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2019-08-20 13:30
Remove constraint <p>2019-08-20 13:30</p> Resource TypeResearch Paper
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- ... ................................................................................13 Impact on Satisfaction in Transitioning to Professional Role .....13 Theoretical Framework ...... .................................................................................................................18 Project Design/Methods 20 Project Site and Population ...... ..........................................................................................20 Measurement Instrument(s ...... allowing students to ADDRESSING CRNA STUDENT CLINICAL ORIENTATION 13 familiarize themselves with equipment ...... resistance from faculty towards adopting a new ADDRESSING CRNA STUDENT CLINICAL ORIENTATION 20 orientation ...
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Background: Orientation programs are crucial for introducing individuals to educational institutions, internships, residencies, and workplaces, providing insight into expectations and operational procedures. However, at Marian...
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- ... O D E X P E RI E N C E S 13 p u bli c ati o n d at es b et w e e n 2 0 0 7- 2 0 2 2 wit h t h e e x ...... D U L T P RI M A R Y C A R E P R O VI D E R S A D V E R S E C HI L D H O O D E X P E RI E N C E S 20 ...
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Objective: Adverse Childhood Experiences (ACEs) are harmful or distressing events occurring within a child’s social or family environment which disrupt psychological and physical development. The goal of this DNP project is to...
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- ... ...11 Patient-Centered Practice...12 SWOT Analysis.12 Review of the Literature13 Search Methodology..13 ...... (COA, 2019). They do, however, allow for certain simulation experiences, such as central line placement ...... et al., 2019, Tamaki et al., 2019, Li, J. et al., 2019). Marian University SRNAs are highly ...... period. Loeb et al. (2019) state that misuse or malfunction of the anesthesia machine accounts for 1-2 ...... : FA6F30A3-2A24-43B3-B87C-324DC716FD8B 7 gas delivery equipment constitutes 20% of reported events related to ...
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Simulation experiences are a mandatory part of nurse anesthesia programs. Simulations are intended to improve students’ skills in a safe environment, but their effects on cognitive knowledge and confidence are not well...
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- ... .................................................................................................................. 20 Aim ...... allowing the surgical procedure to take place without the patient feeling any pain (Hroux et al., 2019 ...... patients in improving outcome and functional recovery. A significant 20% of upper extremity surgeries are ...... eliminating the side effects of general anesthesia (Hroux et al., 2019). Side effects of general anesthesia ...... include nausea and vomiting, sore throat, fatigue, and prolonged hospital stay (Hroux et al., 2019 ...
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Background The Certified Registered Nurse Anesthetist (CRNA) profession is fast growing and at an all-time high, with over 56 thousand licensed professionals. Nurse Anesthetist programs are tasked with developing a high...
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- ... Project Design/Methods 20 Project Site and Population ...... ..........................................................................................20 Measurement Instrument(s ...... (Melnyk & Fineout-Overholt, 2019, p. 19). Best practice regarding anesthesia-related IV-line care at the ...... allowed to dry (IU Health Arnett Hospital, 2008, para 20). Per Sarah Norkus, the manager of the OR and ...... , among anesthesia providers have consistently been poor (Loftus et al., 2008: Munoz-Price et al., 2019 ...
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Background and Review of Literature: Intravenous (IV) catheter-associated bloodstream infections (CABIs) are a substantial problem in healthcare. Recently, intraoperative care was identified as a risk factor for the development...
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- ... .....................................................................................................8 THEORETICAL MODEL.12 GOALS/OBJECTIVES/EXPECTED OUTCOMES.13 PROJECT DESIGN...... ....14 Project ...... ..................................................................................................................20 APPENDICES Appendix A ...... ............................................................................................................26 Appendix C.27 Appendix D.30 SIGNATURE PAGE...31 3 ANESTHESIA PROVIDER HAND HYGIENE RECOGNITION 4 ...... body fluids must be considered while in the performance of intubation (Munoz-Price et al., 2019 ...... hand hygiene compliance (Plemmons, Marcenaro, Oermann, Thompson, & Vacchiano, 2019), and three found ...
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BACKGROUND AND LITERATURE REVIEW: Hand hygiene (HH) is the number one way to reduce healthcare associated infections (HAI). These infections account for increased morbidity and mortality and are linked with poor HH among...
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- ... characteristics of study participants Parameter Sex Age Range (years) Cohort Total Reports Male Female 4 4 20-30 3 ...... , Weaknesses, Opportunities, Threats (SWOT) Analysis...11 Search Strategy..13 Literature Review...13 Project ...... Discussion......18 Conclusion.20 Timeline.23 Appendix A15 Appendix B16 Appendix C....23 CITI....50 IRB ...... ., 2019). It is crucial to transfer patients from the operating room to the post anesthesia care unit in a ...... information is essential for maintaining patient safety and delivering high-quality care (Arnold & Boggs, 2019 ...
