Browsing by Title
Now showing 1 - 20 of 517
Results Per Page
Sort Options
Item 1 Corinthians 11 and 14: How Does a Woman Prophesy and Keep Silence at the Same Time?(2002) Burton, Keith AugustusItem A Group Boxing Program for Young Adults with Autism Spectrum Disorder(2022) Fan, Chia-WeiItem A Method and Composition Using a Dual-specificity Pseudophosphatase as an Antimalarial Drug Target(2012-02-24) Campbell, ChristopherItem A Method and Composition Using a Dual-specificity Pseudophosphatase as an Antimalarial Drug Target(2012-02-17) Campbell, ChristopherItem A Method and Composition Using a Dual-specificity Pseudophosphatase as an Antimalarial Drug Target(2012-04-05) Campbell, ChristopherItem A Review of the Existing Evidence-based Protocols/guidelines on Oxytocin Dosing during Elective Cesarean Section to Prevent Post-partum Hemorrhage--A Creation of a Class A Pharmacology Continuing Educational Module for Certified Registered Nurse Anesthetist(2023-01-15) Lyons, Khadijah; Martinez, EuniceOxytocin is an endogenous hormone, and Pitocin is its synthetic analog often administered in the parturient patient to induce labor and further dilate the cervix. Per the American College of Obstetricians and Gynecologists (ACOG) and American Society of Anesthesiologists (ASA), there are standard dosage and administration guidelines to ensure safe delivery and decrease postpartum hemorrhage (PPH) (2020). Anesthesia providers must understand these administration guidelines to ensure more favorable health outcomes in the laboring woman. Globally, PPH is the leading cause of maternal mortality. A literature review suggests Pitocin via intravenous administration during active labor can significantly reduce postpartum hemorrhage, thus leading to more favorable health outcomes in the parturient patient (Salati et al., 2019). Education is a method of affecting change. A 60-minute evidenced-based Class A pharmacology continuing education (CE) module on the appropriate use of Pitocin to prevent PPH during elective cesarean section was developed for Certified Registered Nurse Anesthetists (CRNAs) and Student Registered Nurse Anesthetists (SRNAs). The goal of the module is to discuss the role of oxytocin in the parturient patient, to provide evidence-based recommendations for intravenous Pitocin dosing during elective cesarean section to prevent PPH, and to understand the physiological changes associated with increased levels of oxytocin.Item A Telerehabilitation Intervention to Reduce the Impact of Fatigue in People with Heart Failure and Chronic Fatigue(2017-04) Radloff, Jennifer C.Item Academic Self-Efficacy in Student Registered Nurse Anesthetists(2024-02-18) Hueneke, Sara; Rademaker, Alex; Smith, EllenAdvanced learning strategies can help augment academic success in graduate-level academia. The level of synthesis and metacognition required by graduate education is generally not learned at the undergraduate level and presents a need to shift learning styles. While many studies exist on this topic, few directly relate to Doctor of Nurse Anesthesia Practice (DNAP) program students. This scholarly project aimed to determine if education on learning techniques early in a program is associated with improved academic self-efficacy (ASE). Interviews with key players have identified three topics that are particularly useful for building ASE: discovering new study strategies, managing procrastination, and strengthening time management. This scholarly project used a quasi-experimental design with convenience sampling with a maximum sample size of 30 to identify learning strategies suited for the DNAP population. A validated instrument, the Motivated Strategies for Learning Questionnaire (MSLQ) was utilized to assess perceptions of ASE before and after reviewing the module during the first didactic DNAP trimester (see appendix D). Utilizing the Statistical Package for Social Sciences software version 21, the results provide strong evidence (α=0.05) to reject the null hypothesis, indicating a statistically significant increase in participants' ASE before and after the intervention, as supported by the Wilcoxon Signed-Rank test results for both the MSLQ control of learning beliefs component and total scores (p=0.0412 and p=0.0431, respectively). Given the findings, correcting maladaptive educational behaviors and introducing new learning techniques early in the program could have a significant impact on DNAP learning methods.Item AccessAnesthesiology: A Resource Description(2019) Rickelman, MaryAccessAnesthesiology from McGraw-Hill is an interactive database platform that provides user access to electronic books, quick reference material, drug monographs, multimedia, sample cases, and anesthesia study tools for the board review. It is a database for medical students, nurse anesthetist students, residents, and others in the health care field interested in anesthesia. This article will