Quality Of Icu Discharge Summaries Produced By Pediatric Residents: The Memorial Health University Medical Center Experience, 2022 Memorial Health University Medical Center/Dwaine and Cynthia Willett Children's Hospital of Savannah
Quality Of Icu Discharge Summaries Produced By Pediatric Residents: The Memorial Health University Medical Center Experience, Jessica M. Lee, James Ryden, Emma Meehan, Eric Shaw, Mary C. Lytle, Andrew Stack, Ashley Shearman
HCA Healthcare Journal of Medicine
Background
Discharging intensive care unit (ICU) patients directly home is becoming more common. High-quality ICU discharge summaries are crucial in the transition of patient care. Currently, at Memorial Health University Medical Center (MHUMC), there exists no standardized ICU discharge summary template or consistency when discharge documentation is completed. Investigators evaluated the timeliness and completeness of ICU discharge summaries at MHUMC produced by pediatric residents.
Methods
A single-center retrospective chart review of pediatric patients discharged directly from a 10-bed Pediatric ICU to home was conducted. Charts were evaluated pre- and post-intervention. The intervention included the implementation of a standardized ICU discharge …
Intestinal Iga-Coated Bacteria In Healthy- And Altered-Microbiomes (Dysbiosis) And Predictive Value In Successful Fecal Microbiota Transplantation, 2022 The Texas Medical Center Library
Intestinal Iga-Coated Bacteria In Healthy- And Altered-Microbiomes (Dysbiosis) And Predictive Value In Successful Fecal Microbiota Transplantation, Herbert L Dupont, Zhi-Dong Jiang, Ashley S Alexander, Andrew W Dupont, Eric L Brown
Journal Articles
IgA-coated bacteria in the gut (IgA-biome) provide a homeostatic function in healthy people through inhibition of microbial invaders and by protecting the epithelial monolayer of the gut. The laboratory methods used to detect this group of bacteria require flow cytometry and DNA sequencing (IgA-Seq). With dysbiosis (reduced diversity of the microbiome), the IgA-biome also is impaired. In the presence of enteric infection, oral vaccines, or an intestinal inflammatory disorder, the IgA-biome focuses on the pathogenic bacteria or foreign antigens, while in other chronic diseases associated with dysbiosis, the IgA-biome is reduced in capacity. Fecal microbiota transplantation (FMT), the use of …
Pneumococcal Vaccine Guidance 2022, 2022 Pharmacy Department, Reading Hospital-Tower Health, West Reading, PA
Pneumococcal Vaccine Guidance 2022, Bona Shin, Michael Do, Elaina Lioudis
Transformative Medicine (T-Med)
PCV15 and PCV20 received FDA approval in 2021. This article provides an overview of all pneumococcal vaccines - PPSV23, PCV13, PCV15, and PCV20 and their place in therapy. It provides a summary of pneumococcal disease burden in the U.S., vaccine spectrum of activity, indications, adult/pediatric dosing schedules, efficacy, and common adverse drug reactions.
Intraoperative Dexmedetomidine Administration Effects On Postoperative Pain Scores And Opioid Medication Requirements: Pain Management Expectations Among Crnas, 2022 University of Tennessee, Knoxville
Intraoperative Dexmedetomidine Administration Effects On Postoperative Pain Scores And Opioid Medication Requirements: Pain Management Expectations Among Crnas, Dorilynn Nicol, Melissa Gheen, Matthew Bodine
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Abstract
Opioid pain medications are currently viewed as a standard part of pain control in the vast majority of surgical procedures. However, opioid pain medications can have harmful effects on patients leading to increased length of hospital stay, unplanned readmission, and contribution to relapse or development of opioid use disorder. An opportunity for improved practice of pain management lies within opioid alternative pain medications such as dexmedetomidine. Evidence-based literature reviews have shown that dexmedetomidine has promise as an analgesic medication within the perioperative period with fewer harmful side effects. Barriers to more widespread use of this medication include staff unfamiliarity …
A Cross-Sectional Study Of Nurses’ Perception Toward Utilization And Barriers Of Electronic Health Record, 2022 College of Nursing, University of Hail, Hail 55476, Saudi Arabia
A Cross-Sectional Study Of Nurses’ Perception Toward Utilization And Barriers Of Electronic Health Record, Mohammad Alboliteeh
Makara Journal of Health Research
Background: The utilization of electronic health records (EHRs) is crucial. This study aimed to determine the perception of nurses on the utilization and barriers to the use of EHRs.
