Tools To Increase Compliance and Decrease Mortality Due To Sepsis

Severe sepsis is a leading cause of death in the United States and is the most common cause of death among critically ill patients in non-coronary intensive care units (Mayr, Yende, & Angus, 2014). The incidence of severe sepsis is estimated to be 300 cases per 100,000 population and cost an estimated $14 billion in the United States (Mayr et al., 2014). This Doctor of Nursing Practice (DNP) project focused on identifying an early-assessment tool to identify sepsis and increase compliance when using the tool. Identifying sepsis early is important in starting a treatment plan to prevent morbidity and mortality. For this project, a SWOT analysis was developed for the Modified Early Warning Score (MEWS) and the Quick Sequential Organ Failure System (QSOFA). This SWOT analysis and the research that was found was presented to staff in the Post-Anesthesia Care Unit (PACU) and Operating Room (OR). A pamphlet and in-service providing a description of QSOFA and MEWS were given to the nurses and also anesthesia providers. This in-service was presented during the monthly meeting that the staff conducts. A five-question survey was given after the in-service to the participants. This survey asked about the opinions and concerns of each tool. The participants had one week to complete the survey. The completed surveys were placed in a box located in the PACU and collected after one week. The data was then compiled and analyzed. The sample size included six PACU nurses and six Certified Registered Nurse Anesthetists (CRNA). An overwhelming response was found in favor of the MEWS tool. The vast majority of staff stated that MEWS was more user-friendly, would increase compliance due to sepsis, and would be most likely to decrease morbidity and mortality due to sepsis when compared with the other tool

Effects of Planting Date, Harvest Date, and Environmental Conditions on Germination of Forage Kochia Accessions

Forage kochia (Bassia prostrata, [L.] A. J. Scott) (Synonym = Kochia prostrata [L.] Schrad.) is a perennial semi-shrub that is valued for its forage quality and ability to restore degraded rangeland. However, establishment success of forage kochia plantings in western North America has been erratic. These failures leave the land vulnerable to erosion and invasion of undesirable plants. This research focused on the germination dynamics of forage kochia accessions as it relates to harvest date, planting date, age of seed, and environmental conditions. The effect of planting date, age of seed, and environmental conditions on forage kochia germination was elucidated by planting recently harvested (2010) and year-old, cold-stored seed (2009) monthly, during a four-month period at two locations. Two entries were tested, Immigrant, the standard subspecies virescens cultivar, and an experimental line, Sahsel, of subspecies grisea. Regardless of planting date, location, or age of seed, Sahsel exhibited higher germination percentages than Immigrant. The age of the seed lots used also significantly affected (

Developing students' sense of autonomy, competence and purpose through a clinical component in ethics teaching

This article examines empirical research which surveyed 69 legal ethics students, and analyses the impact of a short clinical experience on students’ confidence in their later legal studies. It connects the importance of providing meaningful experiences to law students in their degree program in order to build their sense of purpose and intrinsic motivation. While an entire clinical course would be expected to impact positively on students’ confidence and sense of purpose, it is a new finding that even a short clinical experience can have this effect. Building in experiences which reinforce students’ sense of purpose and competence has the potential to support students’ intrinsic motivation for law students studying law. This has flow on impacts for students’ mental health and ability to successfully complete their studies

The impact of information on willingness-to-pay for bison

The bison industry has limited resources for increasing market share. Exploring how consumers react to information about bison and discovering what people know about bison is important to determine the most efficient way to increase market share and ensure the sustainability of the bison industry. This thesis examines the impact of three different information treatments on willingness-to-pay for bison. The three treatments are a nutritional comparison chart of negatively-perceived nutrients, a bison taste testimonial from a chef and a statement concerning the absence of growth hormones and antibiotics in the processed bison product used in the research. The hypothesis tested is that nutritional information about bison would elicit the greatest increase in willingness-to-pay for the processed bison product. A random nth-price auction was conducted in December 2002 in Guelph, Ontario with 57 participants to elicit willingness-to-pay values for the processed bison product. Participants’ initial bids for the processed bison product were elicited without being given any information and a second round of bidding was conducted once participants had reviewed an information treatment. The mean difference in the bids between round two and round one are $0.221 for the nutritional comparison treatment,$0.210 for the taste testimonial treatment and $0.185 for the natural aspects treatment. ANOVA results indicate no statistically significant difference between the mean difference in bids between the three treatments. Further analysis with a regression model using the difference in bids as the dependent variable, dummy variables representing treatment types and survey data for the other relevant independent variables, shows that the coefficient for the nutritional comparison treatment is not significantly different from zero. Therefore, the hypothesis that nutritional information about bison would elicit the greatest increase in willingness-to-pay for the processed bison product has been rejected. The other independent variables examined in the regression are not significant. This thesis does not clearly indicate which information treatment would be the most effective for the bison industry to utilize in a bison information campaign. However, each information treatment did increase the group mean willingness-to-pay so any information relevant to consumers about bison may be beneficial in increasing market share for bison products. Industry participants may need to work together to simultaneously increase awareness, distribution and consumption of bison products to ensure the sustainability of the bison industry

Buoyant Venus station mission feasibility study for 1972 and 1973 launch opportunities. Volume 1 - Mission summary definition and comparison Final report

Mission planning, scheduling, and costs for 1972 and 1973 buoyant Venus station missio

Building a (self) reflective muscle in diverse first year law students

Research relating to the development of law students’ professional identity has long recognised that, as a student develops their identity as part of a profession, as well as their academic identity, they need to develop an ethical muscle. At its foundation, this means that rather than focussing on identifying individual ethical issues, people need to practice how to deal with ethical issues within a workplace through gaining a range of skills. It is a practice-based approach to dealing with ethical issues. In addition to the idea of an ethical muscle, others have proposed that students and lawyers need to develop a ‘reflective muscle’. A ‘reflective muscle’ is a term used by Leering to encapsulate the importance of teaching students and legal practitioners to engage regularly in reflection to improve their competence through reflection on practice, and learning from practice. While Leering is the first to use this term, the recognition of the importance of reflection skills is broadly acknowledged as being essential for legal practitioners so that they can continuously build their skills and understandings of the law, legal system and their role within it. Self-reflection, a form of personal reflection that asks students to question themselves, their actions, and behaviours, is an important self-management tool for both law students and lawyers. The development of a self-reflective muscle is particularly important for ‘diverse’ students as they transition to law school. These students are commonly described in the academic literature as ‘non-traditional’ or ‘non-standard’ students, 6 usually because they do not fit the profile of a ‘traditional student’; one who has entered university directly from high school, and whose sociocultural background means that they are more familiar with the implicit norms of university culture