scholarly journals Compassion, stigma, and professionalism among emergency personnel responding to the opioid crisis: An exploratory study in New Hampshire, USA

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
Stephen A. Metcalf ◽  
Elizabeth C. Saunders ◽  
Sarah K. Moore ◽  
Olivia Walsh ◽  
Andrea Meier ◽  
...  
Keyword(s):  
New Hampshire ◽  
Exploratory Study ◽  
Opioid Crisis ◽  
Emergency Personnel

scholarly journals “You can see those concentric rings going out”: Emergency personnel’s experiences treating overdose and perspectives on policy-level responses to the opioid crisis in New Hampshire

2019 ◽  
Vol 204 ◽  
pp. 107555 ◽  
Author(s):  
Elizabeth Saunders ◽  
Stephen A. Metcalf ◽  
Olivia Walsh ◽  
Sarah K. Moore ◽  
Andrea Meier ◽  
...  
Keyword(s):  
New Hampshire ◽  
Opioid Crisis ◽  
Policy Level

Coping with the opioid crisis: Teachers need support, right now

2019 ◽  
Vol 101 (3) ◽  
pp. 53-56
Author(s):  
Kathryn A. Welby
Keyword(s):  
New Hampshire ◽  
Opioid Addiction ◽  
Opioid Epidemic ◽  
Opioid Crisis ◽  
Need Support ◽  
Eye Opening ◽  
And Training

Kathryn Welby’s case study of schools in regions of Massachusetts, New Hampshire, and Maine that have been touched by the opioid crisis yields eye-opening insights into the devastating impact the opioid epidemic has on schools. Students in these communities are experiencing serious trauma because of opioid addiction in their families, and this trauma affects their ability to participate and learn at school. Educators in the schools reveal that they are overwhelmed and feel helpless to do anything for their students, and they have received little support and training on how to cope with the crisis. Schools in areas affected by the epidemic need to acknowledge that the problem exists and proactively work to prepare teachers to respond.

The Ethics of Resuscitation: How Do Paramedics Experience Ethical Dilemmas when Faced with Cancer Patients with Cardiac Arrest?

2012 ◽  
Vol 27 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Halvor Nordby ◽  
Øyvind Nøhr
Keyword(s):  
Cardiac Arrest ◽  
Cancer Patients ◽  
Exploratory Study ◽  
Ethical Dilemmas ◽  
Human Life ◽  
Structured Interviews ◽  
Emergency Personnel ◽  
Medical Issues ◽  
Illness Experiences ◽  
Ethical Choices

AbstractIntroduction: Research on prehospital emergency work traditionally has focused on medical issues, but paramedics often have to make ethical choices. The goal of this exploratory study was to understand how paramedics experience difficult ethical dilemmas regarding resuscitation of cancer patients.Methods: Paramedics from ambulance services in Norway were interviewed about resuscitation of cancer patients with cardiac arrest. The qualitative study included naturalistic, semi-structured interviews and a cognitive-emotional, interpretive approach.Results: All study participants believed that it ethically can be correct not to resuscitate if the patient is expected to survive for only a short time with a very low quality of life and severe negative illness experiences. However, this belief sometimes failed to match formal or informal guidelines and contextual factors such as expectations of relatives. When confronting these challenges, the majority of the paramedics relied heavily on the advice of medical experts, but some had to make more autonomous decisions.Discussion: The concept of a double pressure situation can be used to analyze the ethical dilemmas regarding resuscitation of cancer patients. The pressure from “below” is grounded in individual caring frameworks, and in the belief that it can be wrong to resuscitate. The pressure from “above” is objective and system-related, related to uncertainty, and grounded in the fundamental and irreducible value of human life.Conclusions: The findings of this qualitative, exploratory study suggest that ethical concepts and analyses of double pressure situations should have an important role in education and training designed to prepare emergency personnel for difficult life and death choices. More research is needed to shed light on how ethical dilemmas arise in prehospital work.

