Newly Licensed Registered Nurses\u27 Experiences with Clinical Simulation

The purpose of this study was to understand how new graduate nurses perceive the value of simulation in making the transition into professional practice. This study will use a descriptive qualitative approach with a sample of first year nurses. Kolb’s Experiential Learning Model serves as this study’s conceptual framework. For the current study, the sample consisted of 10 newly graduated, female nurses with less than one year of experience working in the hospital setting were interviewed. Data analysis included interviews and transcription by the researcher. Finally, participants were asked about themes to increase rigor. Four themes emerged from this research: 1) how simulation is being used, 2) the perceived value of simulation, 3) simulation versus “real life,” and 4) simulation and preparation for practice

An examination of the relationships between ego development, Dabrowski\u27s theory of positive disintegration, and the behavioral characteristics of gifted adolescents

The purpose of this study was to explore the relationships between ego development, Dabrowski\u27s theory of positive disintegration (TPD), and the social, emotional, and behavioral characteristics of gifted adolescents. Literature exploring the experiences of gifted individuals has often focused on asynchronous development, particularly during childhood and adolescence. Also discussed in the literature concerning gifted students are the unique social, emotional, and behavioral characteristics innate to the gifted population. However, there is still an unclear picture concerning the implications of this work as related to the specific counseling needs of gifted students, and little empirical support is provided. This study seeks to build, through a developmental lens, a more comprehensive base from which to conceptualize counseling and teaching approaches with gifted students. One hundred students at Governor\u27s Schools in central and eastern Virginia were contacted for participation in this study. A valid sample of 70 students, well distributed across grade and gender, was obtained. The findings indicated that the ego levels of gifted students, as measured by the Washington University Sentence Completion Test (WUSCT), were slightly higher than those of typical adolescents. Empirical evidence of the level of development related to Dabrowski\u27s TPD for gifted adolescents was provided, with the majority of respondents (70%) falling within Dabrowski\u27s Level II - Unilevel Disintegration, stage. Results also indicated that gifted students at Governor\u27s Schools were relatively well adjusted, as measured by the Clinical Assessment of Behavior (CAB), and that the behaviors exhibited by gifted adolescents were normally distributed. While a slight positive correlation was found between ego development and level of development as related to Dabrowski\u27s TPD, significance was not achieved. Relationships between ego development and degree of internalizing and externalizing behaviors exhibited were dependent upon a number of different factors, including gender and school attending. The study results are interpreted as indicating that while ego development and Dabrowski\u27s TPD may share similarities, they are different constructs and further investigation is needed to best utilize these theories in designing appropriate and effective counseling and teaching intervention strategies for working with gifted adolescents. Limitations of the study and suggestions for future research are presented

“It’s the physical versus the emotional”: Using poetics to re-present the power of art in the nursing clinical experience

The purpose of this exploratory qualitative study was to consider how the use of art in the post-clinical experience could broaden nursing students’ perceptions of holistic care, utilizing reflective practice and arts-based resources to increase their awareness of comprehensive patient care. Arts-based education research served as a useful curriculum tool for deep reflection in clinical nursing students’ experiences. Keeping with the tenor of arts-based research, we used poetic re-presentations as a means of maintaining students’ voices in this work. Reflections not only spanned the care provided but looked closely at patient relationships through analysis of their own clinical practice

Revealing Luz: Illuminating Our Identities Through Duoethnography

Hispanic Americans make up 15% of the current US workforce, but they only account for 7% of the STEM Education workforce [8]. One effective way to reach this population, particularly Latinas, is by providing stories and ethnographic biographies of successful Latinas they can relate to. It is important to note that Latinas have been earning PhDs in STEM disciplines outside of the US much longer than US-born Latinas have been earning them inside. Thus we offer the story of a mathematics educator, from Peru, Dr. Luz Antonia Mendizábal Gálvez de Rodriguez, a girl who was given a chance to be educated, and whose education opened doors for her and for those she influenced. She earned her PhD in Mathematics Education while raising eight children and working full time and later in life became the school superintendent in Lima, awarded a prestigious national award for her teaching and service. Through a narrative that is part biography and part duoethnography, we chronicle milestones in her journey and explore the intersections of her life with the lives of two other US-born mathematics educators, ourselves. We conclude with some thoughts on revising the storyline by presenting new narratives to empower our communities

