Medicine and Health Sciences Commons^™

Exploring Nurse Beliefs And Perceived Readiness For System-Wide Integration Of Evidence-Based Practice In A Large Pediatric Health Care System, Lindsey Patton, Mayra Garcia, Virginia Young, Jerithea Tidwell

2021

Background: Implementation of evidence-based practice within healthcare leads to improved patient outcomes, high quality care, job satisfaction, reduced nursing turnover, professional autonomy, and validates nursing practice. Although there is a plethora of research focusing on implementation of EBP, little attention has been given to assess organizational readiness for integration.

Aims/ Methods: The primary aims were to explore nursing beliefs and attitudes about EBP using the Evidence Based Practice Beliefs Scale (EBPB) and the culture and readiness among pediatric nurses for system wide integration of EBP using the Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSIEP).

Results: Overall …

How A Crew Of Experts Can Pave The Road To Quality Improvement Inpreventing Central Line-Associated Bloodstream Infections, Ginny Leinweber, Angie Morris, Kendra Shotts-Fraser

2021

Purpose

To improve outcomes for PICU patients with central lines by reducing central line-associated bloodstream infections (CLABSIs) and meeting a 2021 goal rate of < 1.3 infections per 1000 central line days.

Background

PICU CLABSI rates increased from 2.2 in 2019 to 2.6 in 2020. Despite this increase, Quality and Safety data showed high compliance to CLABSI prevention bundles and no evident trends to inform improvement efforts.

Methodology

PICU leadership and CNS met to discuss quality improvement solutions to supplement routine safety cards and decrease CLABSI rates. This team developed a plan for a group composed of designated bedside staff and unit leaders who would focus on reducing …

Squashing Superbugs: Using Procalcitonin Levels Toidentify Bacterial Infections To Direct Antibiotic Therapy, Janna Berg, Tera Holland, Krista Westbrook

2021

The current standard in diagnosing and treating pediatric infections is obtaining cultures, interpreting complete blood count results, and following the trends of erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Infection triggers an inflammatory response; if untreated or mistreated, this microbe invasion can lead to sepsis. The purpose of this submission is to address the promising use of procalcitonin levels (PCT) as a superior marker in the early detection of bacterial infection via a scholarly literature review. 

Studies involving PCT are more readily found in the evaluation of the neonatal population and in adults with respiratory illnesses. Pediatric studies are …

Exploring Child Anxiety And Family Satisfaction In Thepre Anesthesia Clinic, Ann Johnson, Bonita Conley, Brenda Fields

2021

Studies show that families experience anxiety in the perioperative period. From the child’s perspective, coping with stressful experiences varies according to their appraisal of the situation, their experience and cognitive stage. Child stress or anxiety is best ascertained by self-report, and there is lack of evidence about the child's perspective during the pre-anesthesia period, as well as factors that relate to child anxiety. Purpose: The purpose of this project was to explore child report of anxiety during the pre-anesthesia clinic visit prior to a scheduled procedure with general anesthesia in a sample of patients ages 7 to 17 years. We …

Picu Team Member Innovative Support Planintentional Caring Practices To Mitigate Moral Distress, Secondary Trauma, Andburnout In The Intensive Care Unit., Ginny Leinweber, Kendel Richards, Jessica Roumillat

2021

Situation:

PICU staff frequently verbalize feelings of moral distress, anxiety, and exhaustion related to repeated exposure to complicated, ethically challenging situations and the intense nature of work in the PICU. Stressors associated with complex long term patient cases, deaths, medical errors, and adverse events are compounded by factors like the pandemic, high patient acuity, and instability of staffing. Collectively, these situations increase the risk of burnout and decreased job satisfaction.

Background:

Research shows that cultivating resiliency practices can improve overall well-being of the individual and lessen burnout and turnover. Though the hospital offers a program (RISE) that promotes resilience, integrated …

Sport, Gender And Development : Intersections, Innovations And Future Trajectories, Lyndsay M C Hayhurst, Holly Thorpe, Megan Chawansky Dr.