provide an overview of the features found in this online tool. Layout, resource tools, searching options, and navigation will be shared in addition to unique features in AccessAnesthesiology.Item Active Learning in Nurse Anesthesia Didactic Education(2022) Giffin, Rice; Sweet, CaalaActive learning is an innovative pedagogical approach to teaching where instructional methods other than lecture allow students to become active participants in their education during didactic sessions. Many disciplines within graduate-level medical and healthcare education report positive outcomes with active learning implementation; however, a gap in the literature exists regarding nurse anesthesia educators' understanding and use of active learning in the didactic setting. An online anonymous survey, including demographics, qualitative questions, and ordinal quantitative questions, was performed by the American Association of Nurse Anesthetists. Data analysis revealed how nurse anesthesia didactic faculty were implementing active learning prior to and after the COVID-19 pandemic began, with frequency distribution for the pre-pandemic period, and an assessment for pandemic-induced modifications to active learning strategies/implementation. Study findings included quantitative evidence on the implementation of question and answer, computer-based interaction systems, peer-teaching, formative quizzes and surveys, cooperative learning, case studies, application activities, and cooperative case work. Qualitative analysis demonstrated methods prior to the pandemic closely aligned with this evidence, while exhibiting varying degrees of student involvement. Continued analysis showed many nurse anesthesia educators had attempted to adapt active learning techniques/implementation due to pandemic-induced teaching restrictions and that most of those educators did not previously have methods in place to ease the transition. The implications of this study are profound when the concept of engagement is considered, where engaging students is constructing knowledge, allowing for further discussion and exploration, enhanced implementation, and future innovations in active learning within nurse anesthesia didactic education.Item Adhesive Tape Cross-Contamination in the Operating Room(2024-02-17) Jimenez, Izamar; Reames, Danielle; Verbal, JurneeThe use of adhesive tape in the operating room serves multiple purposes for the anesthesia provider. Most importantly, is its use in securing the patient's airway, specifically the endotracheal tube. There are a lack of policies and procedures to prevent the cross-contamination of adhesive tape rolls during those critical moments, leading to the tape's exposure to bodily fluids and blood. The inability to properly clean and sterilize tape makes it a reservoir for pathogens and blood to spread, placing patients at risk during airway securement. The primary aim of this scholarly project was to reveal the need to initiate cleaner handling and storage of tape rolls, as evidenced by the presence of bacteria and blood on tape utilized for securing the endotracheal tube in the operating room. To support this innovation, a data compilation was performed after collecting samples of three different types of adhesive tape used by anesthesia providers in the operating room, along with a control group of packaged, clean tape. A total of 33 samples were obtained from ten different operating rooms in a large hospital located in the Southeastern United States. Furthermore, P levels <0.05 were considered significant, which demonstrated the need for cleaner practices of tape storage and utilization to ensure patient safety and protection against nosocomial infections.Item Adriatic Sea(Yale University Press, 1992) Stefanović, ZdravkoItem Advancement of the Nursing Honor Society and Development of Sigma Theta Tau Internatioinal Chapter at Adventist University of Health Sciences(2015) Tucker, Ffion; Silas, BlessyThe Honor Society of Nursing, Sigma Theta Tau International (STTI), was founded by six nurses from Indiana School of Nursing, Indiana, in 1922. The purpose or mission of the STTI is to assist the learning, knowledge and professional advancement of nurses devoted to making a difference in global healthcare. The Adventist University of Health Sciences (ADU) established the Nursing Honor Society (NHS) in 2013 and is in the process of becoming a chapter of STTI. The ADU honor society has already completed the first two phases of STTI chapter development and is now operating in the third phase. The process of establishing an STTI chapter at ADU was started in 2012 by two nurse anesthesia students from the class of 2013 and was followed by another student from the class of 2014 who helped the chapter to proceed into the third phase. The goal of this project was to advance this chapter to its next phase and recruit needed members (50) to apply for the STTI chapter. This