism in health care and social determinants of health, the phenomenology of lived experiences, and the concept of culture care describes the possible successes of using simulation as a space for exploring diversity, equity, and inclusion and bias in health care and the importance of incorporating lived experiences into the learning. Nurses have the capability to either contribute to or dismantle health care bias and barriers experienced by patients through the care they provide. The project aims to educate nurses by enhancing awareness and ability to combat bias and barriers. Implications for future nursing practice and projects to ensure fair, equitable, and respectful health care for all resulted in the eye-opening learning of the importance of community and hospital partnership which is essential to mitigating barriers to health care
Recruitment and Retention of Physician Assistants in Rural Medicine: A Novel Approach
Get PDFImproving the health of patients requires having access to well trained medical providers. This is one of the main goals of the physician assistant profession. For many years research has documented how to recruit and retain physician assistants in the rural areas of the United States. Although created to fill the gaps in primary care medicine physician assistants have moved as all of medicine has into specialization. This gap in primary care has not closed and is most significant in rural areas. This paper reviews the plethora of research and elaborates on the known and best methods for recruitment and retention. Building on this research, the paper elucidates a different approach to solve the challenges of retention and recruitment of physician assistants to the rural United States
Implementation of Vinyasa Yoga for Adults Experiencing Anxiety
Get PDFAnxiety disorders are the most prevalent mental illness in the United States (US) and holistic treatment approaches, such as vinyasa yoga, are often practiced to alleviate the severity of symptoms (The Anxiety and Depression Association of America, 2020). A comprehensive literature review including evidence-based research, Metis-based knowledge, and personal accounts are used to support this scholarly project. Jean Watson’s Theory of Human Caring is explicated and synthesized as a theoretical framework. Methodology and evaluation of the scholarly project are described, analyzed, and reflected that vinyasa yoga has a positive impact on individuals who experience anxiety. This scholarly project was implemented in a local city park in which vinyasa yoga sessions were held once per week for one-hour long sessions over the course of four weeks. Pre-intervention and post-intervention surveys were distributed to measure the effects vinyasa yoga had on adults experiencing anxiety. Therefore, the purpose of this scholarly project was to assess the effects of vinyasa yoga on adults experiencing anxiety
Educating Nurses to be Spiritual Healers at the End of Life
No full textSpirituality is a universal human need and a significant source of support for patients and families at the end of life. Nurses are spiritual healers, accompanying persons with spiritual and existential concerns. Caring for dying persons is stressful for nursing students who need guidance on how to be with people during uncertain moments. A spiritual care curriculum was developed and implemented at a Midwest university to teach undergraduate nursing students about spirituality and spiritual needs at the end of life. Margaret Newman’s theoretical concepts of holistic health, chaos, pattern recognition, and presence were used to guide students in their anxieties about death. Following implementation, nursing students reported increased confidence in assessing spirituality and providing a compassionate presence at the end of life. This scholarly project increased nursing student awareness of spirituality and demonstrated a need to teach spirituality as part of holistic nursing assessment and care
Educational Experiences of Juvenile Offenders in Minnesota
Get PDFObjective of Study. The objective of this study was to examine the impact of positive adult/teacher relationships in juvenile detention educational settings in Minnesota on juvenile offenders’ perceptions of school, as well as their future plans for attending college after high school. Method. Data were obtained from the 2019 administration of the Minnesota Student Survey, involving 280 juvenile offenders (83 girls) from correctional educational facilities. Hypotheses were tested using correlational analyses to examine the relationship between perceived adult/teacher relationships and school perceptions, as well as the association between these relationships and post-high school plans. Results. Results revealed a positive relationship between participants’ perceptions of whether teachers or other adults at school cared about them and participant’s perceptions of school. However, students who planned to go to college after high school did not report significantly more positive adult and teacher relationships compared to students who planned to not graduate. Students who planned to attend college after high school did report receiving significantly more adult support compared to their peers without college aspirations. Furthermore, the study found that students with non-college plans, such as obtaining a GED, joining the military, seeking employment, or pursuing a career certificate or apprenticeship, also reported receiving significantly more adult support compared to those who did not plan to graduate high school. Discussion. Positive adult/teacher relationships serve as an important role for juvenile offenders within educational settings. Such relationships can improve a juvenile offender’s perceptions of school, which in turn may lead them to increased school engagement
