The Role Of The Nurse Pracitioner In End Of Life Care

Although advances in medical technology have increased the average lifespan of the elderly population, many patients do not receive assistance at the end of life, and suffer with avoidable pain and distress. Practitioners and researchers have identified the need for further research to improve the quality of EOLC. Research shows that the NP may be the best choice of hospital staff to initiate EOLC discussions and decisions with patients and their families. For this reason, it is likely that the role of the NP in EOLC will expand to a specialty focus in the near future. Therefore, the purpose of this evidence-based practice project was to develop a nurse practitioner knowledgebase regarding the role of the NP in EOLC. The research questions generated for the scope of the investigation asked: (a) what is the level of healthcare knowledge regarding end of life care?, (b) according to the literature, what is the role of the NP in EOLC? A Boolean computer search of nursing and medical literature for theory-based, data-based, randomized controlled trials for citations utilizing CINAHL, MEDLINE, and the Cochrane Library was conducted for this systematic review. Jean Watson’s nursing philosophy of human caring (1979,1985 & 1988) served as the theoretical foundation for this clinical project and guided the systematic review through data collection of the healthcare literature. EOLC is unique to the culturally diverse human and encompasses a variety of different perspectives for the patient, family, healthcare provider, as well as society as a whole. Using an Evidence Based Medicine (EBM) approach, based on that of Sackett, Straus, Richardson, Rosenberg, and Haynes (2000), a knowledgebase was developed according to methods described by Davidson (2003), in which key findings from the systematic review of randomized control trials, data-based and theory-based literature were compared to available current practice guidelines, resulting in best practice recommendations. These recommendations emphasize the necessity for components of EOLC that are patient-specific and individualized. The need for further attention to the role of the NP in EOLC is critical. Evidence-based practice modalities that will utilize current perspectives of the NP in EOLC are essential for the good death experience

Unfoldings

Thesis (M.S.V.S.)--Massachusetts Institute of Technology, Dept. of Architecture, 1992.Includes bibliographical references and index.Huizinga's analysis of play, described in his text Homo Ludens, is compared to the creative process in art-making and to the creative response of the viewer. The play process is examined through questionnaire responses and observations made during an evening of experimental play. Huizinga's assertion that play is not a factor in the plastic arts is challenged. Refutations and counterexamples drawn from the history of art since the Renaissance show that play is indeed a factor. The artistic movements cited are those which provide examples of works having either particularly playful or particularly mathematical content, or both, including Anamorphic painting; Dada; Bauhaus; Neo-Plasticism; Concrete Art; Op Art; Fluxus; and Kinetic Art. Special attention is given to the works of Alexander Calder, George Rickey, and Yaacov Agam. The author describes a personal iconography, and introduces the geometric foundation of her sculptural works, which derive from the geometry of R. Buckminster Fuller's "vector-equilibrium jitterbug." Descriptions, photographs, and drawings are included for the author's Thesis Project, comprising several kinetic, manipulatable jitterbug sculptures.Caryn L. Johnson.M.S.V.S

Promoting Environments that Measure Outcomes: Partnerships for Change

This paper describes the development of the PrEMO© (Promoting Environments that Measure Outcomes) program. PrEMO© is an innovative model promoting evidence-based practice (EBP) while developing capacity and quality of Level II fieldwork placements. The PrEMO© program is described from initiation to completion, including development of site-specific learning objectives, the twelve week schedule and the role of faculty mentorship. Occupational therapy (OT) students, and university OT program faculty including academic fieldwork coordinators, partner with fieldwork educators at the site to implement EBP using a data-driven decision making (DDDM) process to guide the development of evidence-based practices. PrEMO© appears to be a useful strategy for building Level II fieldwork capacity and enhancing student and fieldwork educators’ knowledge and skills about EBP and outcome measurement in routine OT practice

Development and validation of a professional behavior assessment.

Allied health students must quickly socialize into a professional role as they transition from classroom to clinic. In addition to skill development, students must exhibit a host of professional behaviors that facilitate successful interaction with patients, families, and colleagues. There is a need for a valid, reliable assessment of professional behaviors that contribute to clinical competence. This study reports on the development and validation of a professional behavior assessment for occupational therapy students on a part-time clinical rotation (Level I). The Philadelphia Region Fieldwork Consortium (PRFC) Level I Student Evaluation was developed from an initial survey (n = 75) to generate an item pool, followed by a content review by a panel of experts (n = 5) to establish relevancy, clarity and content validity. This 12-item instrument was administered to 317 occupational therapy and occupational therapy assistant students. A principal component factor analysis and item analysis was conducted. Internal consistency reliability (Cronbach\u27s alpha) was 0.89, with intra-rater reliability for the 12 items ranging from 0.68 for written communication to 0.89 for observation skills. The PRFC Level I Evaluation demonstrates discriminant validity, with students on their first clinical rotation scoring significantly (p \u3c 0.001) lower than students on their third or fourth rotations, indicating a developmental process of professional socialization

Level I fieldwork today: A study of contexts and perceptions.