Methods: This descriptive cross-sectional study on 327 participants was conducted at the government hospitals of Hail City that use EHRs. Data collection was conducted between March and April 2022. The adapted questionnaire was used to collect the data.
Results: Nurses perceived EHRs as useful (5.76 ± 1.71), easy to use (4.74 ± 1.56), and intend to use (5.85 ± 1.81). Sex had no effect on perceived usefulness ( …
Perceived Stress And Its Relationship To Moral Resilience Among Nurses In The Hail Region, Saudi Arabia, 2022 College of Nursing, University of Hail, Hail 55476, Saudi Arabia
Perceived Stress And Its Relationship To Moral Resilience Among Nurses In The Hail Region, Saudi Arabia, Hamdan Albaqawi, Maha Sanat Alrashidi
Makara Journal of Health Research
Background: This study aimed to determine the relationship between perceived stress and moral resilience among nurses.
Methods: The researcher used a quantitative–comparative correlational study design that utilized a self-administered questionnaire with 393 nurse participants in the Hail Region, Saudi Arabia. Adapted questionnaires were distributed through Google Form survey. Data collection was conducted between October and November 2021.
Results: The nurses were moderately stressed (21.69/30) but morally resilient (2.74/4). Perceived stress scale (p < 0.033) and moral resilience (p < 0.25) were found to be significantly associated with gender. The designated ward and age were not significantly associated with perceived stress and moral resilience. Conversely, the years of experience showed a significant association with perceived stress (p < 0.038) but not with moral resilience (p > 0.255). Finally, no relationship was observed between perceived stress and moral resilience (p > 0.248).
Conclusions: The nurses were perceived …
Therapies For Mitochondrial Disorders, 2022 Technological University of the Shannon: Midlands Midwest
Therapies For Mitochondrial Disorders, Kayli Sousa Smyth, Anne Mulvihill
SURE Journal: Science Undergraduate Research Experience Journal
Mitochondria are cytoplasmic, double-membrane organelles that synthesise adenosine triphosphate (ATP). Mitochondria contain their own genome, mitochondrial DNA (mtDNA), which is maternally inherited from the oocyte. Mitochondrial proteins are encoded by either nuclear DNA (nDNA) or mtDNA, and both code for proteins forming the mitochondrial oxidative phosphorylation (OXPHOS) complexes of the respiratory chain. These complexes form a chain that allows the passage of electrons down the electron transport chain (ETC) through a proton motive force, creating ATP from adenosine diphosphate (ADP). This study aims to explore current and prospective therapies for mitochondrial disorders (MTDS). MTDS are clinical syndromes coupled with abnormalities …
Metastatic Testicular Cancer Patient With Synchronous Oral Squamous Cell Carcinoma Presented With Gastrointestinal Bleeding: A Case Report, 2022 University of Babylon College of Medicine, Iraq
Metastatic Testicular Cancer Patient With Synchronous Oral Squamous Cell Carcinoma Presented With Gastrointestinal Bleeding: A Case Report, Manar F. Ashour, Sundus Nasim, Hallas M. Kadhim, Maan Faraj, Sylvia E. Eshak
Advances in Clinical Medical Research and Healthcare Delivery
Testicular cancer is a curable oncologic disease of males mostly aged 15-44 years. Most of the patients are successfully treated with radical orchiectomy. However, a delayed presentation may lead to a dismal prognosis. There are several risk factors including cryptorchidism, a first-degree relative with testicular cancer, hypospadias, childhood inguinal hernia, and military pollutant exposure, among others. The distant metastasis of testicular carcinoma to the lung, liver, and brain are widely described. We present a unique case of a 28-year-old male who presented with gastrointestinal (GI) bleeding. Later, it was discovered that he had a metastatic testicular carcinoma synchronous with an …
Ensuring A Knowledgeable Geriatric Workforce: Interdisciplinary Education In Long-Term Services And Supports, 2022 Dominican University of California
Ensuring A Knowledgeable Geriatric Workforce: Interdisciplinary Education In Long-Term Services And Supports, Gina Tucker-Roghi
Occupational Therapy | Faculty Scholarship
