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The Role Of Buprenorphine And Methadone In Opioid Use Disorder Harm Reduction, Daniel Leavins 2019 Lakeview Health

The Role Of Buprenorphine And Methadone In Opioid Use Disorder Harm Reduction, Daniel Leavins

Lynchburg Journal of Medical Science

America is facing one of the worst opioid use disorder (OUD) epidemics in modern times. The Comprehensive Addiction and Recovery Act allows advanced practitioner providers (APP) to obtain an x waiver by the Drug Enforcement Agency (DEA) to prescribe buprenorphine for medication-assisted treatment (MAT). Substance use disorder is a chronic relapsing disease requiring both medications and effective behavioral modification. Physician Assistants (PAs) and Nurse Practitioners (NPs) are uniquely trained and qualified to actively participate in addressing our national opioid healthcare crisis. Buprenorphine has experienced difficulty in expansion for maintenance due to reduced numbers of prescribers and failed to overtake methadone.


Going Down In Flames: Provider Burnout, The Cost Of Burnout To The Provider, Medical Industry, And Patients, Devonna A'Belle 2019 University of Lynchburg

Going Down In Flames: Provider Burnout, The Cost Of Burnout To The Provider, Medical Industry, And Patients, Devonna A'Belle

Lynchburg Journal of Medical Science

Abstract

Burnout is identified as a combination of emotional exhaustion, depersonalization, and a sense of decreased personal achievement. In a perspective article Bianchi, Schonfeld, and Laurent (2015) argue that burnout is not a separately identifiable condition, but simply a depression that is caused by work (Bianchi, et al, 2015).Regardless of whether one defines burnout as a separate condition or depression from occupational stresses, burnout has negative consequences for the individual experiencing the symptoms, as well as the medical industry as a whole.

Although professional burnout is not unique to the PA profession, there is a need for better understanding ...


Multiple Regression Models To Analyze Length Of Hospitalization Due To Nosocomial Infections In U.S. Hospitals, Ernest M. Oleksy 2018 Cleveland State University

Multiple Regression Models To Analyze Length Of Hospitalization Due To Nosocomial Infections In U.S. Hospitals, Ernest M. Oleksy

The Downtown Review

Nosocomial diseases are a serious concern and detriment to hospitals’ abilities to provide appropriate patient care. Bearing this in mind, an effort must be made to determine whether infection surveillance and control programs have reduced the rates of nosocomial infection at U.S. hospitals. The data that were studied were obtained as part of the Study on the Efficacy of Nosocomial Infection Control (SENIC) and used to develop a model of what variables most contribute to a patient’s length of stay at the Cleveland Clinic (Quade et al, 1980).


Improving Knowledge And Attitude Of Primary Healthcare Givers Towards Vulnerable Populations: A Quality Improvement Project, Kimberly Shankel 2018 The University of San Francisco

Improving Knowledge And Attitude Of Primary Healthcare Givers Towards Vulnerable Populations: A Quality Improvement Project, Kimberly Shankel

Master's Projects and Capstones

Improving Knowledge and Attitude of Primary Healthcare

Givers Towards Vulnerable Populations

Kimberly Shankel

University of San Francisco

Abstract

Problem

This project aims to improve patient satisfaction for vulnerable population patients while in hospital, namely transgender and gender non-conforming people. A major roadblock for this population in seeking medical care is their fear of discrimination when accessing healthcare, resulting in a delay, or avoidance of medical care. Multiple studies agree there is a need for nursing education on cultural competence to improve care and satisfaction for vulnerable populations.

Context

The site for this quality improvement project is a small suburban hospital ...


Finding The Narrative In Incident Reports, La'eeqa Aslam 2018 The University of San Francisco

Finding The Narrative In Incident Reports, La'eeqa Aslam

Master's Projects and Capstones

The Progress Foundation, as licensed by the state of California and the Community Care Licensing, is required to use incident reports for internal audits and remain in compliance as a health facility. Incident reports are used to record events or accidents that have occurred within an organization. Often times, reports are made, handed off, and given from the residence home to the Community Care Licensing with little to no information of how an incident was managed. The Progress Foundation is working towards tracking information from the incident reports to improve internal management and understand the trends in the reports.

In ...