What does robbery really cost? An exploratory study into calculating costs and ‘hidden costs’ of policing opioid-related robbery offences

2019 ◽  
Vol 21 (2) ◽  
pp. 116-129
Author(s):  
Aaron Mark ◽  
Andrew Whitford ◽  
Laura Huey
Keyword(s):  
Public Health ◽  
Resource Allocation ◽  
Exploratory Study ◽  
Health Concern ◽  
Public Health Concern ◽  
Public Discussion ◽  
Opioid Crisis ◽  
Nuanced Understanding ◽  
The Cost ◽  
Recent Attention

Recent attention on the opioid crisis has almost exclusively focused on this issue as a public health concern. Although we do not dispute this approach, we recognize that the opioid crisis in Canada has also generated significant policing costs—particularly in the form of robberies of pharmacies and other businesses. Much of this cost, we argue, remains unknown and/or hidden from public discussion. In this study, we present a more accurate costing of investigating robbery cases, by focusing on a series of opioid-related robberies committed by two individuals in London, Ontario. To calculate the costs, we sought to identify some of the hidden factors not commonly accounted for. Our results indicate that the cost of investigating a robbery case—from initial call to closing of the case—is comparable with previous estimates. However, as opioid-related pharmacies occur as a series of events, total costs are not insignificant. The results of this study have implications for resource allocation policies and highlight the need for a standard police costing metric and a more nuanced understanding of opioid addiction as a policing issue.

scholarly journals Student Perceptions of Open Pedagogy: An Exploratory Study

Open Praxis ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 275 ◽  
Author(s):  
John Hilton III ◽  
David Wiley ◽  
Reta Chaffee ◽  
Jennifer Darrow ◽  
JoAnn Guilmett ◽  
...  
Keyword(s):  
Problem Solving ◽  
Collaborative Learning ◽  
Student Perceptions ◽  
New Hampshire ◽  
Exploratory Study ◽  
Open Educational Resources ◽  
Educational Value ◽  
Post Secondary ◽  
Traditional Pedagogy ◽  
Academic Content

With the increasing development and adoption of Open Educational Resources, many researchers and practitioners are interested in more carefully examining pedagogies connected with their use. This study describes the perceptions of 173 students of implementations of various approaches to open pedagogy by nineteen instructors in post-secondary institutions in New Hampshire. Students were asked about their perceptions of several aspects of open pedagogy, including its influence on the mastery of core academic content, skills in collaborative learning, critical thinking and problem solving, effective communication, and learning how to learn. Students found value in open pedagogy and believed that open pedagogy had greater overall educational value than traditional educational activities. When students were asked if they would prefer to take a course with open pedagogy or traditional pedagogy, a majority preferred open pedagogy. Further research is necessary to determine the efficacy of open pedagogy beyond student perceptions, and also to determine which types of open pedagogy are most efficacious.

Higher naloxone dosing may be required for opioid overdose

2019 ◽  
Vol 76 (22) ◽  
pp. 1835-1837 ◽  
Author(s):  
Russell Bardsley
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
New Hampshire ◽  
Community Hospital ◽  
High Dose ◽  
Opioid Overdose ◽  
Small Community ◽  
Emergency Personnel ◽  
High Doses ◽  
Small Community Hospital

Abstract Purpose Carfentanil is a synthetic opioid with an estimated potency that is 10,000 times more than that of morphine and 100 times more than that of fentanyl. Although there is a paucity of evidence, when considering the potency of carfentanil, it is reasonable to speculate that larger doses of naloxone may be required to resuscitate patients after carfentanil ingestion. This case report discusses the use of high-dose naloxone in 2 patients with suspected carfentanil overdose presenting to a small community hospital. Summary Two patients with suspected carfentanil overdose presented to a 30-bed emergency department at a community hospital in New Hampshire. Cyanosis and respiratory distress were noted in both instances, and airway intervention was ultimately deemed necessary. Patient 1 required a total of 12 mg of naloxone to be successfully resuscitated, while patient 2 required a total of 10 mg for resuscitation. Both patients were successfully resuscitated with high doses of naloxone. The use of high-dose naloxone prevented the need for intubation in these patients. Conclusion While more robust studies should be considered, emergency personnel should be comfortable using higher-than-standard doses of naloxone in appropriate cases.

