Digital Commons Network^™

Honoring Neurodiversity As An Occupational Therapist, Haley Munson

Honors Theses

The purpose of this study is to discover if and how current occupational therapists use neurodiversity affirming practices through their work with clients that identify as neurodivergent. Neurodiversity refers to variations in cognitive functioning that are considered normal since no two brains function the same. Occupational Therapists (OTs) frequently work with clients that identify as neurodiverse, including with individuals with diagnoses such as autism, ADHD, dyslexia, and sensory processing disorder. This study uses a qualitative approach with a semi-structured interviews to gain insight into OT’s integration of ND affirming principles into practice. Learning how OT’s implement ND affirming practices will …

Acid Attack: How Escherichia Coli Strains Resist Acid Stress, Lindsey Miller

Honors Theses

The systems used by Escherichia coli to combat heightened levels of acidity within their environment are varied and complex. Four distinct systems used by E. coli to resist acid-induced stress were identified in 2004 by Foster (1), though six now are known today. These systems include the glucose-repressed, glutamate-dependent, arginine-dependent, lysine-dependent, ornithine-dependent, and serine-dependent acid resistance systems. Each system is also known by its corresponding abbreviation, AR1-AR6. What is known about each system varies due to identification date, complexity of the pathway, and amount of research completed. Within this paper, each system will be identified and the pathway defined, combining …

Safe Patient Care Act Advocation, Julia Rhodes

Honors Theses

This paper discusses advocating for the Safe Patient Care Act and how it affects people in society. This topic is very relevant because it affects a vast majority of people including nurses, patients, and the healthcare systems as a whole. Methods used to advocate for this bill include grass roots activism, composing and presenting speeches, scheduling and attending meetings, presenting to different nursing school cohorts, collaborating with the Michigan Nurses Association, and participating in hearings held by the Michigan House of Representatives. Results consisted of positive feedback from representatives and their word to vote for the Safe Patient Care Act. …

An Analogue Study Of Expected Working Alliance And Hope With Victims Of Military Sexual Trauma Among Civilian And Military-Oriented Therapists, Alishia D. Salyer

Dissertations

Victims of military sexual trauma (MST) face unique challenges as they pursue mental health treatment and supportive care. Understanding what factors impact potential treatment outcomes is critical in aiding in their recovery (Castro et al., 2015; Kroviak, 2020). Although a substantial amount of research has been conducted to evaluate prevalence and client factors associated with treating victims of MST (Teit et al., 2015; Turchik & Wilson, 2010), little is known about therapists’ factors including therapists’ expectations working with such clients. The purpose of this study was to examine the relationships between therapist type (military-affiliated versus civilian), therapist gender, client gender, …

The Effects Of Mindfulness And Exercise On Symptoms Of Parkinson’S Disease: A Systematic Review, Collin Tyler Garner

Dissertations

Parkinson’s Disease (PD) is the second most common neurodegenerative disease affecting which affects motor control, emotional regulation, cognition, and sleep through degradation of dopaminergic neurons. As of 2019, PD affects approximately 8.5 million individuals worldwide, with prevalence estimated to increase to between 8.7 and 9.3 million by 2030. The primary therapeutic approach to PD management is pharmaceutical, relying on dopamine replacement therapy. However, recent research has identified promising complementary therapies such as exercise and mindfulness training.

This review was conducted to compile and present evidence related to the efficacy of exercise, mindfulness, and combined exercise and mindfulness protocols as complementary …

Loneliness Among College Students, Jaime Benson

Honors Theses

This study investigated the level of loneliness among health-focused scholars in the College of Health and Human Services (CHHS), Western Michigan University to improve student life experience, social opportunities, and support networks. We recruited participants from various CHHS programs using a convenience sampling method, requiring informed consent and program enrollment. The UCLA Loneliness Scale served as our measurement tool, allowing us to compare scores across program backgrounds using independent samples t-tests or non-parametric alternatives. Among 59 participants, 22.0% reported low loneliness levels, 49.1% moderate levels, 25.4% moderately high levels, and 3.4% high levels. Notably, the highest scores emerged in questions …

Effects Of A Self-Forgiveness Intervention On Recovery From Substance Use Disorders, Michael Saltzman

Dissertations

Previous research has highlighted the relationship between shame, guilt, and problematic substance use (Gueta, 2013; Luoma et al., 2019; McGaffin et al., 2013; Rahim & Patton, 2015). Self-forgiveness has been associated with positive outcomes for individuals in recovery with substance use disorders (SUDs), though only one prior study has explored the effects of a selfforgiveness intervention for individuals in treatment (Scherer et al., 2011). This study examines the effects of a self-forgiveness intervention on state shame and guilt, state self-forgiveness, and drug avoidance self-efficacy, and it is the first intervention study to focus on self-forgiveness for individuals with SUDs receiving …

Side-Stepping God: How The Nonreligious Find Success In Alcoholics Anonymous, Caitlin Trombley

Dissertations

This dissertation utilized mixed methods research to examine how nonreligious individuals with substance use disorders navigate recovery within—or in spite of—Alcoholics Anonymous (AA). Both the 12-step program itself and Alcoholics Anonymous have long been criticized for being religious and/or spiritual in nature, and some studies have shown that this is particularly challenging for nonreligious individuals seeking recovery. The purpose of this research was to (a) identify differences in recovery resources (recovery capital) between the religious, the nonreligious, those in AA, and those who have adopted alternative forms of recovery; (b) identify barriers that the nonreligious face as they navigate recovery …