Student Registered Nurse Anesthetists’ Perception Of Simulation As A Positive Reinforcement To Classroom Lecture In Handling A Difficult Airway, Kayla Forbis 2018 The University of Southern Mississippi

Student Registered Nurse Anesthetists’ Perception Of Simulation As A Positive Reinforcement To Classroom Lecture In Handling A Difficult Airway, Kayla Forbis

Doctoral Projects

The management of a difficult airway by anesthesia providers is a core component of providing safe care. Simulation provides an opportunity for the student to manage uncommon clinical scenarios without harm to an actual patient. This project aimed to determine if the use of simulation may be useful in training Student Registered Nurse Anesthetist in the management skills of a difficult airway. The proposed intervention of this project was the addition of simulation experience to didactic lecture covering difficult airway management techniques. As supported in the Adult Learning Principles of Medical Learners, by allowing the SRNA to actively participate in ...


Nurse Expectations As Compared To Perceived Reality, Kathryn McKelvy 2018 The University of Southern Mississippi

Nurse Expectations As Compared To Perceived Reality, Kathryn Mckelvy

Dissertations

Burnout and turnover in nursing have been well documented in nursing literature, but little is known about a nurse’s expectations of the profession compared to their perceived reality of the profession. Do these expectations meet the reality of the workplace, and does this cause the nurse to make a career change? What factors influence a nurse to leave the profession, job-hop, or return to school to further their education? The rate of nurse turnover is an ongoing issue with a lack of research regarding the foundation of nurse expectations compared to the realities of the profession.

The purpose of ...


An Evaluation Of Implementing Trauma-Informed Care Training In Healthcare Settings, Amanda Kis 2018 University of Nebraska Medical Center

An Evaluation Of Implementing Trauma-Informed Care Training In Healthcare Settings, Amanda Kis

Service Learning/Capstone Experience

Background: Trauma-informed care (TIC) has recently become a popular topic in medical science. Many patients’ health conditions have been diagnosed and treated purely as medical issues, yet emerging research indicates that trauma is sometimes the source of many physical and mental conditions. Implementing TIC education in healthcare systems may lead to preventing the onset of symptomology related to undiagnosed, chronic trauma experience.

Objectives: The primary goal of this Capstone project was to implement TIC training developed by Trauma Matters Omaha Coalition and assess preliminary evidence for changes in participants’ confidence, clinical knowledge, professional knowledge, self-awareness, and assumptions and biases regarding ...


Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune 2018 Concordia University - Portland

Interprofessional Education: How Curriculum Influences And Develops Future Healthcare Professionals, Karen Keune

Ed.D. Dissertations

The value of higher education is a topic of great consideration and discussion, not only for current and future students, but also for legislators, educators, and employers. A college degree is more than a pathway toward advanced knowledge in a given subject; it is a component of a larger outcome beyond a diploma, it's a job. While the scale of employment opportunities appears to rise for those with a college degree, it is not enough to guarantee security for new graduates, no matter their topic of study. More than a competency in the field of study is required to ...


Empowering First Aiders Through Innovative Instructor Resources, J. Victoria Logan, Dominique MacDonald 2018 University of Calgary

Empowering First Aiders Through Innovative Instructor Resources, J. Victoria Logan, Dominique Macdonald

International Journal of First Aid Education

No abstract provided.


Clinical Cues Of Suboptimal Glucose Homeostasis In Individuals Diagnosed With Type 2 Diabetes Mellitus: An Integrative Literature Review, Joel Hutson 2018 DePaul University

Clinical Cues Of Suboptimal Glucose Homeostasis In Individuals Diagnosed With Type 2 Diabetes Mellitus: An Integrative Literature Review, Joel Hutson

Grace Peterson Nursing Research Colloquium

Background: General practice healthcare providers may not fully utilize all available subtle clinical cues (physical/behavioral signs and symptoms) when screening for diabetes, or when assessing for suboptimal control of glucose homeostasis.

Objectives: To assess the prevalence and utility of incorporating diabetic clinical cues into routine physical assessments and questionnaires of individuals with type 2 diabetes, and to compile a comprehensive list and questionnaire using clinical cues.

Methods: Utilizing the databases CINAHL Complete, PubMed, and Academic Search Complete, an integrative literature review of 78 studies was conducted using the key terms type 2 diabetes and clinical manifestations of diabetes.

Results ...


Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley 2018 British Red Cross

Being Proactive About Media Engagement In First Aid Education, Emily Oliver, Gareth Bentley

International Journal of First Aid Education

Submitted below as full text of submission


Student And Faculty Perceptions Of Live Synchronous Distance Education For Allied Health Students Following Program Expansion To A Rural Campus, Betsy J. Becker, Kelsey Rutt, Allyson Huntley, Harlan Sayles, Kim Michael 2018 University of Nebraska Medical Center

Student And Faculty Perceptions Of Live Synchronous Distance Education For Allied Health Students Following Program Expansion To A Rural Campus, Betsy J. Becker, Kelsey Rutt, Allyson Huntley, Harlan Sayles, Kim Michael

Internet Journal of Allied Health Sciences and Practice

Background & Purpose: Distance education (DE) is a means to meet allied health workforce needs in rural locations where healthcare worker shortages are apparent. Five allied health programs were expanded to a rural campus teaching synchronously using distance education technology. The purpose of this convergent parallel mixed methods study was to explore perceptions of allied health students and faculty at two campus locations.

Methods: Quantitative and qualitative information were collected through a survey of students and faculty (physical therapy, physician assistant, and medical imaging [diagnostic medical sonography, radiography, magnetic resonance imaging] programs). Both campuses served as live and distance sites depending on instructor location and area of content expertise. For example, morning courses may be taught live from one campus, and afternoon classes taught live from the other campus. Only one program, physical therapy, offered labs by distance education. Response distributions were compared for questions by campus using Cochran-Armitage trend tests and analyzed de-identified qualitative comments using constant comparisons to establish themes.

Results: Student (n=121) and faculty (n=19) mostly agreed distance education technology was effective for teaching and learning. Significant differences were found in student opinions about receiving a similar educational experience between the two campuses. More students at the Main campus somewhat or strongly disagreed (n=34, 37%) it was similar compared to the Rural campus (n= 5, 17%, p=0.024). There were no comments specifically related to the physical therapy lab experience. Open-ended comment themes included training, purposeful engagement of both campus locations, and setting clear expectations.

Conclusions: Although differences in learning experiences exist between the main and rural campus locations; the results indicated using distance education technology is an effective means to deliver the curriculum. Both students and faculty commented about the lack of experience with the educational technology before implementation. Synchronous, distance education offers the opportunity for program expansion and effective delivery of curriculum content. Using the results of this study can enhance future education in allied health professions using synchronous distance education technology.


The Development And Implementation Of A Reliable Method For Educating Provider Groups On Stroke Discharge Order Sets, Deborah Gregoire, Shawn Taylor, Suneela Nayak, Mark Parker, Kathryn Cope, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Brendan Lilley 2018 Maine Medical Center

The Development And Implementation Of A Reliable Method For Educating Provider Groups On Stroke Discharge Order Sets, Deborah Gregoire, Shawn Taylor, Suneela Nayak, Mark Parker, Kathryn Cope, Ruth Hanselman, Stephen Tyzik, Amy Sparks, Brendan Lilley

Operational Excellence

THE DEVELOPMENT AND IMPLEMENTATION OF A RELIABLE METHOD FOR EDUCATING PROVIDERS ON STROKE DISCHARGE ORDER SETS

After receiving a comprehensive stroke certification from the Joint Commission, an academic tertiary care medical center created and revised 15 stroke order sets to ensure providers could easily place the correct orders for every stroke patient. Following certification, it was noted that there was inconsistent use of these order sets. This raised concerns that the process to treat a stroke patient may be delayed, creating serious potential risk for the patient.

A goal of this performance improvement plan was to develop and implement a ...


Improving Revenue Capture And Patient Safety In An Icu Setting, Natasha Stankiewicz, Laura Lewis, Jonathan Archibald, SCU 2, SCU 3, SCU 4, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks 2018 Maine Medical Center

Improving Revenue Capture And Patient Safety In An Icu Setting, Natasha Stankiewicz, Laura Lewis, Jonathan Archibald, Scu 2, Scu 3, Scu 4, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operational Excellence

IMPROVING REVENUE CAPTURE AND PATIENT SAEFTY IN AN INTENSIVE CARE SETTING

Materials management department is responsible for restocking chargeable supplies in an intensive care unit (ICU) at an academic tertiary medical center. Staff confusion as to what items were considered chargeable often led to low supply par levels resulting in delays of critical patient care.

Using baseline metrics, a team of caregivers created several performance improvement goals to increase nursing compliance with appropriate supply charging. The results of a root cause analysis spearheaded the development of a KPI that encompassed staff education, lost charge tracking and charge supply labeling.

Post ...