In this symposium, we describe five interdisciplinary educational programs to enhance the geriatric workforce in long-term services and supports (LTSS): Skilled nursing facilities (SNFs), assisted living, and home health and hospice. The interdisciplinary teams that came together to offer the programs leveraged technology to maximize access to experts in both the curriculum development process and the delivery of the educational programs for a wide range of target learners. The first program, an interdisciplinary telementoring series on dementia care for therapists in SNFs, was developed by a team of experts from occupational, physical and speech therapy. The program included asynchronous online …
Use Of Integrated Clinical Scenarios In Neuroanatomy Laboratory Sessions A Strategy To Foster Students’ Learning, 2022 College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia
Use Of Integrated Clinical Scenarios In Neuroanatomy Laboratory Sessions A Strategy To Foster Students’ Learning, Ahmed Yaqinuddin, Amna Siddiqui, Muhammad Faisal Ikram, Junaid Kashir
International Journal of Health and Allied Sciences
Objective: Combinations of various teaching strategies have been employed to enhance neuroanatomy teaching, to little success. Herein, we describe the use of integrated clinical scenarios in anatomy laboratory sessions as an educational strategy to improve the learning process for students undertaking neuroscience course. Methods: We assessed the perception and performance of students who utilised the integrated clinical resources in the neuroanatomy labs. We also compared the performance of the students on their neuroscience course with the performance of the previous year's students (who did not use the clinical scenarios). Results: A total of (130) 88% of the registered student both …
The Effect Of A Wellness Curriculum On First Semester Jmu Pa Students, 2022 James Madison University
The Effect Of A Wellness Curriculum On First Semester Jmu Pa Students, Abigail Larson, Jeanine Aberbook
Physician Assistant Capstones, 2020-current
Physician Assistant (PA) programs are rigorous graduate-level medical programs that achieve a Master’s degree but complete an equal number of credits as a Doctorate degree. They are notorious for triggering high levels of stress pre-matriculation as well as upon matriculation. While this is a well-known topic discussed between students and incoming students, it is an under-researched topic. As a result of the lack of research in physician assistant education regarding implementing a wellness curriculum and the desire to reduce stress, anxiety, and depression symptoms in first semester PA student, the faculty and students at James Madison University (JMU) implemented a …
Empowering Nurses To Recognize Post-Stroke Depression In The African American Community, 2022 Southern Illinois University Edwardsville
Empowering Nurses To Recognize Post-Stroke Depression In The African American Community, Deidra Frisbie, Robin Simon
Doctor of Nursing Practice Projects
African Americans (AA) have the highest prevalence of stroke and death compared to other racial groups in the United States. Post-stroke depression (PSD) affects approximately 1/3 of all stroke patients and is underdiagnosed in the African American community.
Aim: By using a mHealth mobile app and a Psychiatry provider list at discharge, PSD can be identified, and interventions initiated, thus decreasing the sequela of PSD in AA.
Methods: Nurses were provided education on PSD, expressions of depression in African-Americans, cultural humility, implicit bias, and the importance of the nurse's role in developing a therapeutic relationship.
Results: Quantitative analysis revealed the …
Nurse-Led Education On Oral Chemotherapy Medications, 2022 University of San Francisco
Nurse-Led Education On Oral Chemotherapy Medications, Carmen Lucia Glick Alonso
Master's Projects and Capstones
Problem: Breast cancer is one of the leading causes of cancer death among women in the United States. Annually, around 264,000 breast cancer cases are diagnosed in women and 2,400 in men (Centers for Disease Control and Prevention, 2022). According to the American Cancer Society, the risk of a woman in the United States being diagnosed with breast cancer in their life is around 13% (2022).
