Teacher Education and Professional Development Commons^™

Association Between Blood Pressure And Esa Dose In Pediatric Patients On Dialysis, Heather A. Morgans

Research Days

Background: Hypertension is a reported side effect of Erythropoiesis Stimulating Agents (ESAs), with a mechanism of action related to elevated hematocrit levels and direct vasopressor effects. Limited information exists on the relationship between ESA dosage and hypertension in children receiving maintenance dialysis.

Objectives/Goal: The primary aim of this study was to determine whether there is a significant association between ESA dose and blood pressure (BP) in pediatric patients on dialysis. The secondary aim was to determine covariates in relation to ESA dose.

Methods/Design: Data from the International Pediatric Dialysis Network (IPDN) database was used to retrospectively analyze the association between …

Evaluation Of A Symptom-Based Algorithm For Managing Battery Ingestions In Children, James Fraser

Research Days

Background/Objectives/Goal: Complications from battery ingestion in the pediatric population are becoming more severe due to the emergence of stronger and smaller batteries. We previously established a symptom-focused, evidence-based algorithm for battery ingestion and seek to evaluate this protocol to investigate its safety and potential cost benefit. (Figure 1)

Methods/Design: Following IRB approval, all radiographs performed for foreign body ingestion between 2017-2020 were reviewed. All button battery ingestions were included to evaluate an institutional symptom-based algorithm emphasizing observation over intervention.

Results: Review of 2,237 foreign bodies series demonstrated 44 button battery ingestions. Median age at ingestion was 3.8 years [2.5,5.2]. Locations …

Environmental Topics In Physics By Inquiry Course: Integration Models Used By Physics Teachers, David A. Kimori, Gillian Roehrig

The Qualitative Report

As we approach the second quarter of the twenty-first century, one may predict the environment will be among the dominant themes in political and educational discourse. This study investigates how three physics teachers integrated environmental topics and issues in their classroom. Data collection methods including field notes taken from observations, teachers’ interviews, and a collection of artifacts and documents were used. The data were coded, analyzed, and organized into categories utilizing Fogarty’s models of curriculum integration. Findings of this study indicate teachers acknowledge the importance of teaching environmental issues in their classrooms; however, implementing and utilizing effective integration strategies and …

Understanding School Dropout: An Analysis Of The Underlying Causes And Their Significance In Building Meaningful Interventions, Kelli K. Stewart

Counseling Psychology | Master's Theses

This paper is a review of research regarding high school dropout rates and trends in the United States. Findings on the underlying reasons students are dropping out and analyzing this data can help implement widely accessible multi-level support systems in the schools and design sensible policies to aid students with emotional, and learning disabilities. While building these policies, it is essential to be mindful of our student populations' ethnicity and socioeconomic factors and their educational implications. This paper will address the leading causes for withdrawing before obtaining a diploma (early traumas, homeless, foster and juvenile justice youth, emotional and learning …

Technology As A Tool For Support: Classroom Teachers And Resource Specialists In Collaboration And Communication Practices, Mackenzie Jones

Education | Master's Theses

Classroom teachers and resource specialists face hectic schedules that include supporting students and meeting the core curriculum standards. In order to support students with disabilities in the classroom, collaboration between classroom teachers and resource specialists is essential. With busy schedules and increasing demands that teachers face, there is an urgent need to support teachers with effective systems of collaboration. This research focuses on the problem of unorganized and ineffective systems of support, which teachers face when trying to collaborate and communicate with their colleagues. While many prior studies address the significance of providing time for educators to collaborate in the …

Incorporating Social Media Into The Classroom: A Case Study On How Tiktok Can Be Immersed Into Classroom Pedagogy, Sara Solomon

Education | Master's Theses

My research project focuses on the use of TikTok embedded within classroom pedagogy and how it can be used as a tool to support academic and social emotional wellbeing. There is a lack of research investigating how social media can be incorporated into the classroom to make up for potential academic losses, including the inevitable social/emotional needs of adolescents that need to be addressed due to the ramifications of COVID-19. In my research, I question ways in which students see this tool as supporting their wellbeing, in what ways parents see this tool as supporting their child's wellbeing, and why …

Implementation Of Culturally Relevant Teaching In Namibian Classrooms: Understanding Impediments And Identifying Assets, Fransisko Constantino

