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Combating Pediatric Nurse Burnout and Increasing Retention With the Implementation of a Relaxation Room
No full textNurses are at an increased risk for stress leading to burnout. Nurses working in pediatrics are said to be at an even higher risk for burnout than nurses caring for adult patients. The phenomenon of burnout has been shown to cause cynicism and depersonalization among those working in the service industry in addition to affecting nurse retention. Healthcare organizations need to provide resources to decrease stress and burnout for nurses while at work. Guided by Watson’s Theory of Human Caring, a project was developed to decrease burnout and increase retention among pediatric nurses at a large Midwest Academic Medical Center. The implementation of a relaxation room equipped with a massage chair, aromatherapy, and guided meditation for use by nurses’ during their break times is proposed. The Maslach Burnout Inventory will be used to measure the level of burnout of the nurses pre and post implementation. Comparisons of the pre and post data would be used to determine if the relaxation room made a difference in the nurses’ stress level and feeling of burnout, ultimately resulting in improved nurse retention
Jewish and Christian Women in the Ancient Mediterranean
No full textThis engaging and accessible textbook provides an introduction to the study of ancient Jewish and Christian women in their Hellenistic and Roman contexts.
This is the first textbook dedicated to introducing women’s religious roles in Judaism and Christianity in a way that is accessible to undergraduates from all disciplines. The textbook provides brief, contextualising overviews that then allow for deeper explorations of specific topics in women’s religion, including leadership, domestic ritual, women as readers and writers of scripture, and as innovators in their traditions. Using select examples from ancient sources, the textbook provides teachers and students with the raw tools to begin their own exploration of ancient religion. An introductory chapter provides an outline of common hermeneutics or lenses through which scholars approach the texts and artefacts of Judaism and Christianity in antiquity. The textbook also features a glossary of key terms, a list of further readings and discussion questions for each topic, and activities for classroom use. In short, the book is designed to be a complete, classroom-ready toolbox for teachers who may have never taught this subject as well as for those already familiar with it.https://idun.augsburg.edu/monographs/1086/thumbnail.jp
A Cross-cultural Health Internship
No full textCultural factors influence how individuals and communities experience health and illness. Individuals identifying with a minority cultural group are more likely to experience health disparities than individuals identifying with a majority cultural group. Health care providers must deliver services that are culturally meaningful to individuals to improve health equity. Cross-cultural education in health profession curricula varies widely, is not standardized, and is often inadequate. A focus on cultural humility, which emphasizes the role of bias, lifelong learning, and structural and systemic issues, could improve providers’ cross-cultural care. Immersion programs offer opportunities for students to find a deeper understand of other cultures, but immersion experiences are often expensive and unrealistic. Concordia Language Villages offers language and cultural immersion camp experiences in the Midwest United States. A cross-cultural health internship program at Concordia Language Villages will provide a domestic experience for undergraduate health students to be immersed in a cross-cultural setting, learn about cross-cultural health concepts, and develop cultural humility. The internship program will be evaluated with a qualitative reflection tool to determine its success and effectiveness in improving cultural humility. The cross-cultural health internship will be implemented during the summer of 2021, and future plans include research to identify best practice strategies for improving cross-cultural health education. The project will advance transcultural nursing practice and foster greater cultural humility in the interns who are future health professionals
Improving Family Nurse Practitioners’ Knowledge of Palliative Care Resources
Get PDFThe shift in healthcare indicates Americans are living longer with progressive chronic illnesses subsequently reducing quality-of-life. Primary care providers have opportunities to assess the need for and implement palliative care to offer holistic symptom management to improve patient’s quality-of-life. The purpose of this scholarly project, guided by Jean Watson’s Theory of Human Caring, is to assess primary care providers knowledge and comfort regarding initiating palliative care while determining if additional education improves their familiarity. The objectives were to review current palliative care literature identifying barriers and inadequacies, determine evidence-based practice to develop an educational presentation and resources to improve communication, and present this education to providers in a rural healthcare setting. The education and crucial conversations guide were provided to two groups with a total of 23 participants including primary care practitioners and third-year family nurse practitioner doctoral students. The presentation focused on the definition of palliative care and information on crucial conversations to encourage introduction of palliative care earlier in the disease process. Assessment of participants prior to the presentation indicates the majority do not feel confident in their palliative care knowledge and skills. Although further research is needed, the results of the scholarly project are encouraging and stress the importance of palliative care education for providers in the primary care setting for future patient successes
A systematic review of scientific studies and case reports on music and obsessive-compulsive disorder
Get PDFObsessive-compulsive disorder (OCD) is a severe psychiatric disorder, which can be associated with music-related symptoms. Music may also be used as an adjunct treatment for OCD. Following the PRISMA guidelines, we performed a systematic literature review exploring the relationship between music and OCD by using three online databases: PubMed, the Web of Science, and PsycINFO. The search terms were “obsessive compulsive disorder”, “OCD”, “music”, and “music therapy”. A total of 27 articles were utilised (n = 650 patients/study participants) and grouped into three categories. The first category comprised case reports of patients with musical obsessions in patients with OCD. Most patients were treated with selective serotonin reuptake inhibitors (SSRIs) or a combination of an SSRI and another pharmacological or a non-pharmacological treatment, with variable success. Studies on the music perception of people with OCD or obsessive-compulsive personality traits represented the second category. People with OCD or obsessive-compulsive personality traits seem to be more sensitive to tense music and were found to have an increased desire for harmony in music. Three small studies on music therapy in people with OCD constituted the third category. These studies suggest that patients with OCD might benefit from music therapy, which includes listening to music
Magnetic Conjugacy of Pc1 Waves and Isolated Proton Precipitation at Subauroral Latitudes: Importance of Ionosphere as Intensity Modulation Region
Get PDFPc1 geomagnetic pulsations, equivalent to electromagnetic ion cyclotron waves in the magnetosphere, display a specific amplitude modulation, though the region of the modulation remains an open issue. To classify whether the amplitude modulation has a magnetospheric or ionospheric origin, an isolated proton aurora (IPA), which is a proxy of Pc1 wave-particle interactions, is compared with the associated Pc1 waves for a geomagnetic conjugate pair, Halley Research Base in Antarctica and Nain in Canada. The temporal variation of an IPA shows a higher correlation coefficient (0.88) with Pc1 waves in the same hemisphere than that in the opposite hemisphere. This conjugate observation reveals that the classic cyclotron resonance is insufficient to determine the amplitude modulation. We suggest that direct wave radiation from the ionospheric current by IPA should also contribute to the amplitude modulation
Continuous Glucose Monitoring: Optimizing Type 1 Diabetes Management in Older Adults
Get PDFIntroduction: Type 1 diabetes (T1D) impacts many individuals around the world. Treatment goals of T1D include lowering hemoglobin A1c (HbA1c) values while minimizing the time spent in hypoglycemia. Frequent glucose monitoring is required to achieve optimal glycemic control.