scholarly journals Implementation of a New Hampshire community-initiated response to the opioid crisis: A mixed-methods process evaluation of Safe Station

2021 ◽  
Vol 95 ◽  
pp. 103259
Author(s):  
Sarah K. Moore ◽  
Elizabeth C. Saunders ◽  
Bethany McLeman ◽  
Stephen A. Metcalf ◽  
Olivia Walsh ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
New Hampshire ◽  
Opioid Crisis

Malpractice & Negligence: State Supreme Courts Limit Therapists’ Duties to Third Parties

1999 ◽  
Vol 27 (2) ◽  
pp. 204-205
Author(s):  
Megan Cleary
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Supreme Court ◽  
New Hampshire ◽  
Third Parties ◽  
State Supreme Courts ◽  
Recovered Memories ◽  
Supreme Courts ◽  
Repressed Memory ◽  
University Of Colorado

In recent years, the law in the area of recovered memories in child sexual abuse cases has developed rapidly. See J.K. Murray, “Repression, Memory & Suggestibility: A Call for Limitations on the Admissibility of Repressed Memory Testimony in Abuse Trials,” University of Colorado Law Review, 66 (1995): 477-522, at 479. Three cases have defined the scope of liability to third parties. The cases, decided within six months of each other, all involved lawsuits by third parties against therapists, based on treatment in which the patients recovered memories of sexual abuse. The New Hampshire Supreme Court, in Hungerford v. Jones, 722 A.2d 478 (N.H. 1998), allowed such a claim to survive, while the supreme courts in Iowa, in J.A.H. v. Wadle & Associates, 589 N.W.2d 256 (Iowa 1999), and California, in Eear v. Sills, 82 Cal. Rptr. 281 (1991), rejected lawsuits brought by nonpatients for professional liability.

Classifying Disfluencies in Preschool- and School-Age Spanish–English Bilinguals Who Do Not Stutter: An Exploratory Study

2020 ◽  
Vol 5 (1) ◽  
pp. 119-130
Author(s):  
Raúl Rojas ◽  
Farzan Irani
Keyword(s):  
Exploratory Study ◽  
Evidence Base ◽  
Medium Effect ◽  
Bilingual Children ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Total Percentage ◽  
Narrative Production ◽  
Language Measures ◽  
Mean Length Of Utterance

Purpose This exploratory study examined the language skills and the type and frequency of disfluencies in the spoken narrative production of Spanish–English bilingual children who do not stutter. Method A cross-sectional sample of 29 bilingual students (16 boys and 13 girls) enrolled in grades prekindergarten through Grade 4 produced a total of 58 narrative retell language samples in English and Spanish. Key outcome measures in each language included the percentage of normal (%ND) and stuttering-like (%SLD) disfluencies, percentage of words in mazes (%MzWds), number of total words, number of different words, and mean length of utterance in words. Results Cross-linguistic, pairwise comparisons revealed significant differences with medium effect sizes for %ND and %MzWds (both lower for English) as well as for number of different words (lower for Spanish). On average, the total percentage of mazed words was higher than 10% in both languages, a pattern driven primarily by %ND; %SLDs were below 1% in both languages. Multiple linear regression models for %ND and %SLD in each language indicated that %MzWds was the primary predictor across languages beyond other language measures and demographic variables. Conclusions The findings extend the evidence base with regard to the frequency and type of disfluencies that can be expected in bilingual children who do not stutter in grades prekindergarten to Grade 4. The data indicate that %MzWds and %ND can similarly index the normal disfluencies of bilingual children during narrative production. The potential clinical implications of the findings from this study are discussed.

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