Education | Master's Theses

Culturally responsive pedagogy (CRP) is a teaching approach that can be utilized to improve academic outcomes among diverse student populations. Currently, however, there is a lack of research examining why some teachers struggle to implement CRP, particularly in educational contexts beyond the U.S. This study examined why there is a lack of implementation of CRP within combined schools in the Kavango East region of Namibia. More specifically, this study assessed the role of CRP within Namibian English Second Language (ESL) classrooms and examined how the experiences of ESL teachers affected their ability to implement CRP. In addition, this study explored …

Educational Impact Of Supervising Fellow Visits In The Emergency Department, Grace E. Arends Md

Research Days

Problem Statement/Question: After meeting certain criteria, pediatric emergency medicine (PEM) fellows were previously permitted to independently manage and discharge patients. These encounters anecdotally fostered autonomy but missed educational opportunities. We have previously reported that fellow positive perception of education and autonomy was low (22% and 11%). Additionally, the absence of an attending’s attestation on these patient charts prevented the collection of a professional service fee, an average potential billed amount of $125.67 per unit of service or total of $620,307 in 2019.

Background/Project Intent (Aim Statement): After key stakeholder involvement, we recognized attending supervision for all fellow patients as an …

Teacher Self-Efficacy: The Missing Piece To Trauma-Informed Classroom Interventions, Sarah Lancaster

The Advocate

Once a child enters kindergarten they spend the majority of their waking hours in school. Therefore, school-based interventions that are trauma informed are crucial for promoting social-emotional learning and development. While there are some promising studies, professional development programs for educators have not systematically incorporated psychoeducation on childhood trauma and the impact it has on behavior and learning, or classroom-based strategies to enhance learning and development among children with a trauma history (McConnico, Boynton-Jarrett, Bailey, & Nandi, 2016). Furthermore, educators’ perceptions on how comfortable they are dealing with the trauma of students has not been widely explored (Crosby, Day, Baroni, …

The Prevalence Of Learning Styles Theory In Kansas K-12 Classrooms: A Statistical Analysis, Alan English

The Advocate

Despite a lack of empirical evidence to support its existence, previous literature has demonstrated that Learning Styles Theory (LST) enjoys widespread popularity in education, leading many researchers to refer to it as a “myth”. This study utilized original survey data to determine Kansas K-12 teachers’ level of predilection for LST. Kansas teachers’ responses (n=147) were analyzed in comparison to that of non-Kansas teachers (n=93) in seven independent Learning Styles Theory measures. Results suggested that Kansas teachers responded statistically less-favorably to the prospect that LST is best for student learning, less likely to view LST as essential for effective instruction, and …

The Rationale For Helping Teacher Candidates Integrate Self-Reflection Into Chaotic Schedules, Sarah Y.S Tham

The Advocate

There is no doubt that teachers want to self-reflect. However, given the increasing number of teachers' responsibilities in and out of the classroom, teachers have to set priorities. In teacher education programs, self-reflection is included but often not emphasized. Teacher candidates are encouraged to reflect on their lesson plans, study materials, writing, and teaching experience, but a structured and useable framework is often lacking. In the end, instruction, assessments, diagnosis, and interventions remain at the forefront of teachers' minds, and self-reflection is put on the burner. This paper presents findings of how self-reflection influenced tutors in the classrooms they were …

A Letter From The Ate-K President

The Advocate

A letter from the ATE-K President (2019-2021)

Editorial Information For The Advocate

The Advocate

Editorial Information for The Advocate

Smart Rounding: Development Of A Nurse-Driven Rounding Checklist As A Sustainable Intervention For Improved Care Communication, Charles I. Maloy

Research Days

Background/Project Intent: Use of checklists in the healthcare setting is increasingly common and is important to the development of high reliability and standard avenues for communication. At our tertiary care freestanding pediatric hospital, there was no widely used rounding checklist that discussed items important to quality care and patient safety outside of the intensive care unit. The development and implementation of medical checklists for the standard patient floor are inadequately described. We will develop and implement a rounding checklist with at least 80% daily checklist use sustained over 6 months. Team members will report improved multidisciplinary discussion of patient safety …

Educating Providers: Timely Post-Operative Pain Management In A Level Iv Neonatal Intensive Care Unit (Nicu), Jamesia Donato, Jamesia Donato

Research Days

Background/Project Intent (Aim Statement): NICU patients often encounter painful procedures and can have significant short and long-term consequences from inadequately treated pain. Ensuring adequate pharmacological and nonpharmacological pain management while minimizing associated risks is paramount. Our NICU is part of the Children’s Hospitals Neonatal Consortium “Erase Pain” collaborative to improve management of postop pain in neonates. SMART Aim: Increase the percentage of patients receiving acetaminophen within one hour after surgery to greater than 70% by July 2020.