Accompanying Parents in the Neonatal Intensive Care Unit: A Nurse-Led Support Group
No full textParents of Neonatal Intensive Care Unit (NICU) babies experience a large amount of stress that negatively impacts their experience in the hospital and can lead to detrimental health outcomes. A lack of support for these parents can make combatting stress difficult and may cause caregiver burnout. The author previously worked as a Registered Nurse (RN) in a NICU at a large, level I adult and pediatric trauma center and safety net hospital in the Midwest and witnessed the stress of the NICU parents. Furthermore, a summer internship program working with unhoused and marginally housed individuals in Minneapolis inspired this project and helped the author craft the design for the project. Drawing upon the author’s experiences as well as Jean Watson’s theory of Human Caring, the author created a design for a nurse-led support group in this particular NICU for parents of babies with the goal of reducing parental stress. A project plan proposal and flyer outlining the specifics of the support group were developed. A project model was created to give a visual representation of the project design, with the theme of accompaniment being expressed through the model. The project’s success will be evaluated using a post survey to obtain feedback and insight. Future steps could include a needs assessment, implementation, a research study, and expansion into other settings, including both inpatient and outpatient units
Exploring the Implementation of a Nurse Professional Development Specialist (NPDS) in the Cardiac-vascular Ambulatory Care Setting: a Role Proposal
No full textIn the modern healthcare environment, increasing patient acuity, and ongoing staffing challenges have placed strain on nursing staff. Nurses in ambulatory care need leaders to be champions of change. The project coordinator used Jean Watson’s Theory of Human Caring as a framework to propose the addition of a Nurse Professional Development Specialist (NPDS) into the cardiac-vascular service line (CVSL) of a large-scale health care organization located in multiple suburbs and rural outreach areas of Minneapolis-St. Paul. The NPDS role aims to fill in gaps in orientation and continuing education to meet patient quality standards. Following a literature search focused on the ambulatory care environment, the nurse professional development specialty, and key concepts related to teaching and learning, a letter introducing the proposed new role, a detailed proposal document with key details regarding the rationale for the role, and an NPDS job description were created. The plan was to present these documents to the CVSL’s executive leadership team. Ultimately, the project was halted due to the abrupt announcement of nursing layoffs within the CVSL. Reflection and review of the project illustrated a need for resilience amongst nurses and strengthened work relationships to further encourage innovation. Transformational leadership skills allowed the project coordinator to identify a gap in ambulatory services and implement a process designed to improve the health of the organization
Catalyst for Change: Evaluating the Effects of the Citizen Nurse Education
Get PDFBackground:
The purpose of this qualitative study was to evaluate the effects of curricular changes made to foster graduate students\u27 understanding of how they can be catalysts of change. For more than a decade, the concept of the citizen nurse has been woven into coursework in nursing education, thus indicating an evaluation process was needed. Method:
Ten oral history interviews were completed with current students or alumni. Data were analyzed for codes, allowing the final themes to emerge. Results:
Two main themes emerged. Students reported (1) having a new understanding of what it means to be a nurse and (2) feeling more prepared to take action. Conclusion:
Students felt more prepared to lead change as the result of curricular changes that supported their ongoing education
Building a More Resilient Physician Assistant Student: Suggestions for Implementing Mindfulness-Based Training into Didactic Education
Get PDFBackground: Burnout affects a high number of healthcare providers and compromises both provider and patient wellbeing. In addition to high turnover rates, burnout costs healthcare systems through errors, poor care outcomes, and decreased patient satisfaction. Mindfulness-based therapy delivered by phone apps has been successful in improving stress levels and burnout measures. Based on similar research with medical students, physician assistant students may benefit from early stress-reduction interventions, although the research surrounding implementation and long-term follow up is lacking.
Objective: This cross-sectional study looks at burnout rates across three cohorts at a single Master of Science in Physician Assistant Studies program as well as students’ experiences with MBT apps in the past. The goal was to determine whether providing students with an app early in their didactic education could be successful in reducing burnout symptoms and building resiliency going into clinical rotations and practice.
Methods: Students self-reported levels of stress, emotional exhaustion, and self-doubt via an online survey. They were asked about how well they felt they worked with their peers. They then reported whether they had used a mindfulness app in the past, whether they found it helpful, or it added stress, and if they would consider using one in the future.
Conclusions: 56% of students reported frequent burnout symptoms (occurring several times per month or more). There was no statistically significant correlation between burnout scores and past mindfulness app use or feelings towards an app. However, 95% of students said that they would consider using one if it were provided