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Effective communication during the handoff process between anesthesia providers and post-anesthesia care unit (PACU) nurses is crucial for ensuring patient safety. This Doctor of Nursing Practice (DNP) project aimed to...
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- ... mass index (BMI) of 30 kg/m2 in adults (WHO, 2020). Individuals with obesity, compared to those with a ...... $173 billion dollars in 2019, and estimates are that the global health expenditure on obesity-related ...... (Amaro et al., 2022; Muller et al., 2019; Rubino et al., 2021). Unfortunately, when 6 PERSPECTIVE OF ...... subcutaneous injections. Four RCTs included adults who did not have diabetes with a BMI 30 kg/m2 or a BMI 27 ...... with 30 participants 10 PERSPECTIVE OF DIET AND EXERCISE WITH SEMAGLUTIDE 11 (P = .0023) and ...
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Semaglutide is a prescription medication for weight loss and combating obesity. Current evidence indicates patients are regaining weight after discontinuing the medication unless diet and exercise regimens are sustained....
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- ... of Chosen Option.11 Theoretical Framework..12 Goals & Objectives....13 Project Design....14 Project ...... Data Collection Procedure..18 Data Analysis..19 Results.20 Interpretation/Discussion21 PNEUMATIC ...... used. (Kumar et al, 2016). According to Ding et al., (2019), the individualized pressure setting ...... blood loss, calculated blood loss, and the duration of surgery. (Ahmed et al., 2020, Cai et al., 2019 ...... , PNEUMATIC TOURNIQUET CUFF PRESSURES AND IMPLICATIONS 9 Ding et al., 2019, Kim et al., 2019, Spruce, 2017 ...
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During surgical interventions of upper or lower extremities, one of the methods in which blood loss can be decreased is through application of the pneumatic tourniquet. A bloodless field provides important advantages for the...
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- ... .......................................................................................................13 Data Analysis and Results13 Limitations14 Conclusion ...... ...................................................................................................20 Appendix C: PACU Pain Scores.21 Appendix D: 24 Hour Pain Scores..22 Appendix E: Total MMEs...23 ...... fractures has increased over the past several years (Hong & Ma, 2019). Although, evidence shows that early ...... & Ma, 2019). Managing perioperative and postoperative pain can be challenging for both the surgeon and ...... by Hong and Ma (2019) measured postoperative pain scores at various time intervals post hip surgery ...
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Background and Review of Literature: Lumbar plexus block and fascia iliaca block are two commonly used anesthesia modalities for patients underdoing hip arthroplasty at Union Hospital in Terre Haute, Indiana. Currently, there...
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- ... .............................................. 13 Data Collection Procedure ...... ......................................................................................................................... 20 Conclusion ...... ................................................................................................................. 30 Appendix B ...... and are the second- most disabling condition worldwide (Patel & Minen, 2019). Although migraine ...... headache specialist or a pain management specialist (Lipton, 2019). Since PCPs are the first point of care ...
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Background: Many patients seek the advise from their primary care providers (PCPs) to provide insight into alternative treatment options, however, little is known about the practices of primary care providers (PCPs) and the...
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- ... United States was conducted MICROAGGRESSION IN THE OPERATING ROOM 13 in 2019. A total of 217 students ...... viewing a 20-minute educational PowerPoint presentation, participants were required to complete a posttest ...... in Learning. This is a 13-item instrument designed to measure student satisfaction with simulation ...... may be verbal or non-verbal and are typically automatic (Espaillat et al., 2019). Microaggression is ...... towards students in the medical field has increased significantly (Espaillat et al., 2019). Research has ...
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A common theme among Student Registered Nurse Anesthetists is an impact on their mental and physical wellbeing during didactic and clinical education. This DNP project is aimed for the current Marian University graduate nursing...
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- ... 20-30 years old. Based on the participants scores on the GAD, 27.9% indicated minimal anxiety, 20.9 ...... Percent First-years Second-years Third-years Female One 20-30 31-40 41-55 Minimal Mild Moderate Severe ...... Minimal Mild Moderate Moderately Severe Severe No Yes No Yes No Yes 20 13 10 46.5 30.2 23.3 25 17 58.1 ...... Maximum Z-Score Anxiety Level First-years 20 -1.10 2.15 Second-years 13 -1.72 1.62 Third years 10 -1.34 ...... 1.11 First-years 20 -1.27 3.095 Second-years 13 -1.29 1.48 Third years 10 -1.15 1.85 Depression Level ...
