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Effects of Reiki Healing on Newborn Attachment and Postpartum Depression in Women
No full textPPD is a depressive disorder that affects 10-15% of women. Depressed mothers are more withdrawn and unresponsive toward their children. Because of this, the importance of giving oneself Reiki-healing can offers several ways to improve the overall well-being of postpartum depression. Therefore, the DNP-FNP project was originally focused on teaching postpartum mothers who are experiencing postpartum depression the self-care practice of Reiki. Due to the severe restrictions of the COVID-19 pandemic, the project was revised with a new population for education, that of the multidisciplinary clinical team members at an outpatient psychiatry department who care for patients with a range of mental health disorders including PPD. This project identified that people experiencing mental health disorders suffer a great deal of pain. Using developmental evaluation, a new approach was designed and implemented. The modified design of this project became to use and uncover an understanding of an individual\u27s experiences and attitude toward Reiki modality. Throughout this project, the design were gathered from the participants about their beliefs and their experience learning about Reiki. The education Reiki modality was provided using the Microsoft Teams application along with supporting written material. The project\u27s findings demonstrated the positive effect of Reiki teaching and further illustrated the importance of integrating the healing art of Reiki into clinical practice. Furthermore, the DNP Essentials and NONPF competencies were addressed throughout this project. Significance and implications for future DNP-FNP practice are discussed
Identifying and Addressing the Cultural Experiences/Challenges of Hmong Community and Their Interactions with Western Medicine: A Case Report and Review of Literature
No full textBackground: This literature review delves into the intricate relationship between Hmong culture and Western medicine. Originating from Southeast Asia, the Hmong people have a rich history of migration and have settled in various countries, including the United States, where their traditional practices, such as shamanism and herbal medicine, remain deeply rooted. The introduction of Western medicine has brought forth a clash of beliefs, leading to skepticism and resistance. Issues such as spiritual healing, medicinal usage, language barriers, and decision- making processes are explored, highlighting the importance of cultural competence for healthcare providers. Purpose: To identify the most common cultural experiences or challenges within the Hmong community as this group of people interacts and intertwines with Western Medicine Methods: A comprehensive literature review was conducted using google scholar, UpToDate, Lindell Library, and databases such as EBSCO. Studies from within the last five years were used in this research paper. Conclusions: The literature review and case study on Hmong immigrants highlight the importance of cultural sensitivity, effective communication, and collaboration between Western medicine and traditional beliefs. Culturally competent care can encourage trust with Hmong patients, improving treatment compliance and outcomes. Overcoming language barriers through interpreters is crucial. Integrating traditional and Western medicine offers more comprehensive treatment options, and empowering patient autonomy enhances satisfaction and compliance. Educating about Western medicine builds trust. Healthcare policy should consider cultural diversity for equitable services. Embracing cultural differences can lead to a more inclusive and patient-centered healthcare system
Reiki Therapy: A Stress Reduction Modality for Persons Experiencing Chronic Homelessness
No full textHomelessness is a long-existing social issue in the United States. Homelessness has affected many individuals in the United States. It is a critical factor that contributes to and aggravates the predicament of those who experience it. Persons experiencing homelessness suffer from a high level of stress compared to other members of the society who have stable housing (Castellow et al., 2015; Piliavin & Wong, 2001). This population often lacks resources to cope with stress. Reiki, a Japanese energy modality, has been used as a stress reduction measure in different settings (Bourne, 2019; DiScipio, 2016; Jurkovich & Watson, 2020). This project explored the effectiveness of lessening the high level of stress in persons experiencing homelessness by sharing self-Reiki techniques. A total of 11 persons experiencing homelessness were recruited at a drop-in center in Minneapolis for the project. The result revealed a reduction in a high level of stress in 10 of the participants. This result implies the potential of using self-Reiki to decrease the high level of stress in persons experiencing homelessness. Martha Rogers\u27 concepts of health, energy, openness, change, and resonancy have inspired and guided the entire project. This project contributes to transcultural nursing by recognizing the significance of unconventional therapy in health promotion. Furthermore, this project also addressed the gap of knowledge in existing literature which failed to study the effectiveness of self-Reiki therapy in persons experiencing homelessness. Future studies may consider using this project as a guidance to explore the topic in a larger-scale setting
Utilization of Pulmonary Ultrasound: An Effective Tool in Guiding or Replacing Existing Diagnostic Methods in Clinical Practice
