6 research outputs found
DNP project: Evaluation of point-of-care ultrasound training program for certified registered nurse anesthetists
No full textPurpose of Project: Obtaining vascular access is an essential skill for every CRNA. Gaining access can be challenging in some patients, yet CRNA’s tend to use traditional methods, resulting in multiple failed sticks and delays in care. Literature supports using point-of-care ultrasound (POCUS) techniques to gain access in these patient populations. It also supports the efficacy of teaching POCUS using a didactic and a simulation component. The aim of this project was to decrease failed cannulation attempts by increasing POCUS use and to improve first attempt successful cannulation rate by CRNA’s for peripheral IV and A-line insertions.
Methodology: This quality improvement project implemented a multimodal hands-on simulation ultrasound workshop for CRNA’s focusing on the Dynamic Needle Tip Positioning (DNTP) technique. Fifteen CRNA’s were given a didactic lecture, followed by a hands-on simulation workshop. During the workshop, participants used POCUS to identified vascular anatomy on humans and then cannulated a gelatin phantom model using the DNTP technique. Participants responded to pre- and post-workshop surveys.
Results: Following the workshop, there was a significant increase in the number of times the CRNA’s used POCUS in the clinical setting to attempt vascular access (p=0.042). Additionally, participants successfully identified barriers to using ultrasound in their respective clinical settings. Some objectives were not met with statistical significance.
Implications for Practice: Objectives that were not met and barriers that were identified will offer guidance for future scholarship development.
Keywords: POCUS, Ultrasound, CRNA, PIV, IV, Peripheral IV, A-Line, Anesthesia, DNTP, Dynamic Needle Tip Positioning, Vascular Access, Cannulation, Simulation Workshop, Arterial Line.D.N.P.Includes bibliographical reference
Hur påverkar stress kvinnors hälsa i Sverige idag? : En litteraturstudie
No full textI vårt informationssamhälle är stress något som vi alla upplever i någon form. Stress som egentligen är en naturlig reaktion men som vid långvarig påfrestning kan ge olika symtom och sjukdomar. Syftet med studien var att belysa hur stress påverkar kvinnors hälsa i Sverige idag. Metoden i detta arbete är en litteraturstudie baserad på 10 vetenskapliga artiklar. Resultatet visar fem olika teman. Dessa teman är: Ekonomisk stress, psykosocial stress, arbetsstress, låg känsla av KASAM, samt relation/familj/stress. I denna studie har framkommit att det som stressar kvinnor mest är höga krav på arbetet och för liten påverkningsmöjlighet i kombination med krav och kontroll i hushållet. Kvinnor med en låg känsla av sammanhang i kombination med stress och höga krav löper fyra gånger så trolig risk att få diabetes typ 2. Författarens slutsats är att det behövs ytterligare forskning om kvinnors hälsa och framförallt om sjukdomar som är stressrelaterade och svåra att mäta rent vetenskapligt så som fibromyalgi och struma.In our information society, stress is something we all experience in some form. Stress is actually a natural reaction, but prolonged stress may cause various symptoms and diseases. The purpose of this study was to elucidate how stress affects women's health in Sweden today. The method in this work is a study based on 10 scientific articles. The results show five different themes. These themes are: Economic stress, psychosocial stress, and work stress, low esteem by the SOC, and relationship / family / stress. This study has shown that the stress that most women are high demands at work and too little influence, combined with the demands and control in the household. Women with a low sense of connection combined with stress and high demands are four times more likely risk of type 2 diabetes.The author concludes that further research on women's health and particularly if the diseases are stress related and difficult to measure pure science such as fibromyalgia and goiter
Heat transfer enhancement due to flow pulsation in a horizontal tube : the effects of Reynolds number, and pulsation frequency and amplitude
No full textThis thesis was scanned from the print manuscript for digital preservation and is copyright the author.