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This DNP project’s significance is to help SRNAs self-recognize psychological and physical manifestations of negative stress, manifested as anxiety, depression, and suicidal thoughts during anesthesia training. The objective is...
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- ... was paired for 30 patients, 2019 median 353, 2020 median 333.5 indicating slight improvement in NT ...... patients diagnosed with PAH prior to March 1, 2019, at the Ascension St. Vincent Pulmonary Hypertension ...... significance between the pre-pandemic period of March 1, 2019, through February 29, 2020, and during the COVID ...... States in 2020. This syndrome, Sars-CoV2, which became known as the coronavirus 2019, or COVID-19, has a ...... is appropriate (Klinger et al., 2019). Symptoms of PAH include syncope, dyspnea, chest pain, edema in ...
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The COVID-19 pandemic has highlighted the need for additional health precautions in medically fragile populations. COVID-19 is a respiratory virus demonstrating increased mortality in individuals with risk factors such as...
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- ... al. (2019), and 30% for You-Ten et al. (2018). Williams & Umranikar (2017) determined that on average ...... visual reminder of the conversion of Newtons to pounds for each value 10, 20, 30, and 40N was made ...... , 2023 Derrianne Monteiro, DNP, CRNA (Oct 8, 2023 20:04 EDT) (Signature) Project Member: (Date) Christina ...... Considerations...22 Project Evaluation..23 Data Analysis/Results25 Discussion..27 Strengths and Limitations..30 ...... Conclusion.30 References..32 Appendices.36 Appendix A....36 3 Appendix B....37 Appendix C....41 Appendix D ...
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Background and Review of Literature: Cricoid pressure is a technique of applying digital pressure along the outside of the upper airway to reduce the risk of aspiration of stomach contents during anesthesia induction. Improper...
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- ... Derrianne Monteiro, DNP, CRNA _______________________ Derrianne Monteiro, DNP, CRNA (Nov 30, 2023 14:53 EST ...... , SRNA (Dec 4, 2023 08:58 EST) Hannah Harris, SRNA _______________________ Committee Members: Mary Nguyen ...... ...................................................................................................... 13 LITERATURE REVIEW CONCLUSION ...... .................................................................................................................... 20 SATISFACTION AND CONFIDENCE INTERVAL ...... ............................................................................................................................................ 30 REFERENCES ...
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Background: Anesthesia providers are trained to adapt and rapidly respond to cannot intubate cannot ventilate situations based on a difficult airway algorithm. In anesthesia education, simulated events allow for effective...
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- ... , CRNA _________________________ (Signature) Date of Submission: June 13, 2021 2 DEBRIEF AFTER ...... ., et al., 2019). Many of these studies implement the use of high-fidelity simulations. High fidelity ...... , 2019). Many studies seek the best way to improve knowledge and compare simulation to other methods of ...... one (Control group) and 12 students on day two (experimental group) were given 30-minute blocks to ...... reviewing the data analysis 13 DEBRIEF AFTER SIMULATION for self-confidence in the control group (M= 35.083 ...
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The difficult airway algorithm is a necessary technique that must be mastered by all student nurse anesthetists. Students in Marian University’s Nurse Anesthesia Program are taught the potentially life-saving skills included in...
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- ... ...........................................................................................................8 Theoretical Framework.....13 Goals/Objectives/Expected Outcomes ...... .........................................................................................................20 Conclusion ...... up to 30% of all surgical patients experience PONV (Collaborators & West Midlands Research, 2017 ...... , three, or four risk factors represent a risk of PONV of 10, 20, 40, 60, or 80% respectively (Tateosian ...... that doses of dexamethasone greater than 0.1 mg/kg lead to better pain control and minimized 13 ...
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Background and Review of Literature: Post-operative nausea and vomiting remains a constant threat to patients undergoing anesthesia. As such a myriad of drug compounds are utilized in the practice of anesthesia to prevent and...
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- ... Appendix A 21 DISPROPORTIONATE IMPACT OF COVID-19 ON BIPOC COMMUNITIES Appendix B What is your age? 20-30 ...... , CNE (Signature) Date of Submission: October 20, 2021 1 DISPROPORTIONATE IMPACT OF COVID-19 ON BIPOC ...... ......13 Theoretical Framework..13 Goals, Interventions and Outcomes...14 Project Design/Methods.14 Ethical ...... , COVID-19 death AND ethnicity. 40 articles were screened for this study and 13 were used. History and ...... . Part of the solution was to force enslaved women, often as young as 13 years old, to become pregnant ...