No full textThe most common pathologies in medicine often involve the lungs. Diagnosing and treating primary pulmonary conditions promptly can profoundly impact patient outcomes. Recent research has targeted the efficacy of incorporating lung ultrasound (LUS) into practice in various ways. This paper investigates the current literature to delineate if LUS is an effective adjunct or replacement to the current standard of care. The literature review analyzed recent evidence-based research on using LUS in different clinical settings, LUS compared to chest-x-ray (CXR), benefits and limitations, and education needed to maintain proficiency. A survey was conducted to obtain subjective views on the proficiency and benefit of using LUS by current physician assistant students who have yet to enter clinical practice. The survey results may be a marker of students\u27 subjective confidence upon entering clinical practice and may reinforce or negate the usefulness of incorporating ultrasound education into the healthcare curriculum. Search engines used for the literature review include PubMed, Google Scholar, and EBSCOhost databases. The search terms utilized were Pulmonary Ultrasound + Critical Care + Study, Lung Ultrasound + Critical care, Lung Ultrasound + Pneumonia, Lung Ultrasound + Primary Care, Lung Ultrasound + COVID, Lung Ultrasound + Education, Lung Ultrasound curriculum, Lung Ultrasound Efficacy, Lung Ultrasound + Emergency Medicine, and Lung Ultrasound + Postoperative. Inclusion criteria included studies performed between 2018 and 2023 with a p-value \u3c0.05. Exclusion criteria were studies over five years old and did not have data on LUS use or education. The overall findings revealed that LUS has the potential to be an effective adjunct to a wide array of clinical practices. However, there are limitations to effective use that support further research being performed
Implementation of Costa Rica’s Universal Healthcare System and Potential Consequences and Solutions to Burnout Their Providers are Faced With
No full textBackground: In 1994, Costa Rica decided to transition to a universal healthcare system. The country currently ranks in the top 10 percent internationally on standardized metrics that correlate with improved patient outcomes. Statistics like this would indicate Costa Rica’s universal healthcare is thriving. However, burnout is currently becoming a global crisis and must be accounted for to optimize patient care. There is little to no information regarding burnout rates in Costa Rica’s universal healthcare system. For the health system to maintain operating at its highest potential it is necessary to identify if burnout is occurring, and take action to alleviate its consequences.
Purpose: This study aims to identify how Costa Rica has successfully implemented a universal healthcare system. This study was also conducted to determine causes, consequences, and solutions to burnout that may be applicable to Costa Rica’s healthcare system.
Methods: Comprehensive literature reviews were conducted using Augsburg’s Lindell Library online databases, Google Scholar, PubMed, and ScienceDirect. The literature reviews were conducted to identify how Costa Rica has implemented a universal healthcare system, identify burnout rates in Costa Rica, and to identify causes, consequences, and solutions to burnout among healthcare providers. Interviews with a physician and a former nurse practicing in Costa Rica were used to assess if burnout is occurring in Costa Rica\u27s healthcare system.
Conclusions: Four specific reforms have contributed to Costa Rica successfully implementing a universal healthcare system. However, Costa Rican healthcare providers are likely experiencing some degree of burnout and strategies to combat the negative consequences of burnout should be implemented. Finally, more formal research should be conducted to assess levels of burnout across Costa Rica’s entire healthcare system, and to identify if any strategies are already being used to prevent burnout
Outcomes of Unbalanced versus Balanced Crystalloids in Sepsis: A Systematic Review
Get PDFThis systematic review attempts to examine current literature regarding the outcomes of septic patients who receive fluid resuscitation with balanced versus unbalanced crystalloids. Inclusion criteria were randomized controlled trials (RCTs), retrospective cohort studies, and clinical trials that presented either pediatric or adult patients who were admitted to the hospital in critically ill condition and received either 0.9% normal saline or any type of balanced crystalloid, with the presence of at least one out of three primary outcomes: comparative rates of mortality, renal dysfunction, or metabolic acidosis. Reports were excluded if they did not contain information regarding any primary outcome measure, had a mixed age population, or did not include septic patients. Pubmed was the database in which this systematic review was conducted, which took place from inception until July 2023. The included studies were summarized in the results section of this systematic review which includes the dates, patient population, interventions, primary outcomes, results, and overall conclusions of the authors. The total number of included studies was 11, with 107,921 total participants. 71,983 patients received normal saline, 17,846 received balanced crystalloids, and 7,054 received some combination of both. Results of the majority of studies point to balanced crystalloids as a better option for fluid resuscitation than normal saline, showing decreases in overall mortality as well as renal dysfunction and metabolic acidosis. The implications of this finding further support the weak recommendation made by the current Surviving Sepsis Campaign Guidelines, arguing for the preference of balanced over unbalanced crystalloids in initial management of sepsis
A Systematic Review of Sodium Intake and its Impact on Cardiovascular Health: Insights from Costa Rican Studies
Get PDFCardiovascular disease (CVD) is a leading cause of morbidity and mortality worldwide, with dietary sodium intake identified as a critical risk factor. This systematic review comprehensively examines the existing literature on sodium intake and its impact on cardiovascular health in Costa Rica. Fifteen relevant studies were analyzed, revealing concerning patterns of sodium consumption, particularly among youngsters and adolescents, with processed and fast foods being major contributors. High sodium intake was consistently associated with elevated blood pressure, a well-established CVD risk factor. The review also assessed sodium reduction initiatives and strategies, demonstrating the potential benefits of interventions in reducing cardiovascular risk. Challenges in addressing sodium consumption in Costa Rica include promoting healthier dietary habits from a young age, collaborating with the food industry for stricter regulations, and addressing socioeconomic disparities in healthcare access. The review highlights the need for evidence-based interventions and policies to reduce the burden of CVD in Costa Rica. Future research should explore longitudinal trends in sodium intake and cardiovascular outcomes, conduct qualitative studies on perception and barriers to sodium reduction, and evaluate the long-term effectiveness of interventions. Implementing targeted public health campaigns and industry regulations can promote healthier eating behaviors and improve overall cardiovascular well-being in the population