Background: HbA1c has been used for many years to track glycemic control. When discussing care of older adults, hypoglycemia is a more important marker to track. The risks associated with hypoglycemia are higher among older adults with T1D than the general population. Multimorbidity, polypharmacy, and age-related mental decline increase the likelihood and danger of severe hypoglycemic episodes. Self-monitoring blood glucose (SMBG) provides point-in-time glucose measurements. Continuous glucose monitors (CGM) are wearable devices that transmit continuous glucose measurements throughout the day. Variations in glucose are viewed in real time, and users can be alerted when glucose levels are dangerously high or low. Methods: A literature search was completed to assess the benefits of CGM use in older adults. The PubMed database was used to identify relevant articles.
Discussion: CGM devices show greater improvements in HbA1c and greater reductions in hypoglycemia over SMBG. Health-related quality of life is also seen to increase with use. Given the significant effects of CGM use on hypoglycemia, the devices should be recommended for use in all older adults with T1D.
Conclusion: Further research is needed to evaluate the benefits of CGM use in various subpopulations of older adults. Reasons for limited use in this population should also be explored with the goal of increasing accessibility and usability
Does Transitioning to an OMI/NOMI Model for the Evaluation of Acute Coronary Syndrome in Adult Emergency Department Patients Improve Outcomes Compared to Contemporary STEMI/NSTEMI Model?
Get PDFAcute coronary syndrome (ACS) continues to be the most common cause of death in the United States, and nearly every 34 seconds one American has a coronary event. Based on 12- lead electrocardiogram (ECG) findings myocardial infarction (MI) patients are treated, according to guidelines, emergently with reperfusion therapy if presenting with ST elevation myocardial infarction (STEMI), versus delayed revascularization if presenting with non-ST elevation myocardial infarction (NSTEMI). However, the evidence shows there is a lack of recognition of which patients require immediate catherization utilizing the current guidelines. In recent years, approximately 70% of acute MI (AMI) patients are classified as NSTEMI. Furthermore, it has been observed that approximately 30% of NSTEMI patients have total occluded coronary arteries (TOCA) on angiography yet face a delayed intervention approach that contributes to worsened clinical outcomes.
The current STEMI/NSTEMI paradigm lacks the accuracy in triaging patients who have a suspected acute coronary occlusion (ACO) or near occlusion, with insufficient collateral circulation, whose myocardium is at imminent risk of irreversible infarction without immediate reperfusion. A more recent emerging paradigm to determine who warrants immediate reperfusion is ACO-MI/Non-ACO-MI or Occlusion Myocardial Infarction (OMI) versus Non- Occlusion Myocardial Infarction (NOMI) for short. To answer whether the OMI/NOMI paradigm was superior to STEMI/NSTEMI in evaluating ACS patients, a literature review was conducted primarily utilizing the database PubMed, and certain full-text articles were obtained through Augsburg University’s interlibrary loan system. Overall, literature shows limitations of the current STEMI/NSTEMI paradigm and shows that OMI/NOMI paradigm has superior diagnostic accuracy and earlier recognition abilities for treating patients that present with ACS
Exercise as Self-care to Combat Nurse Burnout
Get PDFThe demands on nurses continue to grow, inducing stress and other symptoms of burnout. Nurse burnout can cause short and long term physiological and psychological symptoms. Nurse burnout not only affects nurses but has implications for patients and hospitals as well. Exercise has been proven to have many health benefits and the ability to alleviate symptoms of burnout. Nurses on a hematology/oncology unit cited burnout as their reason for leaving the unit. This project proposes a walking program as a self-care method to reduce symptoms of nurse burnout. Utilizing Jean Watson’s Theory of Human Caring and her idea of self-care and energy transmission, a metaphoric battery was used to visualize this project. Pre and post surveys capture perceived stress levels with a goal of reducing perceived stress. Critical reflection identified needed changes before implementation of the walking program as well as implications for practice