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COVID-19 is an infectious respiratory illness that has taken hundreds of thousands of lives and infected millions more in the United States. Unfortunately, Black Indigenous and People of Color (BIPOC) communities are...
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- ... years 37.14% (13) 41-50 years 20% (7) 51-60 years 31.43% (11) Greater than 60 11.43% (4) years Type of ...... ............................................................................................................ 20 Conclusion ...... (Montminy et al., 2019). Statistics supporting the benefits of early detection and treatment contributed to ...... , though not as significantly as for Caucasian Americans (Montminy, 2019). Both African American men (52 ...... % (Montminy, 2019). One type of screening recommended by the USPSTF (2021) is colonoscopy. The USPSTF (2021 ...
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The United States Preventative Services Task Force (USPSTF) recommends initiating colorectal cancer screening for asymptomatic, average-risk individuals at age 45, which is a new update to the previous recommendation of age 50....
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- ... the development of acute lung injury and pneumonia (Harris & Chung, 2013). PONV can occur in 20% to 30 ...... /Objectives/Expected Outcomes ..............................................................................20 ...... 400,000 THAs being conducted yearly in the United States (Campbell clinic, 2019). The overall incidence of ...... decreased health care costs (Pu & Sun, 2019). Basques et al. (2015) report adverse effects noted with the ...... quick administration of an anesthetic agent, with ease (Calderon-Ochoa et al., 2019). However, this ...
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Total Hip Arthroplasty (THA) is a commonly performed procedure in the operating room and often the patient population undergoing this procedure are elderly with multiple comorbidities. Despite new research on spinal anesthesia...
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- ... 40-49 Experience as a Registered Nurse (years) <5 6-10 11-15 16-20 *Note, n= 22 n % 9 13 40.9 59.1 10 ...... .................................................................................................................19 Data Evaluation......20 Ethical Considerations ...... ......................................................................................................20 Analysis ...... ..............................................................................................................................20 Results ...... ............................................................................................................................................20 Summary ...
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Background and Review of Literature: Substance use disorder (SUD) is increasing nationwide, including within the anesthesia provider community. Anesthesia providers are shown to be at an increased risk of developing SUD...
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- ... ..........................................................................................12 Theoretical Framework Model.. 13 Matched Dyads ...... ..20 Demographics20 Descriptive Statistics 20 Inferential Statistics .21 Discussion ...... ......................................................................................................................................25 Appendices.........30 Appendix A ...... ...................................................................................................................... 30 Appendix B ...... , and support other nurses to achieve excellence in nursing practice (Marian University, 2019, p. 84 ...
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The stress levels experienced by student registered nurse anesthetists (SRNAs) make them excellent candidates to experience the benefits of peer mentoring. Many students assigned as mentors lack the necessary skills to support...
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- ... Literature Review ..10 Section III. Project Design 13 Project Site and Population ...14 Project Team .14 ...... B. GANTT Chart/ Timeline .28 Appendix C. SWOT Analysis .29 Appendix D. Prisma Diagram .30 Appendix E ...... Increase Knowledge of Operating Room Fires in Student Registered Nurse Anesthetist 13 al., 2018). Team ...... Increase Knowledge of Operating Room Fires in Student Registered Nurse Anesthetist 20 also conducted ...... ://www.prisma-statement.org/ 30 Effectiveness of Educational Modules to Increase Knowledge of Operating Room ...
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Background and Review of Literature: Operating room (OR) fires can inflict devastating harm to healthcare organizations, staff, patients, and caretakers. All perioperative staff members need specific education on preventing and...
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- ... Review of Literature8 Theoretical Framework..12 Project Aims and Objectives..13 SWOT Analysis.13 Project ...... Literature Review Matrix...30 3 EFFECTIVENESS OF UTILIZING THE ANATOMAGE TABLE TO TEACH A REGIONAL BLOCK ...... ., 2019). With a 3-D representation of anatomy where neuraxial blocks are placed, SRNAs will have a more ...... (Padilha et al., 2019; Lebdai et al., 2020; Tamaki et al., 2019; Li et al., 2019). One trial evaluated the ...... reasoning, self-efficacy, and satisfaction (Padilha et al., 2019, p.1). Between the two groups there was no ...
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Neuraxial blocks are widely used by anesthesia providers in primarily orthopedic and obstetric populations. In many anesthesia programs, education surrounding regional blocks is limited to the classroom setting without thorough...