A systematic review of the long and short-term effects of sports related concussions in youth and adolescent athletes
Get PDFBackground: Sports-related concussions impact thousands of young athletes. They can lead to short- and long-term effects, such as headaches, behavioral changes, and memory issues. These consequences lead to general concerns about the safety of young athletes participating in sports. Comprehending the effects of concussions in this vulnerable population is crucial for developing more advanced preventive measures and management strategies. Methods: This systematic review followed PRISMA guidelines, searching Google Scholar, PubMed, and the Augsburg University Lindell Library databases. Relevant studies were identified using specific terms. Articles were included based on their relevance to youth or adolescent athletes and sports-related concussions. Studies that did not meet these criteria or were not published from 2018 and beyond were excluded. Results: The review analyzed 15 articles that investigated the effects of concussions on youth and adolescent athletes. Neurological/cognitive function revealed subtle cognitive impairments, altered brain structure, and changes in cognitive domains following concussions. Motor skills studies showed persistent deficits in balance control, visuomotor tasks, and other tasks. Mental health outcomes indicated a positive relationship between concussions and symptoms of depression. Lastly, school-related studies reported a decline in academic performance following concussions. Conclusion: Sports-related concussions have significant short- and long-term effects on youth athletes. The findings demonstrate the need for stricter return-to-play protocols, comprehensive rehabilitation programs, and mental health support during recovery. Prioritizing the health and safety of young athletes is vital for their well-being not only in sports but their livelihoods
Dancers and Eating Disorders: Is Screening Beneficial for this Population?
No full textBackground: Compared to the general population, dancers have a higher prevalence of eating disorders (EDs).6 This is due to a multitude of factors unique to the nature of dance that contribute to an increased pressure to be thin.5 Despite high prevalence of EDs in dancers and the general population, many individuals remain undiagnosed and untreated until serious medical complications occur.7-10
Purpose: The purpose of this research is to evaluate current ED screening methods and ask if high-risk populations, such as dancers, would benefit from ED screening.
Methods: A literature review was completed using GoogleScholar and Augsburg University digital library. The keywords for the selection of articles were: (dancers) AND (eating disorders) as well as (eating disorders) AND (current screening methods) AND (challenges). Studies excluded were articles inaccessible to the researchers and articles published before 2000. Ultimately, 33 articles were included in the paper. To support the literature review, a four question survey was conducted using GoogleForms. The purpose of the survey was to analyze if preventative ED screening would be beneficial for dancers. A link with the survey was sent to 100 dancers via email. Of the 100 dancers sent the survey, 41 responded.
Conclusions: After reviewing the literature, there are multiple highly sensitive and specific ED screening methods. However, limited ED training among primary care providers, ED diagnosis crossover, and barriers related to treatment seeking are challenges that contribute to low rates of ED detection. This review found a lack of research surrounding the benefits and harms of screening for EDs in high-risk populations which prompted a survey of dancers. Dancers unanimously indicated they would benefit from ED screening and 75.6% prefer screening to be conducted by a licensed medical provider at practice
The L.O.V.E. Project (LGBTQ+ Outpatient Vital and Valuable Allyship Education): Creating Safe and Welcoming Spaces for the LGBTQ+ Community
No full textLGBTQ+ persons comprise approximately 5% of the United States population. This number is estimated and most likely under-reported. The LGBTQ+ community faces discrimination and stigmatization in every facet of their lives, which, unfortunately, does not stop at the door to the health care system. The discrimination and stigmatization the LGBTQ+ community faces leads to decreased health equity and poorer social determinants of health. It has been noted that health care allyship is one way to mitigate these issues. This practice improvement project focused on teaching allyship skills to health care employees to create safe and welcoming spaces for LGBTQ+ community members. Using various andragogy teaching methods, five one-hour classes were held in a hybrid format for employees at a large urban teaching hospital in New Jersey. A Likert questionnaire was given before and immediately following the classes, which measured basic knowledge of the LGBTQ+ community, their history, and comfort level with various allyship skills; the last question identified the participant’s self-efficacy in providing allyship to members of the LGBTQ+ community. Utilizing Watson’s Unitary Caring Science theory as the scientific underpinning, various concepts explored within the classes include intersectionality, social justice constructs, the historical significance of discrimination and stigmatization of the LGBTQ+ community, and transpersonal caring. The post-class Likert questionnaire revealed an increase in all areas queried. Future plans for this project include offering this course to more employees and eventually expanding it to the entire health care system