project needed to be done in order to help promote the NHS and to build membership so that the goal of achieving STTI status can come to fruition. This was necessary so that the mission of ADU and the STTI to build healthcare and advance nursing professional excellence can continue to be met, not only in the Florida Hospital community and its environs, but also globally. Advancing the ADU NHS to STTI chapter would be a great achievement and would provide for inter professional collaboration on an international level. This project has implications for nurse anesthesia practice in that membership by the nurse anesthesia students will deepen the roots of education by providing continuing education in the form of conferences, meetings, and online or in journal articles, and encourages growth by improving the leadership skills. These organizations will help nurses learn the refined values and priorities that are not learned from the classroom. It is of vital importance to help cultivate in these nursing professionals, soon to be CRNA’s, the drive to always strive for excellence and to align themselves with certain organizations that can help to facilitate this growth and development. This growth and development of leadership skills along with the continued drive for excellence by these student nurse anesthetists can also transcend into the work place and affect anesthesia practice.Item AHU Health Literacy Webinar Series(2023-03-30) Daly, JessicaThe R.A. Williams Library has partnered with the Office of Community and Student Engagement at AHU to introduce health literacy monthly live webinar sessions. Each month will feature a different topic ranging from compassion fatigue to child healthcare to healthy eating and more. These online live educational webinars will help our campus live better lives and improve our health. Students, staff, and faculty are all invited and encouraged to attend. Recordings of each webinar will be housed on the library's website and available 24/7 for those who cannot attend in person.Item AIUM Practice Principles for Work‐related Musculoskeletal Disorder(2023) Henningsen, Charlotte; Quevedo, MarjorieThe prevalence of Work-Related Musculoskeletal Disorders (WRMSDs) among ultrasound professionals has been significant. National and international efforts to create industry standards have focused primarily on injuries in sonographers. In addition, the Centers for Disease Control and Prevention (CDC) and National Institute for Occupational Safety & Health (NIOSH) have published documents related to this occupational exposure. There has also been significant attention on equipment utilization and design to help reduce the prevalence of WRMSDs. The American Institute of Ultrasound in Medicine (AIUM) developed the AIUM Practice Principles for Work-Related Musculoskeletal Disorder in collaboration with other organizations whose members use ultrasound [see Collaborating Societies and Representatives]. This document supports the "Industry Standards for the Prevention of Work-Related Musculoskeletal Disorders in Sonography" and aims to expand on these Standards to include safety practices for all health care professionals who utilize ultrasound. These professionals include members of the scientific community, a wide variety of medical professionals, and dental professionals. These ultrasound users and operators will collectively be referred to in this document as "operator(s)" except in those instances where data addressed those holding a specific job title, such as sonographer. In addition, this document will support guidance for quality improvement specific to preventing and reducing injury rates.Item An Intervention to Reduce the Impact of Fatigue in People with Heart Failure and Chronic Fatigue: A Randomized Controlled Trial(2018) Radloff, Jennifer C.Date Presented 4/20/2018 Preliminary findings of a randomized controlled trial on interventions for people with heart failure and fatigue are discussed. This topic advances occupational therapy practitioners’ knowledge on individualized interventions to reduce fatigue impact in people with heart failure and fatigue. Primary Author and Speaker: Young Joo Kim Additional Authors and Speakers: Jennifer Radloff, Jenny Chiariello, Nicole Faust, Madison WilcoxItem Anesthesia Care Implications of Paragangliomas and Pheochromocytomas(2017) Pak, Soomee; Nielsen, MignonPheochromocytomas (PHEO) and paragangliomas (PGL) are rare conditions that an anesthesia provider may or may not encounter in his or her career. However, due to the life-threatening nature of these conditions and the critical anesthetic implications in the perioperative periods, the authors deemed it a must to present a lecture to the group of student registered nurse anesthetists (SRNAs) at Adventist University of Health Sciences. The educational lecture was provided with the goal of bridging the SRNAs’ knowledge gaps regarding PHEO and