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- ... .......................................................................... ..13 Measurement Instrument(s ...... ) .................................................................................. 13 Data Collection Procedure ...... , specifically found in the neck, shoulders, back, and abdomen (Schreiber et al., 2005; Shafy et al., 2019; Jain ...... et al., 2019). The majority of the studies have determined this is a minor side effect of the drug ...... ; Shafy et al., 2019). The wide range is due to multifactorial risk factors. The Impact of Myalgia Pain As ...
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- ... Appendix B Appendix C Appendix D Appendix E 3 4 5 7 7 8 8 9 10 11 11 12 13 14 14 15 16 16 17 17 19 23 25 30 ...... 30 31 34 36 IMPOSTOR PHENOMENON ON MINORITY CRNA STUDENT 3 Abstract Imposter Phenomenon (IP), better ...... experiences" (Sinkfield-Morey, 2019). In the spirit of Marie Manthey's Nursing Salon, the researcher ...... to assess its effects on minority healthcare providers (Chrousos, 2020; Holliday et al., 2019 ...... encouraging leadership training (Holliday et al., 2019). Dr. Valerie Young, another expert on IP, has founded ...
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Imposter Phenomenon (IP), better known as Impostor Syndrome, may be defined as a state of fearing intellectual phoniness and an inability to internalize success. What was first discovered to appear in high-achieving women; now...
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- ... complications and readmissions (Mann-Farr et al., 2019). The incidence of POED varies between 10% and 80% of ...... these facilities. Recently, pharmacy began distributing 5 milliliter (mL) syringes containing 20 ...... spinal cord. This serves to augment the effects of exogenous opioids and thus reduce narcotic use by 30 ...... Precedex. Up to a 30% reduction in baseline HR is a normal finding (Mahmoud & Mason, 2015). In comparison ...... Population: PRECEDEX AND PACU STAYS 13 This project will be completed at Indiana University Arnett Hospital ...
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Precedex is a common sedative used for procedural sedation and as an adjunct in general anesthesia. This project uses a retrospective chart review to determine if intraoperative Precedex boluses increase the length of stay in...
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- ... . https://doi.org/10.3928/01484834-20170619-08 Burgstahler, M. S., & Stenson, M. C. (2019). Effects of ...... ........................................................................................................................... 11 Theoretical Framework ..13 SWOT Analysis ...... ........................................................................................................................ 13 Project Aims and Objectives ...... ................................................................................................................................. 20 Appendices ...... ....................................................................................................................................... 30 Table 1 ...
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The future and strength of the nurse anesthesia profession starts here, with this generation of doctoral nurse anesthesia students. Setting up a foundation of healthy coping skills is key to the longevity of a healthy nurse...
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- ... . Unlike E. coli, saccharin appears to have a maximal inhibition of 20-30% in S. aureus, as increasing ...... pH was confirmed at 7.4 on pH paper. Solution was stored at room temperature. Preparation of SYTO 13 ...... Working Solution SYTO 13 was used to quantify E. coli, a gram-negative bacteria. 5mM solution in DMSO ...... 13-15 0.08g/mL S. aureus 16-18 0.22g/mL S. aureus Table 1. Saccharin dosages for E. coli and S ...... refrigerator. 2uL of SYTO 13 working solution and 5uL of HI working solution were added to each microfuge tube ...
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A common misbelief is that non-nutritive sweeteners (NNS) are healthier than natural sugars, only because of their lower caloric content. Individuals are unaware of the consequences that high amounts of NNS pose to the bacteria...
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- ... focusing on simulation, confidence, knowledge, or skill level. A total of 13 articles were selected for ...... mortality (Sweitzer, 2021). Duffy et al., (2019) asserts simulation is widely accepted as an effective ...... seen in clinical practice (Gauger et al., 2018), compensates for gaps in training (Duffy et al., 2019 ...... (Duffy et al., 2019). Ambardekar et al., (2016), Duffy et al., (2019), and Ritter et al., (2020 ...... participants overall experience (Ambardekar et al., 2016; Duffy et al., 2019; Gauger et al., 2018; Ritter et al ...
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This project was submitted to the faculty of Marian University Leighton School of Nursing as partial fulfillment of degree requirements for the Doctor of Nursing Practice Certified Registered Nurse Anesthetist Track. The...
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- ... Measurement Instrument...13 Data Collection..13 Data Analysis.14 Ethical Considerations...14 Conclusion.14 ...... postoperative recovery (AANA, 2019). They consist of both multimodal and multidisciplinary approaches (AANA ...... , 2019). Dexamethasone administration is an important component of ERAS regimens, as it is a highly ...... patients who received dexamethasone in doses ranging from 1.25-20 mg (Waldron et al., 2013). A dose of 8 mg ...... old, having received the ERAS protocol for a surgical procedure within the past year (2019-2020), and ...