Faculty Books

The ebook edition of this title is Open Access, thanks to Knowledge Unlatched funding, and freely available to read online. In a context where striving for gender equity in relation to achieving the UN Sustainable Development Goals seems more pressing than ever before, Sport, Gender and Development: Intersections, Innovations and Future Trajectories bring together an exploration of sport feminisms to offer new approaches to research on Sport for Development and Peace (SDP) in global and local contexts. Including postcolonial and decolonial feminist lenses by drawing upon fieldwork with organizations and individuals in Afghanistan, Uganda, Nicaragua, and India, Sport, Gender and …

2021 Apothecary, Southwestern Oklahoma State University

Apothecary

It is with great honor we present the 2021 Apothecary issue. This year’s Apothecary was made possible by the provision of generous financial contributions from many stores, businesses, and Southwestern College of Pharmacy alumni. We greatly appreciate and thank you for your continued support.

The Apothecary staff would like to thank Dr. David Ralph and Adina Foust for their patience, countless hours, and unfailing efforts throughout this year. We also want to give huge thanks to the SWOSU Design Studio for their hard work in creating this year’s amazing cover and dividers. You always help bring our ideas to life …

Vital Signs, Winter 2021, Boonshoft School Of Medicine

Vital Signs

A newsletter created by the Boonshoft School of Medicine to document the current affairs of the school. This issue includes a variety of feature articles, alumni profiles, class notes, and more.

07. Roman Catholic Sisters Of Philadelphia (Exhibit Panel - Doctors And Nurses As Rescuers In Humanitarian Crises), Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

This file is the "Roman Catholic Sisters of Philadelphia" panel, which was created in 2021 and added to the exhibit entitled "Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition."

To see the supplemental information, click the Related Work button.

18. The Medical Staff Of Elmhurst Hospital (Exhibit Panel - Doctors And Nurses As Rescuers In Humanitarian Crises), Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

This file is the "Medical Staff at Elmhurst Hospital" panel, which was created in 2021 and added to the exhibit entitled "Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition."

To see the supplemental information, click the Related Work button.

07. Roman Catholic Sisters Of Philadelphia Supplemental Information, Stephen Gaies

Doctors and Nurses as Rescuers in Humanitarian Crises Exhibition

Supplemental information for the Roman Catholic Sisters of Philadelphia exhibit panel.

To see the associated exhibit panel, click the Related Work button.

Ziba, Ziba, Sherianne Schow, Brandi Kilmer, Heather Oman

TSOS Interview Gallery

Ziba, a promising medical student, fled Afghanistan in 2018 due to instability and for her safety. Life was difficult upon arrival in the United States. In Afghanistan Ziba was involved in national and international poetry, math and science competitions. Ziba went from having everything to starting completely over in a new country. Her anxiety and depression became extremely difficult to deal with She reminded herself who she was, what her passions were and in January 2019 started medical school while working part time as a cashier. Her hope for future arriving refugees is to have a mental health network established …

Role Of Mkp-2 In Hepatic Inflammatory Response To Fasting Mice, Sadie Junkins

Summer Community of Scholars Posters (RCEU and HCR Combined Programs)

No abstract provided.

Precision Nutrition And Advanced Culinary Medicine, Sara B. Police

Pharmacology and Nutritional Sciences Textbook Gallery

This electronic textbook (eBook) accompanies NS801, Precision Nutrition and Advanced Culinary Medicine, a 1-credit, 8-week online medical elective course for the University of Kentucky College of Medicine Office of Medical Education. The eBook provides module-based background information including text, tables, and figures to support each module of the online course:

1. Introduction
2. Culinary Challenges Preparation
3. Emerging Concepts in Precision Nutrition
4. Cardiovascular Disease & Nutritional Considerations
5. Neurological and Mental Health Disorders & Nutritional Considerations
6. Cancer & Nutritional Considerations
7. Gastrointestinal (GI) Health, Microbiome & Nutritional Considerations
8. Renal Conditions & Nutritional Considerations

As an open access textbook supported by the University of Kentucky Libraries …

Perspectives, Winter/Spring 2021, Volume 9, Number 1, Nova Southeastern University

Perspectives

No abstract provided.

Ccit Report 2021, Critical Creative Innovative Thinking

Critical Creative Innovative Thinking (CCIT) Archives

No abstract provided.

Association Of In‐Line Digestive Enzyme Cartridge With Enteral Feeds On Improvement In Anthropometrics Among Pediatric Patients With Cystic Fibrosis, Karyn Shaw, Stacie Hunter, Minjae Lee, Meghana Sathe

2021

No abstract provided.