Methods (include PDSA cycles): A multidisciplinary team developed pain treatment algorithms and postop order plans to standardize the approach to postop pain management. …

Improving The Approach To Fellowship Trainee Feedback, Katie A. Vandervelde

Research Days

Problem Statement/Question: Giving and receiving feedback are difficult but necessary skills in medical training. We identified a need for improved feedback based on decreased learner satisfaction on our annual ACGME survey. In an anonymous survey, 2018-19 infectious disease fellows reported receiving formal feedback from 52.4% of their inpatient clinical experiences with faculty.

Background/Project Intent (Aim Statement): Increase the occurrence of feedback to fellows by faculty during clinical service rotations from 52.4% to >90.0% in 6 months utilizing a standardized method.

Methods (include PDSA cycles): A Feedback Card (Figure 1), was developed by fellows and faculty. Both parties were instructed to …

Instagram As A Tool To Enhance Virtual Recruitment In The Era Of Covid-19, Sophia Hackman, Zuri Hudson, Christian Oliveros, Kyra Mccarty

Research Days

Problem Statement/Question: Due to the COVID-19 pandemic, resident recruitment will be virtual for the first time. Interviewees will be unable to visit Children’s Mercy for a tour, will spend less time engaging with current residents, and will be unable to visit Kansas City. The Recruitment Committee sought to understand if social media could be utilized to spread awareness of our pediatric residency program and provide insight into the culture of Children’s Mercy and Kansas City.

Background/Project Intent (Aim Statement): Prior to COVID-19, in person interviews would consist of dinner with current residents the day before the interview and a tour …

Standardization Of Fertility Preservation Discussion Amongst Pediatric Oncology And Bone Marrow Transplant Patients: A Single Institution Experience, Chandni Dargan, Sarah E. Mc Dermott, Shelby Chesbro

Research Days

Background/Project Intent (Aim Statement): As treatment for pediatric malignancies improves long term survival, physicians are shifting focus to late effects of therapy such as infertility. Currently, options for fertility preservation include cryopreservation of mature oocytes, sperm, and gonadal tissue, although barriers remain present. Within our division, we lacked a standard approach to discussing fertility preservation options prior to initiation of treatment.

Methods (include PDSA cycles): Records from 474 pediatric patients with new oncologic diagnoses at CMH from 2014- 2020 were retrospectively reviewed. We evaluated the frequency that reproductive health discussions were documented in pubertal males and females requiring chemotherapy or …

Learning From The Past: A Novel Approach To Reducing Unplanned Extubations In The Neonatal Icu, Yonatan Kurland

Research Days

Background/Project Intent (Aim Statement): The objective of this quality improvement project is to decrease unplanned extubations in a Level IV NICU to an annual rate of2020.

Methods (include PDSA cycles): We hypothesized that increased awareness of historical ETT position would both prevent unnecessary ETT position adjustments and encourage prophylactic adjustments to adjust for significant weight gain or loss. In December 2019, we implemented a novel intervention to provide readily accessible graphs of historical ETT tube position in each neonate with corrected gestational agecycles, we provided education to all members of the multidisciplinary team, we enlisted the Information Technologies Department to …

Physician Advocacy: Defining And Implementing Into Practice, Laura Kantor

Research Days

Background: Physicians are perceived by society to have a duty to both improve the health of their individual patients and the wellbeing of society as a whole. The perceived social and professional obligation of physicians to engage in advocacy work is often implied yet illdefined with little formal training or official supports. Many physicians feel their training and practice environment do not support increased engagement in advocacy. In order to promote the idea that advocacy is an integral aspect of modern practice, it is necessary to further characterize its definition and scope.

Objectives/Goal: We aim to gain insight into the …