An Annotated Bibliography of Information Resources Chronicling The Jewish Experience In New Zealand: From 1828 to 2012

This annotated bibliography is designed to provide brief analyses of a comprehensive selection of publications that exemplify the experience of Jewish lives in New Zealand from the earliest settlement records in 1828 to 2012. These resources have been complied from fictional and non-fictional sources; print, audio and visual media; and both Jewish and non-Jewish authors from inside and outside of New Zealand. They chronicle the events from the period before the first synagogues were built though the development of Jewish New Zealander‘s unusual relationship with the Maori to the influx of refugees from World War II and their eventual assimilation into the broader New Zealand culture

Community Uprising: Counseling Interventions, Educational Strategies, and Advocacy Tools

Ferguson riots, Baltimore uprising, marches on the White House… how can counselor educators incorporate crisis intervention training into curriculums, implement measures to prevent public unrest, and increase community resilience to avoid the violent repercussions of racial tensions? This article explores common precursors to racially charged unrest and provides a model for innovative counseling interventions, curriculum development, and advocacy based on the American Counseling Association (ACA) Disaster Impact and Recovery Model (2009). In addition, the authors provide specific course-based discussion questions to use as tools to foster perspective taking and increased understanding among student and practitioners

When Government Gets It Right: How a Strategic Visioning Process Aligned Nested Government Systems to Champion Local Relevance and Determination

This theme issue of the Interdisciplinary Journal of Partnership Studies addresses government/civic partnerships. Do government services always orient toward hierarchies of domination? Our answer is a resounding no. This article offers as evidence the actions of one government funder that removed hierarchical barriers, working in partnership with diverse grantees to envision a program that prioritizes community relevance and participation. Even as our article revolves around a strategic visioning event, it is a culmination of a government funder living out its guiding principles of mutual respect, joint problem solving, and valuing diversity, as well as the values, experiences, and collaborative spirit that diverse grantees brought. Our collective stories offer a clear example of how a partnership-based government program can engage and promote the strengths, needs, and priorities of the community not only because it is the appropriate and respectful approach, but also because it leads to stronger program results

Timing and Outcomes of an Indication‐Only Use of Intravenous Cannulation During Spontaneous Labor

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/155888/1/jmwh13046_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/155888/2/jmwh13046.pd

Differentiated State of Initiating Tumor Cells Is Key to Distinctive Immune Responses Seen in H-Ras

Heterogeneity in tumor immune responses is a poorly understood yet critical parameter for successful immunotherapy. In two doxycycline-inducible models where oncogenic H-RasG12V is targeted either to the epidermal basal/stem cell layer with a Keratin14-rtTA transgene (K14Ras), or committed progenitor/suprabasal cells with an Involucrin-tTA transgene (InvRas), we observed strikingly distinct tumor immune responses. On threshold doxycycline levels yielding similar Ras expression, tumor latency, and numbers, tumors from K14Ras mice had an immunosuppressed microenvironment, whereas InvRas tumors had a proinflammatory microenvironment. On a Rag1-/- background, InvRas mice developed fewer and smaller tumors that regressed over time, whereas K14Ras mice developed more tumors with shorter latency than Rag1+/+ controls. Adoptive transfer and depletion studies revealed that B-cell and CD4 T-cell cooperation was critical for tumor yield, lymphocyte polarization, and tumor immune phenotype in Rag1+/+ mice of both models. Coculture of tumor-conditioned B cells with CD4 T cells implicated direct contact for Th1 and regulatory T cell (Treg) polarization, and CD40-CD40L for Th1, Th2, and Treg generation, a response not observed from splenic B cells. Anti-CD40L caused regression of InvRas tumors but enhanced growth in K14Ras, whereas a CD40 agonist mAb had opposite effects in each tumor model. These data show that position of tumor-initiating cells within a stratified squamous epithelial tissue provokes distinct B- and CD4 T-cell interactions, which establish unique tumor microenvironments that regulate tumor development and response to immunotherap