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This project is submitted to the faculty of Marian University Leighton School of Nursing as partial fulfillment of degree requirements for the Doctor of Nursing Practice, Nurse Anesthesia track. Enhanced Recovery After Surgery...
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- ... ............................................................................................................ 20 EVALUATING MARIANS STUDENT MENTORSHIP PROGRAM 4 Qualitative Analysis ...... ., 2018; Henry-Noel, N. et al., 2019). Successful mentorship programs are described by Ssemeta et al ...... /relationship (Ssemeta et al., 2017). Pallaria et al. (2019) addressed some of the confusion by providing a ...... from students in the follow-up survey (Pallaria et al., 2019). Scott-Herring, M., & Singh, (2017) in ...... mentorship program offered (Pallaria et al., 2019; Scott-Herring, M., & Singh, 2017). Problem Statement The ...
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Marian University utilizes a student-led mentorship program to assist fellow graduate students of Doctorate of Nursing Practice (DNP) Nurse Anesthesia Program (NAP). Marian’s NAP accreditor, The Council of Accreditation of...
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- ... ..........................................................................................20 Measurement Instrument(s ...... less than 80% (Casey et al., 2019). Studies comparing BMV versus alternative methods upon induction ...... al., 2019; Semler et al., 2021). In fact, Casey et al. (2019) studied the differences in oxygen ...... %) than those receiving no ventilation (Casey et al., 2019). Hypoxemia not only causes short-term ischemia ...... to the body, but can also lead to cardiac arrest and death (Casey et al., 2019). Benditt (2019 ...
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Background and Review of Literature: Bag-mask ventilation (BMV) is a critical skill in the perioperative setting and is difficult to master for student registered nurse anesthetists (SRNAs). BMV has been shown to be the...
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- ... healthy children receive 20 to 30 immunizations before the age of 18 years (Birnie et al., 2018). For ...... Literature Review..13 Theoretical Framework.17 Gap Analysis.19 Goals, Objectives, and Expected Outcomes.21 ...... anxiety, stretching muscles, weeping, screaming, crying, biting on lips, and refusal. (Inan & Inal, 2019 ...... respiratory rate, and a reduction in body temperature (Inan & Inal, 2019). Exposure to pain in young children ...... NON-PHARMACOLOGIC PAIN 13 the strength and quality of the evidence as well as identifying major ...
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Background: A child’s pain is different from pain experienced as adults. Different emotional and psychological factors can affect the child’s pain comprehension and stimulate their response to pain. Procedural pain can have...
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- ... males (23%). Seven of the 13 participants reported being 26-30 years old (54%), followed by 4 ...... .................................................................................................. 8 Theoretical Framework.......12 Project Aim/Objectives...13 Project Design/Setting/Population...13 ...... ....................................................................................................... 30 Appendix C.31 Appendix D.32 2 IMPACT OF COGNITIVE AIDS ON SIMULATION 3 Abstract Cognitive aids ...... incidents found that 13% of the incidents reported were related to anesthesia device malfunctions (Catchpole ...... in an observational study where 20 IMPACT OF COGNITIVE AIDS ON SIMULATION 12 anesthesiologists ...
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Cognitive aids have been shown to enhance clinical performance and improve patient care by increasing the completion of essential tasks and facilitating clinical decision-making. Cognitive aids have also been demonstrated to be...
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- ... ........................................................................................... 13 Measurement Instrument(s ...... ) ........................................................................................... 13 Data Collection Procedure ...... ............................................................................................. 13 Ethical Considerations/Protection of Human Subjects ....... 14 Data Analysis and Results 15 ...... ..................................................................................................................... 20 Appendix A . 23 Appendix B ...... .............................................................................................................. 29 Handoff and Airway Management in Recovery 3 Appendix D. 30 Appendix E.. 31 Appendix F.. 36 ...
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When a patient arrives at the postoperative anesthesia care unit (PACU), a transfer of care report from the anesthesia provider to the PACU nurse occurs at the bedside. Historically, there has been a lack of completeness in...
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- ... Project Aims & Objectives.11 SWOT Analysis.... 12 Project Design... 13 Project Site and Population.14 ...... of various teaching strategies in pharmacology courses (Murnane et al., 2019, Norazlina et al., 2019 ...... , Khan & Hood, 2018, and Kennedy, 2019). While this project is not necessarily looking to recreate the ...... for providing information. In the study conducted by Daniel Kennedy (2019), he was able to determine ...... % (Kennedy, 2019). Two of the articles included in the literature review looked at effectiveness of ...
