Prisma Health

A Phenomenological Study of Stakeholders' Experiences With Integrating Client Feedback in the Counseling Process

ABSTRACT The purpose of this study was to explore the experiences of stakeholders with accessing and integrating client feedback into counseling through a constructivist phenomenological approach. Participants included clients, counselors, and administrators from one outpatient c...

Pediatric Mental Health Screening Practices Across Health Systems: A Multistate Survey

Despite an ongoing youth mental health crisis, mental health screening practices by pediatric health systems are unknown. The aim of the current study is to describe mental health screening practices in pediatric health systems and identify potential targets for improvement. Pedi...

Patient Perspectives on Offers of Buprenorphine in the Emergency Department

Importance Buprenorphine reduces mortality in opioid use disorder (OUD), and emergency department–initiated buprenorphine (EDIB) doubles 30-day treatment retention, yet many patients decline EDIB when offered. Patient-driven factors limiting uptake are not well characterized. Obj...

Animal-Assisted Therapy in Dementia: A Systematic Review and Meta-Analysis of Cognitive, Affective, and Behavioral Outcomes

Background/Objectives: Behavioral and psychological symptoms of dementia (BPSD) are common and represent major drivers of caregiver burden and healthcare utilization. Animal-assisted therapy (AAT) is used as a non-pharmacological intervention in dementia care, yet quantitative ev...

Reception and Assessment of Immigrant Children and Families Seeking US Humanitarian Protection: Upholding the Best Interest of the Child: Policy Statement

Unaccompanied migrant children and families seeking humanitarian protection face health and well-being risks throughout the migration journey. US immigration policies and enforcement practices that subject children and families to detention and separation compound these risks. Gr...

Experiences of Perinatal Personnel With Values Clarification Workshops About Abortion

Importance Hospital-based labor and delivery (L&D) units have clinical expertise to provide second-trimester induction abortion and can help ensure patient access to abortion as legal and systematic barriers shift the US care landscape. However, hospitals may be reluc...

Navigating intraoperative hypotension: rethinking traditional management for improved patient outcomes

Intraoperative hemodynamic instability and hypotension commonly occur in anesthetized patients and are associated with postoperative morbidity and mortality. A growing body of evidence establishes a strong correlation between intraoperative hypotension (IOH) and adverse events su...

Adaptive Technologies for Pediatric Emergency Readiness: Cognitive State Sensing, Augmented Reality Guidance, and the Evidence Gap

Abstract Purpose of Review Pediatric emergencies in general and community hospitals, where most children are seen, are infrequent and cognitively demanding, and deviation from resuscitation algorithms is common despite certification. This review treats that as a failure of execut...