Researchers can access this thesis by asking their local university, institution or public library to
make a request on their behalf. Monash staff and postgraduate students can use the link in the References field
DNP project: Evaluation of point-of-care ultrasound training program for certified registered nurse anesthetists
No full textPurpose of Project: Obtaining vascular access is an essential skill for every CRNA. Gaining access can be challenging in some patients, yet CRNA’s tend to use traditional methods, resulting in multiple failed sticks and delays in care. Literature supports using point-of-care ultrasound (POCUS) techniques to gain access in these patient populations. It also supports the efficacy of teaching POCUS using a didactic and a simulation component. The aim of this project was to decrease failed cannulation attempts by increasing POCUS use and to improve first attempt successful cannulation rate by CRNA’s for peripheral IV and A-line insertions.
Methodology: This quality improvement project implemented a multimodal hands-on simulation ultrasound workshop for CRNA’s focusing on the Dynamic Needle Tip Positioning (DNTP) technique. Fifteen CRNA’s were given a didactic lecture, followed by a hands-on simulation workshop. During the workshop, participants used POCUS to identified vascular anatomy on humans and then cannulated a gelatin phantom model using the DNTP technique. Participants responded to pre- and post-workshop surveys.
Results: Following the workshop, there was a significant increase in the number of times the CRNA’s used POCUS in the clinical setting to attempt vascular access (p=0.042). Additionally, participants successfully identified barriers to using ultrasound in their respective clinical settings. Some objectives were not met with statistical significance.
Implications for Practice: Objectives that were not met and barriers that were identified will offer guidance for future scholarship development.D.N.P.Includes bibliographical reference
“K-SIGN” in Retrocaecal Appendicitis – A Case Series
No full textBackground: When someone has appendicitis, the symptoms can be different depending on where the appendix is located. When someone has retrocaecal appendicitis, their symptoms are different from those of classical appendicitis in which the appendix is in the usual place. K-Sign show that the back wall of the abdomen is soft in people with paracolic appendicitis. As a sign of respect, the K-Sign is called the "Kashmir Sign" after the place where it forms, Kashmir. When the inflamed appendix crosses above the iliac crest on the back wall of the abdomen, it's a sign. The soreness is caused by irritation of the peritoneum on the back wall of the abdomen. Case Presentation: A group of five patients were studied and a K-Sign was used to find tenderness on the back wall of the abdomen. The tenderness was found in a specific area bounded by the 12th rib above, the spine below, the side edge of the back wall below, and the iliac crest above. All 5 of the cases had pain in this place on the back wall of the abdomen. They all wanted to have an appendectomy and had a report from a histopathological test that showed their appendix was inflamed. Conclusion: The K-Sign was looked at in a swollen appendix that was retrocephalic and paracolic. The K-Sign is important because it's hard to diagnose retrocaecal appendicitis and it can lead to other problems
Strategic communication through all stages of a major emergency life cycle, with particular reference to the needs of Ireland
Get PDFThis study asks if a strategic approach to the management of communication can assist and support the overall operational commander in effectively managing a major
emergency situation. Communication in this regard includes important strategictactical functions that need consideration when the community faces significant loss
of life or damage, and incorporates tasks such as media management, public information, the raising of public awareness, internal communication, public affairs,
community relations, and survivor and victim relations. Encompassing these functions are a number of overarching principles that, when adopted, allow the entire
process to be approached from a strategic rather than a tactical viewpoint. The study demonstrates how an efficient, strategically focused communication team can assist the operational commander in managing a major emergency situation.
The dissertation explores principles and practices for strategic communication management for major emergencies. It recommends a particular framework that is underpinned by six strategic communication principles. The framework was
developed taking into account relevant theories and models of strategic communication and management, augmented by detailed primary and secondary qualitative deductive research. Research in this regard included reading not only the academic literature but also a broad range of official Irish and other documentation, including reports, manuals, guidance materials and legislation. Original primary
research was undertaken to ascertain how a number of countries, regarded as leaders in this field, approach this subject and detailed interviews were conducted with
responsible officials in Sweden, the United Kingdom and the United States. As relatively little data exists on the subject of major emergency strategic communication in the Irish context, in-depth interviews were also conducted with key individuals involved in major emergency management in Ireland.
The study demonstrates that the strategic communication function is increasingly a critical success factor in major emergency management internationally. It also shows
that, while major emergency communication initiatives have been undertaken in Ireland, the Irish approach is somewhat fragmented and tactical in nature