Context: Along with a cancer diagnosis comes the need to introduce patient education about new oral chemotherapy treatments. As a treatment team member, the oncology nurse plays a vital role in this …
Sepsis Inservice And Video At An Urban Hospital In California, 2022 University of San Francisco
Sepsis Inservice And Video At An Urban Hospital In California, Angela T. Ho
Master's Projects and Capstones
The emergency department at an urban hospital in California was performing below institutional goals related to sepsis protocols over the past few months. This intervention was targeted at nurses and was composed of a PowerPoint in-service on compliance to SEP-1 protocols and follow-along video on using the correct sepsis order set and documentation in the electronic health record (EHR). Goals included increased compliance to the SEP-1 protocol and documentation, (2) reduced time between the onset of symptoms, recognition, and intervention, (3) decline in sepsis rates and mortality rates, and (4) lower cost of care. Data was collected from the EHR …
Implementation Of Staff Education To Standardize The Use Of Positions During The First Stage Of Labor, 2022 University of San Francisco
Implementation Of Staff Education To Standardize The Use Of Positions During The First Stage Of Labor, Minh Chau T. Phan
Master's Projects and Capstones
This project aims to educate labor and delivery (L&D) nurses on effective laboring positions that can aid fetal descent during the first stage of labor. In an L&D unit of a south Bay Area County hospital, there is a lack of standardization of knowledge and practices on laboring positions among the nursing staff. Evidence shows that upright positions and frequent mobility are effective in shortening the duration of labor and minimizing unnecessary cesarean deliveries. Based on the evidence, a project was implemented using verbal education of evidence-based laboring positions. An educational handout was also provided along with a recorded video …
Development Of An On-Call Assessment Tool For Competency-Based Surgical Training, 2022 The University of Western Ontario
Development Of An On-Call Assessment Tool For Competency-Based Surgical Training, Eric C. Mitchell
Electronic Thesis and Dissertation Repository
Introduction: A central tenet of competency-based medical education is formative assessment of trainees. There are no assessments examining resident competence on-call, despite this being a significant component of resident training and characterized by less supervision compared to daytime.
Methods: A national survey was conducted to evaluate the state of assessment in Canadian Plastic and Reconstructive Surgery programs. An on-call assessment tool was developed based on a consensus group and was piloted over six months. Validity of the tool was examined through qualitative and quantitative methods.
Results: There were 63 tools completed across ten residents and seven staff physicians. Tool reliability …
Interprofessional Education Lab Manual And Workbook, 2022 Grand Valley State University
Interprofessional Education Lab Manual And Workbook, Geraldine Terry
Open Textbooks
This laboratory manual was designed to educate and develop integrated healthcare practices essential in delivering person-centered care. Participants will develop their ability to distinguish the role of their own profession and other healthcare professionals collaborating in the care coordination and case management of patients. The content and team-oriented activities in this manual provide guidance on advancing leadership and communication principles necessary for effective interprofessional communication and team collaboration. The well-researched material is tailored to build on the strengths of participants, while also identifying and encouraging areas for improvement.
One Man's Pregnancy Story, 2022 Craig Newmark Graduate School of Journalism
One Man's Pregnancy Story, Yvonne S. Marquez, Paige A. Perez
Capstones
Pregnancy is a challenging time for anyone. For LGBTQ people there are unique obstacles that make it especially difficult to navigate a medical system that was not built for them. Finn Schubert is trans and six months pregnant. He’s loving the experience but stressed by insurance claim denials, concerns for his safety, and medical incompetence.
This capstone project includes a 20-minute documentary, text, and a photo essay.
Screening For Maternal Postpartum Depression In The Pediatric Primary Care Setting: An Educational Project, 2022 University of Tennessee, Knoxville
Screening For Maternal Postpartum Depression In The Pediatric Primary Care Setting: An Educational Project, Mischelle M. Young, Dr. Robert Cornette, Dr. Lisa Padgett
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Abstract
The birth of a baby can bring about an array of powerful emotions that range from joy and excitement to feelings of anxiety, worry, and depression. A majority of mothers experience postpartum baby blues which normally begins 2-3 days after delivery and can last for up to 2-3 weeks, but some mothers experience a more severe form known as postpartum depression (PPD). PPD can be mistaken for baby blues at first, but the signs and symptoms do not diminish and can continue to worsen. Postpartum depression signs and symptoms include withdrawing from friends and family, severe mood swings, excessive …
Intouch Week Of December 12, 2022, 2022 Touro College and University System
Intouch Week Of December 12, 2022, New York Medical College
InTouch
- Touro University Marks 50 Years at Celebratory Gala
- Department of Pathology, Microbiology and Immunology Hosts Inaugural Research Symposium
- NYMC Café Re-opens for Business
- StuHe Hosts Career Networking and Mock Interview Event
- NYMC Examines Disparate Access to Breast Cancer Screening and Treatment for Low-Income Communities
- NYMC and TU Present 23rd COVID-19 Symposium