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The Marian University Nurse Anesthesia program offers two pharmacology courses prior to students entering the clinical setting. The pharmacology I course provides students with foundational knowledge of medications used daily....
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- ... Literature..9 Search Methodology.....9 Simulation.....9 Knowledge/Confidence...11 Debriefing...13 Theoretical ...... . Quantitative data was collected using the 13-question National League for Nursing (NLN) Survey and a 5-question ...... IMPROVING SIMULATION TRAINING 7 aspiration (Mollalign et al., 2019). For example, when emergently ...... airway by doing so in a manner that lowers the risk of pulmonary aspiration (Mollalign et al., 2019 ...... patient death (Mollalign et al., 2019). It is critical that nurse anesthesia programs strive to better ...
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Background: Simulation based training continues to be a growing element of healthcare education. Simulation training allows student registered nurse anesthetists (SRNAs) to practice critical skills in a low stress environment....
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- ... Theoretical Framework......13 Jeffries Simulation Framework...13 PEARLS Debriefing Framework13 Goals ...... Results19 Demographics.19 Knowledge Test..19 Satisfaction Subscale..20 Self-confidence Subscale21 Discussion ...... acquired with the aid of US (Bortman et al., 2019). US is also used to deliver regional anesthetics and ...... . Following a thorough search, 20 journal articles, levels I-IV, were found and used to write this review of ...... and confidence to deliver a higher quality of patient care (Bortman et al., 2019; Griswold-Theodorson ...
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Background: Throughout the last decade simulation education has become an integral part of healthcare education. Designing simulation training for educational programs takes careful consideration and thought to plan an...
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- ... .........................................................13 High-fidelity Simulation-Based Training for SRNAs ...... ............................................................................................20 Satisfaction and Confidence Interval ...... (Post-Test) .......................................................30 Description of Experience with BMV ...... .........................................................................30 Summary ...... providers to master (Wittels, 2019). In recent years, there has been a drastic expansion of clinical ...
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Background and Review of Literature: The ability to manage a patient's airway is a critical skill an anesthesia provider must possess. Poor airway management can result in inadequate ventilation, which can lead to brain damage...
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- ... Portability & Accountability Act. (2019). Retrieved April 20, 2020, from https://www.dhcs.ca.gov/formsandpubs ...... ................................................................................................................................13 Project Site and Population ...... ........................................................................................................13 Stakeholders and Barriers ...... ..........................................................................................................13 Methods ...... Infection Control, the implementation of a TKA checklist that included preoperative warming 30 minutes ...
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Background: Inadvertent perioperative hypothermia (IPH), defined as recorded temperature at or below 36°C (96.8°F), is a common adverse effect that can occur during any surgical procedure, leading to increased postoperative...
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- ... infections occur in 2 % to upward of 20% of procedures (Dobran et al., 2019). It is imperative to follow ...... .............................................................................. 13 Goals, Objectives, and Expected Outcomes ...... mortality (Di Martino et al., 2019). Surgical site infections after instrumented spinal fusions can cause ...... hardware, destabilization of the spine, and reconstructive surgery (Kalfas et al., 2019). Surgical site ...... infections are defined as infections occurring in the surgical space within 30 days of surgery or 90 days of ...
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Background and Review of Literature: A surgical site infection after posterior instrumented spinal fusion can negatively affect the patient and increase healthcare costs. Spinal fusions are becoming increasingly common as a...
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- ... endotracheal tubes (ETT) CP are 20 to 30 cmH2O and 60 cmH2O for supraglottic airway (SGA) devices. Currently ...... 20 to 30 cmH2O for ETT, utilizing the lowest CP to allow adequate mechanical ventilation without gas ...... without gas leakage. This lowest adequate pressure is obtained at CP of 20 to 30 cmH2O for ETT (Jaber et ...... mechanical ventilation without gas leakage. The typical target range is CP of 20 to 30 cmH2O for ETT (Jaber ...... within range (20 to 30 cmH2O), out of range low (<20 cmH2O), and out of range high (30 cmH2O). A chi ...
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Background and Review of Literature: Subjective methods for assessing airway device cuff pressures (CP) remain in use to determine correct inflation, despite evidence indicating inadequate sensitivity for identifying under and...
