The Fioretti (Spring 2020)

https://mushare.marian.edu/fio/1092/thumbnail.jp

From Critical Community Service to Critical Service Learning and the Futures We Must (Still) Imagine

This reflection offers an introduction of a survey of the theories, practices, and critiques of critical service learning. In doing so, the authors connect the historical lineage of community engagement to current and future practices of critical service learning as well as the need to continually imagine new and as yet unthought possibilities

Analgesic Efficacy for Total Knee Arthroplasty

Background: The number of annual total knee arthroplasties (TKA) had doubled over the last decade. Although this procedure treated chronic pain and restored mobility from end-stage osteoarthritis and other etiologies, it was associated with acute moderate-to-severe pain in the early postoperative period. Various analgesic techniques such as local infiltration, neuraxial blocks, and peripheral nerve blocks (PNB) were used in conjunction with multimodal anesthesia to prevent postoperative pain following TKA. The large variety of analgesic regimens accompanied with differing institutional and provider preferences challenged the ability to standardize a postoperative analgesic technique for TKA. Local Problem: Anesthesia providers at the project site often utilized the adductor canal block (ACB) alone or combined ACB and popliteal sciatic nerve block (PSNB) techniques for postoperative analgesia following TKA. However, it was unclear which technique was superior. Purpose: To understand the analgesic efficacy between ACB and combined ACB/PSNB following TKA. Methods: A retrospective chart analysis on 100 subjects that received ACB alone or ACB/PSNB for TKA in 2019. Pain was assessed upon post anesthesia recovery unit (PACU) admission, at 12 hours, and at 24 hours. Total opioid consumption was recorded for the first 24 hours. Length of hospitalization (LOH) was recorded per documentation. Results: Pain during PACU stay, pain at 12 hours postoperatively, and opioid consumption at 12 hours postoperatively were all significantly lower in the combined ACB/PSNB group (P = 0.0182, 0.0488, 0.0106 respectively). Pain and opioid consumption at 24 hours and LOH were not significantly different between the two groups. Conclusion: Combined ACB/PSNB therapy decreased pain and opioid consumption in the first 12 hours postoperatively following TKA. Large randomized controlled trials (RCT) need to be performed to deem the efficacy and incidence of related complications between these two blocks. Keywords: Adductor canal block, sciatic nerve block, femoral nerve block, knee, total knee arthroplast

Needs Assessment of Podcast Use for Professional Development and Lifelong Learning in CRNAs

In the rapidly evolving world of medical education and content, professional development is not just a choice, it is an obligation. Despite the rising popularity of podcast use over the last 10 years, there is still little-known if they effectively meet the needs of professional development and lifelong learning for anesthesia experts, specifically CRNAs. A needs assessment was performed to determine if anesthesia-focused podcasts are a valuable component to professional development and lifelong learning. The needs assessment survey encompassed 14 questions that looked at participant demographics, overall outlooks and preferences on current anesthesia-focused podcasts, desired modes of professional development, and if they considered podcasts to be a valuable component of professional development and lifelong learning in nurse anesthesia. After data analysis was completed, results from the survey responses indicated that anesthesia-focused podcasts are perceived as a valuable component to professional development and lifelong learning. In-person lectures/professional meetings were the most preferred mode of professional development (75% of responses). Podcasts were the 2nd most preferred mode of professional development (52.27% of responses). Relevant (92.86%), Credible (71.43%), Quality-focused (50%), and accessible (50%) were found to be the most valuable principles of professional development and lifelong learning. Although there is no research on podcast-use as an alternative method to achieving professional development and lifelong learning, this project demonstrates how anesthesia-focused podcasts have the potential to become a valuable component to the future of the nurse anesthesia profession

Scoundrels Day: Promoting Active Learning in Nursing Research through Librarian-Presented Case-Based Problem-Solving Challenges

Highlighting a teaching collaboration between Nursing and Library. Using health/research cases, this team classroom activity and “lightning presentation” allows students to engage and appraise unfamiliar research papers, using research resources, skills, and concepts encountered throughout the semester. Using web-based library resources, each team ultimately discovers how a research study, author or concept has been a “scoundrel.

Biomedical Problem Solving and Learning Community Building

Problem-based learning (PBL) has long been recognized as a valuable pedagogical tool. The Biomedical Masters in Science (BMS) program is uniquely suited to promote active learning through the use of discussion based PBLs, but also foster a supportive community of learners by incorporating volunteer facilitators that are BMS alums and current medical students at Marian University. PBLs extend our Medical Physiology and Pharmacology curriculum, but also provide an opportunity for different learners to connect material across graduate and medical curriculums. PBL exercises are graded via a group rubric, while debriefing and reflection occurs via the video response system FlipGrid

Sara

This novel is a semi-autobiographical work of fiction by Sara Cornelius Allison, wife of Indianapolis businessman and co-founder of the Indianapolis Motor Speedway James Allison. The work details the tumultuous relationship of the Allison family set within the the city of Indianapolis, on the Allison estate which is now owned by Marian University

ENG 180 -- Marian College\u27s Women of Color Firsts (1950s-1970s)

The inaugural class of St. Joseph\u27s College of Marian University will spend the summer of 2020 uncovering and discovering the stories of some of Marian College\u27s first women graduates -- Black women and other graduates of color -- including Sr. Sarah Page (Class of 1949), Norma E. Lewis Cummings (Class of 1951), and Maxine McIntosh Ferguson (Class of 1952), who received an honorary Doctor of Arts degree from Marian University in 2018. Students will explore historical documents from the period, including books by History Professor Emeritus Dr. Jim Divita, and writings from Sr. Claire Whalen, Dr. Bill Doherty, and others to carry Marian College\u27s progressive beginnings into its future