Improving Communication Access with Deaf People Through Nursing Simulation: A Cross-Disciplinary Collaboration

Baccalaureate nursing and sign language interpreting students participated in a pediatric discharge simulation with a deaf person playing the role of the baby’s parent. At the conclusion of the simulation, participants were emailed a consent letter and a link to a 17-item questionnaire developed by the authors. Responses were analyzed both quantitatively and qualitatively, whereby nonparametric statistics were calculated to examine Likert-scale items. A Mann-Whitney test statistic was calculated, instead of an independent samples t-test, given the smaller sample in the current study (n = 26). A question was posed to participants that evaluated their self-perception of the effectiveness of the simulation: “I am better able to communicate healthcare information to a deaf parent.” This was rated on a Likert-scale and results indicated a statistically significant difference between groups of students (U = 173.00, p = .020), indicating that nursing students (Median = 6) were more likely to agree with the question than interpreting students (Median = 5). Both interpreting and nursing students’ qualitative responses were positive, stating the advantages of practicing vital nursing and communication skills with a deaf parent in a less stressful and safe environment. Nursing students learned how to collaboratively communicate with someone of a different language and culture. Interpreting students gained experience interpreting medical information in a realistic, dynamic, and unrehearsed setting. Both groups developed a healthy respect for the other student’s role and the deaf person within the simulation. Collaboration among interpreting and nursing students in simulation may enhance understanding and provide authentic practice opportunities of unique accommodations to achieve patient-centered health care

3-Dimensional structural characterization of cationized polyhedral oligomeric silsesquioxanes (POSS) with styryl and phenylethyl capping agents

The 3-dimensional gas-phase conformations of polyhedral oligomeric silsesquioxanes (POSS), R 8 Si 8 O 12 , capped with styryl and phenylethyl substituents (R) and cationized by sodium were examined. MALDI was used to generate sodiated styryl-POSS (Na + Sty 8 T 8 ) and phenylethyl-POSS (Na + PhEt 8 T 8 ) ions and their collision cross-sections in helium were measured using ion mobility-based methods. Five distinct conformers with different collision cross-sections were experimentally observed for Na + Sty 8 T 8 while only one conformer was detected for Na + PhEt 8 T 8 . Theoretical modeling of Na + Sty 8 T 8 , using molecular mechanics/dynamics calculations, predicts three low-energy conformations. In each conformer, the Na + ion binds to four oxygens on one side of the Si-O cage and the styryl groups extend away from the cage. However, different numbers of styryl groups "pair" together (forming 2, 3 or 4 pairs), yielding three different conformations. The calculated cross-sections of these conformers match the largest three cross-sections obtained from the ion mobility experiments (â\u88¼2% error). If, however, one or two of the styryl groups are rotated so that the phenyl groups are "cis" with respect to the Si atom on the cage (i.e., the Si-C=C-C dihedral angle changes from 180 to 0 â\u80¢ ) two smaller conformers are predicted by theory whose cross-sections match the smallest two values obtained from the ion mobility experiments (1-2% error). Theoretical modeling of Na + PhEt 8 T 8 yields one low-energy conformation in which the Na + ion binds to one oxygen on the Si-O cage and is sandwiched between two phenyl groups. The remaining phenylethyl groups fold toward the Si-O cage, yielding a significantly more compact structure than Na + Sty 8 T 8 (â\u88¼20% smaller cross-section). The calculated cross-section of the predicted Na + PhEt 8 T 8 structure agrees very well with the experimental cross-section obtained from the ion mobility experiments (â\u88¼1% error)