Dietary Management Of A 7-Year-Old Boy With S-Adenosylhomocysteine Hydrolase (Sah) Deficiency, Page Meachum, Garrett Gotway

2021

No abstract provided.

The Role Of The Gut Microbiome In Autoimmune Disorders, Sierra Baxter

Physician Assistant Scholarly Project Posters

According to the National Institute of Health (NIH), it is estimated that over 24 million Americans are diagnosed with autoimmune disorders, and the cases are increasing (2005). A significant risk factor that has been linked to the formation of these diseases is the gut microbiome. The gut microbiome of the adult plays a vital role in the efficacy of the immune system. The purpose of this research and systematic literature review is to determine how the gut microbiome can influence autoimmune disorders. In this review, five databases were searched including PubMed, DynaMed, Cochrane Library, Embase, and Clinical Key. A variety …

Buprenorphine Versus Methadone For Opioid Use Disorder, Ben Devries

Physician Assistant Scholarly Project Posters

The purpose of this literature review is to analyze the use of Buprenorphine and Methadone for the treatment of opioid use disorder. Comparison of overall safety, efficacy, morbidity and mortality between the two treatment options is accomplished throughout this article. The literature review was performed using databases: PubMed, Clinical Key, Cochane and Uptodate. Results were limited to studies completed within the past 7 years. Methadone has been the treatment mainstay of opioid use disorder for decades. Buprenorphine has increased in popularity and prevalence for treatment of opioid use disorder, especially after receiving FDA approval for such use in 2002. Several …

Ketamine In Refractory Asthma Exacerbations, Stephanie Frentzel

Physician Assistant Scholarly Project Posters

Asthma is a chronic, non-curable respiratory disease that has multi-factorial effects on the bronchial mucosa. Despite optimal prevention and standardized first line asthma care the symptoms can deteriorate leading into an asthma exacerbation which is a medical emergency. Purpose:

• To determine the efficacy of ketamine use as an adjunctive medication for acutes severe asthma exacerbations that had failed standard guideline directed treatments. Methods: • Relevant databases were searched looking for ketamine use in asthma exacerbations.

• The inclusion material consists of pediatric and adult populations in available systematic reviews, randomized control trials, meta-analysis, pilot studies, case reports, and peer-reviewed …

Treatment Of Mosh And The Effects On Fertility, Julie Harmon

Physician Assistant Scholarly Project Posters

Male obesity-related secondary hypogonadism (MOSH) is often underdiagnosed in the young male population.

The current standard of care for hypogonadism in the older male population typically includes testosterone replacement therapy (TRT).

• The purpose of this study is to highlight available treatment options for MOSH in the younger population and the various effects on fertility.

• The method utilized was a systematic review of the current literature that targeted studies of obese males below the age of 65 treated for secondary hypogonadism.

• This review highlights some of the current recommendations, including lifestyle changes, and compares the use of TRT …

Comparison Of Traditional Management Of Heart Failure With Cardiomems, Quinn Jacobs

Physician Assistant Scholarly Project Posters

The purpose of this research and literature review is to compare the efficacy of the implantable pulmonary artery pressure monitoring device, CardioMEMS, to traditional heart failure management in terms of reducing hospital readmissions. The data bases of Cochrane Library, PubMed, Clinical Key, and DynaMed Plus were utilized. Because the CardioMEMS device is relatively novel in the treatment of heart failure, the time frame of search results was expanded to 10 years to include research from the original clinical trials. A total of 17 peer reviewed works were chosen for this review which included meta-analyses, systematic reviews, randomized controlled trials, and …

Comparison Of Oral Glucose Tolerance And Hemoglobin A1c As An Initial Indicator Of Type 2 Diabetes, Shelby Knox

Physician Assistant Scholarly Project Posters

The purpose of this review was to evaluate the diagnostic utility of hemoglobin A1c (HbA1c) compared to oral glucose tolerance testing (OGTT) for diagnosis of type 2 diabetes. Databases ClinicalKey, PubMed, Dynamed, and CINAHL withdrew a total of 17 peer-reviewed cross-sectional and retrospective studies, secondary and pooled data analyses, and meta-analyses. Inclusion criteria included human studies, studies < 10 years old, individuals > 15 years of age, fasting plasma glucose in conjunction with OGTT, and subjects without known diabetes. Exclusion criteria included alternative forms of diabetes, screening and diagnosis of prediabetes, comparisons in relation to specific medical conditions such as heart disease, pregnancy, and gestational diabetes, …

P.M. Dosing Outcomes Of Ace Inhibitors Or Angiotensin Ii Receptor Blockers In Hypertension Versus P.M. Dosing In Hypertension With Comorbidities, Savana Kramer

Physician Assistant Scholarly Project Posters

• Introduction: The purpose of this research is to compare P.M. dosing outcomes of angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) in those with hypertension and hypertension plus chronic kidney disease or diabetes.