Strategies To Improve Resource Availability For New Graduate Nurses In A Critical Care Setting, Natasha Stankiewicz, Jonathan Archibald, Shawn Taylor, Deborah Jackson, Bonnie Boivin, SCU 2, SCU 3, SCU 4, Endoscopy, RADCU, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks 2018 Maine Medical Center

Strategies To Improve Resource Availability For New Graduate Nurses In A Critical Care Setting, Natasha Stankiewicz, Jonathan Archibald, Shawn Taylor, Deborah Jackson, Bonnie Boivin, Scu 2, Scu 3, Scu 4, Endoscopy, Radcu, Mark Parker, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operational Excellence

STRATEGIES TO IMPROVE RESOURCE AVAILABILITY FOR NEW GRADUATE NURSES

Due to changes in the employment arena, health care organizations are hiring new graduate RNs into acute care. At an academic tertiary medical center, new hires typically are assigned into a night shift, which traditionally has less resource availability.

The results of a recent AHRQ hospital survey on patient culture safety demonstrated that new graduates were feeling unsupported and that patient safety could be potentially compromised. A team of caregivers developed several goals to provide increased support, encouragement and education to night shift new hires. Improvement in overall patient care and ...


Intradisciplinary Nursing Simulations: Advanced Practice Nursing With Bsn Students Msn, Rn, Adreanne Cordova, Herica Torres, Debra Serrino, Sharon Schaaf, Joseph Poole 2018 University of New Mexico

Intradisciplinary Nursing Simulations: Advanced Practice Nursing With Bsn Students Msn, Rn, Adreanne Cordova, Herica Torres, Debra Serrino, Sharon Schaaf, Joseph Poole

HSC Education Day

With the increasing enrollment of advanced practice nursing students (APN) and the increasing literature supporting interprofessional simulation encouraging a team-based approach for safe patient care, a new clinical relationship among our APN (AGACNP and Midwifery) and BSN (Levels 4 and 5) students has been created at our college. This partnership has yielded an experience rich with collaboration, communication, and collective problem solving for patient care. Both BSN and APN students have gained more experience in: clear SBAR communication, working collaboratively and advocating for patient safety during the simulations in which they practice together. The intraprofessional nursing experience yields prepared, professional ...


Continuous Epidural Analgesia For Postoperative Pain Management: A Policy Analysis, Madison Nowell 2018 The University of Southern Mississippi

Continuous Epidural Analgesia For Postoperative Pain Management: A Policy Analysis, Madison Nowell

Doctoral Projects

Postoperative pain management is a necessary component of the care of every surgical patient. Epidural analgesia is a widely used method to provide excellent postoperative pain relief and enhance postoperative recovery (Sawhney, 2012). Epidural analgesia is associated with fewer side effects than alternative pain management techniques; however, when epidural catheters are managed improperly, or pain is inadequately assessed, epidural analgesia fails to provide adequate pain relief (Deni et al., 2016). More than 80% of surgical patients experience moderate to severe postoperative pain, and 28 to 50% of these patients have a pain score greater than 6 out of 10 at ...


The 7 Rights: An Active Reflection Tool To Develop Risk Awareness For Outdoor First Aid Education, Andrew Foran Dr., David Young Dr., Wendy L. Kraglund-Gauthier Dr., David Hubley, Blair Doyle, John Doucette, Ruth Amiro, Andrew B. Himmelan, Kevin Corbett, Melissa Hyson, Peter Redmond, Patrick O'Laughlin, Natalie Bakody Flinn, Aaron Neaves, Scott Hudson 2018 St. Francis Xavier University

The 7 Rights: An Active Reflection Tool To Develop Risk Awareness For Outdoor First Aid Education, Andrew Foran Dr., David Young Dr., Wendy L. Kraglund-Gauthier Dr., David Hubley, Blair Doyle, John Doucette, Ruth Amiro, Andrew B. Himmelan, Kevin Corbett, Melissa Hyson, Peter Redmond, Patrick O'Laughlin, Natalie Bakody Flinn, Aaron Neaves, Scott Hudson

International Journal of First Aid Education

No abstract provided.


Revealing The Benefits Of Checklists For Preparing Projects And Research, Joanna Muise, Emily Oliver 2018 Canadian Red Cross

Revealing The Benefits Of Checklists For Preparing Projects And Research, Joanna Muise, Emily Oliver

International Journal of First Aid Education

No abstract provided.


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