RESUMO
Objective: This qualitative research was conducted to add to the body of knowledge that supports the benefits of service dogs (SDs), as a tertiary treatment modality, to veterans with post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). Methods: This grounded theory research design utilized open-ended, semi-structured interviews with veterans (n = 10) who were using SDs as a treatment modality for PTSD and/or TBI. Transcripts were analyzed using NVivo qualitative software until data saturation was achieved. Results: Results from the data analysis identified 4 major themes with concurrent subthemes. The most prominent themes were functional status, impact of a SD, recognition of symptoms of PTSD and/or TBI by the SD, and barriers and challenges to the acquisition of a SD. Participants reported that the SD increased socialization and was a positive adjunct to treatment modalities for PTSD and/or TBI. Conclusions: Our study highlights the benefits of using a SD as a tertiary treatment for PTSD and/or TBI in veterans. Veterans in our study articulated the benefits of using a SD as a tertiary treatment option, and the need to make this a standard treatment option for all veterans who suffer from PTSD and/or TBI.
RESUMO
BACKGROUND: The Essentials: Core Competencies for Professional Nursing Education was published in 2021 to establish competency-based education on two levels; entry and advanced. Advanced level competencies are intended for doctorally prepared professionals. PURPOSE: The purpose of this initiative was to align a Post Master's Doctor of Nursing Practice (DNP) Program with the new 2021 American Association of Colleges of Nursing (AACN) Competency-Based Essentials. METHODS: Three DNP faculty met weekly, outlined a timeframe and approached the revision as a quality improvement plan to revise the curriculum based on our comprehensive review of the domains and concepts of the revised (2021) AACN Essentials. DNP Course Leads were interviewed to evaluate the course objectives, student learning objectives, assignments, and course content. RESULTS: Six new program outcomes (POs) were written. For each (PO), measurable student learning outcomes (SLOs) were articulated for each course. Several courses were combined or retired, and several new courses were added including an elective. The DNP project was reframed based on a 'systems' approach to implement quality improvement (QI) within the health care system in consideration of the concepts of diversity, equity, and inclusion (DEI) and the impact on patient outcomes. CONCLUSIONS: In keeping with the Mission, Vision and Values of the College and with the collaboration and support from the Dean, the graduate Chair, and faculty of the College, the post-master's DNP program was approved with an anticipated start date in Summer, 2023.
Assuntos
Educação de Pós-Graduação em Enfermagem , Educação em Enfermagem , Humanos , Currículo , Educação Baseada em Competências , Docentes de EnfermagemRESUMO
PURPOSE: The purposes of this study were to describe the low-density lipoprotein cholesterol (LDL-C) control rate of patients with type-2 diabetes mellitus (DM2) treated by nurse practitioner (NP) providers, and to describe any significant differences in the population at the LDL-C goal of <100 mg/dL and patients not at goal. DATA SOURCES: Demographic data were collected from a retrospective chart review of patients with (DM2) who were treated in two primary care NP practice settings in New Hampshire where physician collaboration is not required. Data regarding smoking history, lifestyle, comorbidities, and antilipid and antidiabetes medication were collected. Physiological measurements included the body mass index (BMI), hemoglobin A1c (A1c), and the LDL-C. CONCLUSIONS: Patients with DM2 treated by NP providers were at goal with respect to the LDL-C in 71% of the cases in this study. Statin therapy was prescribed in 60.5% of the cases. Lifestyle management was recommended 92.6% of the time. IMPLICATIONS FOR PRACTICE: NPs prescribe appropriate medications, order and monitor laboratory values, in addition to providing education regarding lifestyle changes to patients with chronic diseases. Reported outcomes achieved by NP providers validate them as evidenced-based providers of quality care for patients with complex diseases such as DM2.