• Research Methods: Three databases were searched including PubMed, ClinicalKey, and DynaMed with a time frame of 15 years. Studies chosen for review were peer reviewed, and included randomized control trials, systematic reviews, meta-analyses, and a preclinical animal trial.

• Discussion: The research shows evidence of reduced blood pressures throughout the night and into the next day, decreased proteinuria, and decreased cardiovascular events when …

Effects Of Phototherapy In Patients With Atopic Dermatitis, Stephanie Krogen

Physician Assistant Scholarly Project Posters

Atopic dermatitis is a chronic remitting problem faced by many people in our communities of all ages. Atopic dermatitis (AD) presents as an erythematous and pruritic rash. There is no cure, only treatments that help alleviate symptoms. The purpose of this literature review is to help determine the best course of action for treatment for patients who suffer from AD. Phototherapy has been growing in popularity and research as an alternate treatment to systemic and pharmacologic therapies. This review was done using PubMed, Clinical Key, DynaMed, and Cochrane. Studies were included that reviewed the side effects and efficacy of each …

Invasive Needling Therapy For Myofascial Pain Syndrome, Katelyn Krueger

Physician Assistant Scholarly Project Posters

Myofascial pain syndrome (MPS) is one of the most common musculoskeletal conditions characterized by tight bands of fascia and muscle fibers known as myofascial trigger points (MTrP’s). Empirical evidence suggests that deactivation of MTrP’s is best accomplished with invasive needling therapy such as dry needling, trigger point injections (TPI’s), and botulinum toxin (BTX-A) injections. The objective of this systemic review is to compare the efficacy of various needling therapies on pain intensity and additionally determine if ultrasound guidance and obtaining an LTR improves clinical outcomes. A comprehensive search of five databases including PubMed, Science Direct, Google Scholar, Cochran, and CINHAL …

Comparative Research Of Effective Treatment Measures For Postpartum Depression, Aunica Novacek

Physician Assistant Scholarly Project Posters

Postpartum depression is a mood disorder that includes depressive symptoms during the time period following childbirth. There are various possibilities for what may cause this disorder, but the drastic change in hormones after delivery can play a role. With the chance this disorder may be fatal to both the mother and child, an appropriate, effective, and safe treatment is necessary to control depressive symptoms. The standard, first line pharmacotherapeutic option is a selective serotonin reuptake inhibitor (SSRI) antidepressant. SSRI antidepressants are well understood, but these medications may take time to become effective. Knowing this, medical professionals can find a more …

Integration Of Palliative Care In Chronic Obstructive Pulmonary Disease Management, Christina Rasanen

Physician Assistant Scholarly Project Posters

The purpose of this scholarly project is to determine if the integration of palliative care (PC) into COPD management provides an improvement in symptom burden associated with quality of life and end of life care when compared to the standard of care. A review of the literature was performed using the following electronic databases, and the use of keywords and mesh terms were used to define the set of literature that would be critically analyzed. A total of 16 articles achieved the necessary criteria for review and critical assessment. The literature reviewed various aspects related to symptom burden and symptom …

Cholinergic Antagonist Use And The Risk Of Developing Dementia In Persons Aged 65 Years And Olders, Heidi N. Artz Schmaltz

Physician Assistant Scholarly Project Posters

Anticholinergic medications cause a therapeutic or negative effect in the human body by blocking neuronal cholinergic receptors, thereby inhibiting the binding of acetylcholine in the central nervous system and the peripheral nervous system. These medications have short-term side effects including dry mouth, constipation, visual impairments, or delirium; however, research regarding the long-term side effects is limited. The purpose of this systemic literature review is to determine the correlation between prolonged exposure to anticholinergic medications and the development of dementia. The literature databases PubMed, Cochrane Review, Science Direct (Elsevier), and DynaMed were utilized in this review. Journal articles published within the …