The last comprehensive examination of the Level I fieldwork experience was performed 15 years ago (Shalik, 1990) and addressed the different types of settings in which fieldwork occurred; amounts and types of supervision; structure and scheduling of the Level I experiences; and the effects of supervising Level I students on productivity. Although every occupational therapy and occupational therapy assistant student encounters a number of Level I fieldwork opportunities, little is available describing the process and contexts of the Level I fieldwork experience today. This study, which examines 1,002 student reports on Level I fieldwork experiences, finds that Level I fieldwork today occurs in a wide variety of physical disability, pediatric, mental health, and emerging practice settings. Findings also indicate that, whereas most fieldwork educators are occupational therapy practitioners, more fieldwork educators are non-occupational therapists than in the past. Furthermore, although students reported opportunities to practice observation and communication across all settings, practice of other clinical skills was specific to type of settings, and opportunities to practice were limited. Student perceptions about opportunities for experiencing occupation-based practice, observation of theory in practice, and how students value different types of fieldwork experiences are addressed. In addition, this study explores the expansion of Level I fieldwork into emerging practice arenas and how students perceive those experiences

Using MailPoet to manage faculty publications alerts and track user engagement

Poster presentation at the 2017 MidContinental Chapter of the Medical Library Association (MCMLA) Annual Meeting, Columbia, Missouri, October 9-11, 2017.OBJECTIVES: Discovering a need for research faculty to understand what their colleagues were researching and where they were publishing, the University of Missouri School of Medicine Research Council wanted a way to provide this information in an easy to read platform. The Research Council contacted the library for a possible solution. This poster will discuss how librarians create monthly email newsletters using the free WordPress plugin, MailPoet to showcase new research. METHODS: Searches are run monthly to identify articles added into the Scopus database in the last 30 days: one for articles in medicine and related fields, and the other for articles in other disciplines. Searches are run and the results are analyzed to highlight the article published in the journal with the highest impact factor. A chart is also created to highlight the journals with the top ten impact factors. With the analysis complete, two WordPress posts are created and published on the library website: one highlights the journal with highest impact factor, and the second post provides an overview of the recent published articles in medicine and related fields, as well as a link to other disciplines. Posts are pulled into a MailPoet newsletter, sent out to the School of Medicine Research Council subscription list. The librarians can track user engagement including who opened the newsletter, and who clicked on the newsletter to go to the original posts. Based on feedback from MailPoet metrics, the librarians have been able to modify the newsletters since January for optimum viewing."--Conference website

Providing service through #MizzouPDF : interlibrary loan/document delivery

Why #MIZZOUPDF? Seeing that #icanhazpdf on social media, we felt we could combat illegal sharing of resources with MizzouPDF, while providing a new means of filling interlibrary loan and 'scan and deliver' requests

Prevention of Rectal SHIV Transmission in Macaques by Daily or Intermittent Prophylaxis with Emtricitabine and Tenofovir

Using a repeat-exposure macaque model, Walid Heneine and colleagues find that pre-exposure prophylaxis with combination antiretroviral drugs provides protection against rectal challenge with a SHIV virus

Research priorities for freshwater mussel conservation assessment

Freshwater mussels are declining globally, and effective conservation requires prioritizing research and actions to identify and mitigate threats impacting mussel species. Conservation priorities vary widely, ranging from preventing imminent extinction to maintaining abundant populations. Here, we develop a portfolio of priority research topics for freshwater mussel conservation assessment. To address these topics, we group research priorities into two categories: intrinsic or extrinsic factors. Intrinsic factors are indicators of organismal or population status, while extrinsic factors encompass environmental variables and threats. An understanding of intrinsic factors is useful in monitoring, and of extrinsic factors are important to understand ongoing and potential impacts on conservation status. This dual approach can guide conservation status assessments prior to the establishment of priority species and implementation of conservation management actions.NF-R was supported by a post-doctoral fellowship (Xunta de Galicia Plan I2C 2017-2020, 09.40.561B.444.0) from the government of the autonomous community of Galicia. BY was supported by the Ministry of Science and Higher Education (no. 0409-2016-0022). DLS was supported by the G. E. Hutchinson Chair at the Cary Institute of Ecosystem Studies. AO was supported by the Russian Foundation for Basic Research (no. 17-44-290016). SV was funded by European Investment Funds by FEDER/COMPETE/POCI- Operacional Competitiveness and Internacionalization Programme, under Project POCI-01-0145-FEDER-006958 and National Funds by FCT-Portuguese Foundation for Science and Technology, under the project UID/AGR/04033/2013. NF-R is very grateful to the University of Oklahoma Biological Survey for providing space to work in the U.S. and especially to Vaughn Lab members. Authors are very grateful to Akimasa Hattori, Allan K. Smith, Andrew Roberts, Daniel Graf, David Stagliano, David T. Zanatta, Dirk Van Damme, Ekaterina Konopleva, Emilie Blevins, Ethan Nedeau, Frankie Thielen, Gregory Cope, Heinrich Vicentini, Hugh Jones, Htilya Sereflisan, Ilya Vikhrev, John Pfeiffer, Karen Mock, Mary Seddon, Katharina Stockl, Katarzyna Zajac, Kengo Ito, Marie Capoulade, Marko Kangas, Michael Lange, Mike Davis, Pirkko-Liisa Luhta, Sarina Jepsen, Somsak Panha, Stephen McMurray, G. Thomas Watters, Wendell R. Haag, and Yoko Inui for their valuable contribution in the initial selection and description of extrinsic and intrinsic factors. We also wish to thank Dr. Amanda Bates, Chase Smith, and two anonymous reviewers for comments on earlier drafts of this manuscript. Any use of trade, firm, or product names is for descriptive purposes only and does not imply endorsement by the U.S. Government