PGL in general, and of helping them to be more familiar with PGL in particular. A convenience sample of 34 SRNAs was utilized after informed consents were obtained. For the purpose of analyzing the effectiveness of the PowerPoint lecture, the pre-test and post-test scores were compared. A paired t test revealed p value of < 0.05, affirming the statistical significance. The pre-test scores had shown the lack of knowledge in general, as evidenced by the low average test scores (3.47/11). The mean post-test scores (6.32/11) were definitely improved after the lecture, albeit the average was still less than optimally anticipated.Item Anesthesia Preceptorship and Standardized Methods(2023-03-27) Walton, Caval; Bennett, ZacharyClinical learning is critical for developing students and graduate advanced practice nurses. Clinical education affects self-awareness, critical thinking, and hands-on skills. Graduate students develop their practice by being precepted by advanced practice preceptors. Clinical learning, however, is negatively impacted by preceptors who may lack appropriate, evidenced based training. Thus, preceptors and their knowledge base play a significant role in this development and could potentially influence future patient outcomes. This scholarly project aimed to address knowledge gaps of advanced practice preceptors by creating an online continuing education module regarding evidence-based precepting approaches for certified registered nurse anesthetists and attempted to submit to the American Association of Nurse Anesthesiology (AANA) for approval which was denied. While developing this module, the current process for creating Continuing Education (CE) modules at AdventHealth University (AHU) was optimized through the application of a Find Organize Clarify Understand Select (FOCUS) Plan-Do-Check-Act (PDCA) cycle to create a protocol that outlines requirements, optimize facilitators and minimize barriers. The FOCUS PDCA cycle is a quality improvement model that will provide a structure for problem-solving. The FOCUS portion of this cycle was addressed in this project and future improvements could be made by future cohorts through implementing the PDCA portion. This project aimed to create a CE module but was denied for lack of evidence to support its creation. A protocol was developed for improving the process of CE module creation with the AdventHealth University’s continuing education division, Echelon.Item Anesthesia Provider’s Preception on Preserving Asepsis at the Epidural Catheter Hub(2023-04-06) Barcelow, Travis; Dominique, KindraEpidural catheter infections occur despite best practice guidance. The incidence of positive infectious cultures obtained from epidural catheters is approximately 23%. While most infections are superficial, the incidence of infection within the deeper epidural space can result in permanent and irriversable neurologic damage. The epidural catheter hub is a potential route of contamination that can occur with repeated injections. There is very little literature focusing on the epidural catheter hub and the contamination with repeated injections. The objectives of this scholarly project is to examine the current practice of anesthesia providers and to evaluate whether the current evidence-based best-practice standards, regarding epidural hub mainenance are being applied consistently. Further investigation is needed and will be conducted by surveying providers to determine if there are inconsistencies among practice. The survey findings may suggest the need for further education regarding need for consistent evidence-based best-practice standards to help reduce the risks for epidural catheter infections.Item Anesthesia Requirements for Redheads(2016) Classon, NathanAs the melanocortin-1 receptor gene was not discovered until 1995, only anecdotal observation supported that redheads had an increased anesthetic requirement. Utilizing relatively recent research, this project aimed to enhance the knowledge regarding the anesthetic requirements for redheads among student registered nurse anesthetists (SRNAs). Interestingly, there was a decided perspectival shift in the opinion of literature reviewed between 2004 and 2015. Earlier studies were supportive of an increased anesthetic requirement of redheads, while more recent studies discouraged such an approach. It is possible that the later studies relied on self-reported hair phenotype, rather than analysis of genetic makeup of the MC1R genotype. Given this, it is plausible that there is a significant difference in the anesthetic requirements of redheads, depending on whether they are homozygous, heterozygous, or compound heterozygous. Therefore, current literature was reviewed, synthesized, and presented simultaneously to two cohorts of SRNAs at Adventist University (ADU). The project’s efficacy was determined by comparing the scores of an identical pre- and post-test.