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- ... conscious sedation (Azura Vascular Care, 2019). A thin tube called a catheter is accessed through an artery ...... Vascular Care, 2019). If a blockage is detected, a balloon at the tip of the catheter is inflated and ...... compresses the plaque against the artery walls to restore blood flow to the heart (Azura Vascular Care, 2019 ...... Vascular Care, 2019). The advantages of PTCA include that the procedure is much less invasive compared to ...... or sutures are needed (Azura Vascular Care, 2019). Disadvantages seldom occur but may include damage ...
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Objective: Carotid intima-media thickness (CIMT) is utilized to predict cardiovascular risk. CIMT uses ultrasound to measure the thickness of the two innermost layers of the carotid artery. Increased plaque in the...
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- ... Literature..10 Project Design....12 Population & Setting..13 Measurement Instruments..13 Data Collection ...... Procedures....13 Ethical Considerations / Protection of Human Subjects14 Project Evaluation Plan..14 Data ...... bronchospasm occurred in 40 out of 300 (13%) patients that underwent anesthesia (Juang et al., 2020). While ...... ability to ventilate (Holley et al., 2019). Eventually, this may lead to hypoxia, hypercarbia, and death ...... (Holley et al., 2019). Signs and symptoms of a laryngospasm can occur throughout anesthesia but most often ...
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Laryngospasm and bronchospasm are anesthesia complications that occur commonly in the operating room. Laryngospam and bronchospasm can both lead to hypoxia, hypercarbia, and hemodynamic instability. Our goal was to determine if...
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- ... Received: June 24, 2022 Accepted: February 1, 2023 Published: February 13, 2023 Copyright: 2023 Staab et ...... of energy storage, and affect trafficking and organelle functions related to stress responses [12, 13 ...... response and longevity [13, 15, 16]. While TAG levels determine cellular energy storage, total TAGs may ...... selection related to increased lifespan in mammals [30]. In C. elegans, fatty acid elongation also seems ...... in many shorter chained FFAs, particularly saturated FFA. The largest decreases were in FFA(20:0 ...
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Staab, Trisha, McIntyre, Grace, Bromley, S., Raftery, D., Chan, Jason, Wang, L., Radeny, J., Bettcher, L., Guillen, Melissa, Peck, M. , and Kalil, A.
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Lipid metabolism affects cell and physiological functions that mediate animal healthspan and lifespan. Lipidomics approaches in model organisms have allowed us to better understand changes in lipid composition related to age...
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- ... ..........................................................................................................9 Theoretical Framework...........12 Goals/Objectives/Expected Outcomes....13 Project Design/Methods ...... with rapid administration, MH mortality is currently estimated to be around 5-10% (Kim et al., 2019 ...... MALIGNANT HYPERTHERMIA SIMULATION 6 genetically studied MH cases (Kim, Kris, & Tautz, 2019; Yang et al, 2020 ...... (isoflurane, sevoflurane, desflurane), and the depolarizing muscle relaxant, succinylcholine (Kim et al., 2019 ...... hours after initial exposure. Additionally, there is evidence of MH crisis recurring in up to 20% of ...
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Malignant hyperthermia is a rare but potentially catastrophic syndrome that can occur during general anesthesia. High mortality rates occur when this complication is left untreated or when care is delayed. Due to the rare...
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- ... /Objectives19 SWOT Analysis.20 Project Design/Methods.21 Project Site and Population21 Measurement Instrument(s ...... lower pain scores at the 5, 15, and 30-minute time intervals (p=0.03, p=0.01, p=0.03) in the PACU. Key ...... al., 2019). Methocarbamol (Robaxin) is an antispasmodic agent that has progressed in popularity among ...... immediate postoperative period may be reduced (Smith et al., 2019). This project will examine the ...... & Szokol, 2019). Traditionally, short-acting opioids are given to treat moderate to severe pain in the ...
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Background and Review of Literature: Laparoscopically assisted vaginal hysterectomy (LAVH) is a minimally invasive surgical procedure commonly performed to remove the uterus. While the LAVH technique offers many advantages,...
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- ... Accreditation for Nurse Anesthesia Educational Programs, 2019). To an extent, stress can be a positive motivator ...... and technology (Council on Accreditation of Nurse Anesthesia Educational Programs, 2019). Although the ...... MEDLINE-EBSCO. The first phrase was "student nurse anesthetist and stress" which obtained 13 results on ...... study design, which resulted in 202 articles being further excluded. That left 13 articles for the ...... ; Harrison, 1978). Modifications of PROGRAM STRUCTURES ON SRNA STRESS 13 the theory revealed that objective ...
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Understanding the effect of stress on Student Registered Nurse Anesthetists (SRNAs) during their CRNA school could improve the development or expansion of program structure and wellness interventions to help manage stress...
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