Development of a Resilience Program to Combat Burnout in Nursing Practice

Burnout has been identified as a national health crisis, with implications for the retention and health of critical healthcare workers. Acknowledging the innate stressors of providing healthcare it is the responsibility of leaders in the industry to mitigate burnout to sustain the workforce critical to healthcare in the United States. Understanding resilience and how to foster it in nurses will contribute to burnout prevention and consequently improve the quality of health care provided Americans. Resilience training has been identified as a valuable approach to retention of the workforce. This scholarly project developed a resilience training program for newly licensed registered nurses (NLRN) to promote awareness of self-care behaviors and healthy responses to counteract stress and promote a culture of safety. The program teaching plan\u27s content was evaluated by a panel of experts to establish individual and scale level validity. The program was introduced into the curriculum of an existing Nurse Residency Program seminar and training was completed by twenty-five participants. Using the Connor-Davidson Resilience Scale, a statistically significant difference in reported resilience was evident after participation in resilience training. Introduction of resilience training in a nurse residency program positively impacts resilience development with potential to promote burnout prevention

Effectiveness of an Instructional Program on Decreasing Fall Incidents in Geriatric Patients with Psychiatric Disorders

Falls occur in 25% of older adults, resulting in over 8 million fatal and nonfatal injuries. In addition to the human suffering, associated medical and legal costs amount to over 50 billion dollars a year. This study examines the impact on fall rates of an evidence-based fall prevention program provided to a multidisciplinary staff on a psycho geriatric unit in Philadelphia, Pennsylvania. Staff knowledge of effective fall prevention interventions was measured before and after their participation in an evidence-based instructional workshop provided by the Project Director using the Falls Prevention Knowledge Test by Dykes et al. (2019). While there were not statistically significant differences in levels of knowledge about fall prevention, the actual number of falls decreased. Implications of findings for discipline-specific and future fall prevention efforts are discussed

Performance Improvement Project Implementing Rapid Cycle Deliberate Practice Simulation to Improve Team Performance During Administration of Moderate Sedation by Non-Anesthesia Providers in the Interventional Platform

A steady increase in procedures in interventional platforms has required the administration of moderate sedation and analgesia by non-anesthesia providers. Of concern is managing the delicate balance between different levels of sedation on a continuum to ensure safe and effective care. Moderate sedation achieves suppression of consciousness while maintaining a patent airway and intrinsic respiratory drive compared to deep sedation where airway patency and respiratory function can be compromised. Administration of moderate sedation by non-anesthesia providers in interventional platforms leads to a higher rate of procedural complications. Rapid Cycle Deliberate Practice (RCDP) simulation will be utilized to educate non-anesthesia providers and to develop their crisis resource management (CRM) skills. The purpose of this performance improvement project is to implement a rapid cycle deliberate practice simulation training for non-anesthesia providers administering moderate sedation in interventional platforms to improve crisis resource management skills as determined by current evidence-based practice (EBP)

Data Poisoning: A New Threat to Artificial Intelligence

Artificial Intelligence (AI) adoption is rapidly being deployed in a number of fields, from banking and finance to healthcare, robotics, transportation, military, e-commerce and social networks. Grand View Research estimates that the global AI market was worth 93.5 billion in 2021 and that it will increase at a compound annual growth rate (CAGR) of 38.1% from 2022 to 2030. According to a 2020 MIT Sloan Management survey, 87% of multinational corporations believe that AI technology will provide a competitive edge. Artificial Intelligence relies heavily on datasets to train its models. The more data, the better it learns and predicts. However, the downside to AI is data, data that can be manipulated or poisoned. A new type of threat is emerging, and that threat is data poisoning. Data Poisoning is challenging and time consuming to spot and when it is discovered, the damage is already extensive. Unlike traditional attack that is caused by errors found in code, this new threat is attacking the AI training data used in its algorithm. Data is now being weaponized. It requires minimal effort but can cause substantial damages. It only takes 1-3% of data to be poisoned to severely diminish an AI’s ability to produce accurate predictions

A new strategic approach for R&D project portfolio selection using efficiency-uncertainty maps

Purpose: New business practices and the globalization of markets force firms to take innovation as the fundamental pillar of their competitive strategy. Research and Development (R&D) plays a vital role in innovation. As technology advances and product life cycles become shorter, firms rely on R&D as a strategy to invigorate innovation. R&D project portfolio selection is a complex and challenging task. Despite the management\u27s efforts to implement the best project portfolio selection practices, many projects continue to fail or miss their target. The problem is that selecting R&D projects requires a deep understanding of strategic vision and technical capabilities. However, many decision-makers lack technological insight or strategic vision. This article aims to provide a method to capitalize on the expertise of R&D professionals to assist managers in making informed and effective decisions. It also provides a framework for aligning the portfolio of R&D projects with the organizational vision and mission. Design/methodology/approach: This article proposes a new strategic approach for R&D project portfolio selection using efficiency-uncertainty maps. Findings: The proposed strategy plane helps decision-makers align R&D project portfolios with their strategies to combine a strategic view and numerical analysis in this research. The proposed strategy plane consists of four areas: Exploitation Zone, Challenge Zone, Desperation Zone and Discretion Zone. Mapping the project into this strategic plane would help decision-makers align their project portfolio according to the corporate perspectives. Originality/value: The new approach combines the efficiency and uncertainty dimensions in portfolio selection into an integrated framework that: (i) provides a complete representation of the stochastic decision-making processes, (ii) models the endogenous uncertainty inherent in the project selection process and (iii) proposes a computationally practical and visually unique solution procedure for classifying desirable and undesirable R&D projects

Hypercasual and Hybrid-Casual Video Gaming: A Digital Leisure Perspective

The purpose of this article is to provide an overview of hypercasual and hybrid-casual video gaming and their influence on digital leisure. Existing sport and leisure scholarship on video gaming has focused primarily on competitive video gaming, namely esports. However, among the most popular competitive video games are simple and easy to play titles – hypercasual and hybrid-casual games. In this conceptual article, a digital leisure perspective is used to examine hypercasual and hybrid-casual gaming. To address the study’s purpose, the growth, gameplay, and consumption practices of hypercasual and hybrid-casual games are outlined. The current article supports that the intuitive nature and design of these games increases their appeal and adoption, particularly by those marginalized by the digital divide. Hypercasual and hybrid-casual video games reflect trends in digital leisure activities, including participant preferences favoring simplicity over sophistication, providing a novel perspective in contrast to increasingly complex forms of digital leisure

Evidence-Based Educational Modules on the Safe Delivery of Anesthesia in MRI Suites

Few citations were located on the formal education on MRI patient safety for anesthesia providers administering anesthesia services in MRI suites. Consequently, patients and staff may be at risk for injury or death during MRI procedures and health care institutions can be threatened with financial loss secondary to legal exposure, equipment damage and resultant morbidity and mortality associated with MRI patient safety events. This doctoral project will create three evidence-based continuing education modules to educate anesthesia providers on the operation of the MRI unit, potential MRI associated risks and complications, and specific anesthesia considerations for providers assigned to the MRI suite for procedural care. Safety threats and injuries are confirmed in the literature and include the creation of projectiles within the MRI suite, patient burns, and death within the MRI unit itself. Integrating the three newly created evidence-based educational modules into health care quality improvement programs and required employee annual training events could improve provider preparedness and patient safety in the MRI suite