Anti-Microbial Peptide Screen For Crop Protection, Sydney Chen

Honors Theses

Vestaron currently uses an established and reliable peptide discovery and development research platform, particularly for the development of insecticidal peptides. The platform centers around a proprietary yeast expression system for peptide production (“Vestaron’s yeast expression system"). Vestaron aims to expand their portfolio and provide clean solutions in crop protection using peptide technologies to protect plants not only from insect pests but also microbial pests including phytopathogenic fungi and bacteria. Antimicrobial peptides (AMPs) have been studied extensively. However, it is questionable whether Vestaron’s yeast expression system can express AMPs heterologously. In this study, thirteen promising antimicrobial peptides were selected from literature …

Identification Of Factors Contributing To No-Show And Appointment Cancellation Rates In Outpatient Cardiovascular Services., Sarah Bergman

Honors Theses

Appointment no-shows and same-day cancellations have been an ongoing issue in Bronson outpatient cardiovascular services (CVS). Further investigation was needed and is crucial in identifying barriers to care. Consequences of nonattendance may include negative health outcomes for patients and scheduling and financial burdens for the department. Knowledge of barriers of care is helpful in implementing interventions to encourage patient attendance for the benefit of patients’ health and department revenue. The goal of this project was to identify and analyze trends in no-show and cancellation rates and cancellation reasons given by patients. Doing so allowed for the identification of common barriers …

Literature Replication: Insect Gut Cell Isolation Protocols, Sophie Pickelner

Honors Theses

A large problem in science is the lack of literature replication, especially for subjects in which there is little published research. Literature replication is an integral part of the scientific method and is important for validating methods and results of published studies. A study from Nature found that out of 1,500 scientists interviewed, over 70% have been unable to reproduce literature studies and over half of them have been unable to reproduce even their own studies (Baker, 2016). This problem is even more pronounced in the field of biology, with 80% of scientists reporting that they are unable to replicate …

The Impact Of The Covid-19 Pandemic On New Graduate Nurses And Their Nursing Judgement And Decision Making, Marisa Szydlowski

Honors Theses

The COVID-19 pandemic led to major changes in the field of healthcare. COVID-19 has changed how providers and staff interact with patients and each other, limited access to healthcare in some groups, and led to changes in healthcare education in academia. To date, there has been little research conducted on the pandemic and the effects it had on nursing students. Current literature focuses on the pandemic and how it impacted already practicing and licensed healthcare workers such as registered nurses. Additional research is needed to assess those who were in school during the pandemic. In nursing education, there was a …

The Impact Of The Covid-19 Pandemic On New Graduate Nurses And Their Nursing Judgement And Decision Making, Chase Rosengarten

Honors Theses

The COVID-19 pandemic led to major changes in the field of healthcare. COVID-19 has changed how providers and staff interact with patients and each other, limited access to healthcare in some groups, and led to changes in healthcare education in academia. To date, there has been little research conducted on the pandemic and the effects it had on nursing students. Current literature focuses on the pandemic and how it impacted already practicing and licensed healthcare workers such as registered nurses. Additional research is needed to assess those who were in school during the pandemic. In nursing education, there was a …

The Impact Of Staffing Shortages In Healthcare, Sana Syed

Honors Theses

Healthcare is an industry in which staff is imperative. No matter the advancement of technology, people are always needed to fulfill certain roles that are crucial for the patient’s quality of care and safety. Adequate staffing is a fundamental component of healthcare. As safety is a top priority for patients and healthcare workers, it is important to understand how this is compromised when there is inadequate staffing on the floor. The COVID-19 pandemic significantly reduced retention rates as employees reached burnout during a time of distress and uncertainty. As hospital units were flooded with patients becoming increasingly ill, the safety …

The Impact Of The War In Gaza On Pediatric Mental Health, Noura Warsi

Honors Theses

Due to the military occupation and numerous violent wars that occur in the Gaza Strip, current research depicts that these occurrences not only suscept children to physical harm, but are also detrimental to children’s mental health, causing lasting consequences if left untreated. The purpose of this project is to understand and analyze the impact of the wars, specifically the 2021 war, and the military occupation on Gaza’s pediatric mental health. Unfortunately, children in Gaza, as well as parents, teachers, health care providers, and mental health counselors have the unique problem of navigating mental health crises in children who experience continuous …

Intimate Partner Violence In Nursing Students: Prevalence And Impact Of Educational Workshop, Sara Michalowski

Honors Theses

Introduction

The overall purpose of this study was to understand the prevalence of intimate partner violence in nursing students and assess the amount of education and knowledge that nursing students have on this topic. In addition, resources were provided to the students. Suggestions for improvement are also provided for the nursing staff and faculty. There is currently little education being provided to nursing students regarding intimate partner violence, which leads to unpreparedness in the nurse role and failure to recognize abusive situations in their personal lives. The qualitative data is limited regarding the prevalence of intimate partner violence in nursing …

Spiritual Care Within The Field Of Healthcare, Summer Sirrine

Honors Theses

This thesis can be interpreted as a fundamental and comprehensive resource that addresses major discussion points of spiritual care (SC) within the healthcare setting. It begins with definition of SC, information surrounding its value within healthcare, the qualifications necessary to practice it, simple yet effective tools and questions to perform SC, as well as acknowledgment of notable barriers and complications, and how those can be dealt with. SC correlates with not only the patient’s physical and mental health, but how it may impact medical practice, depending on how much an individual’s spirituality, religion, etc. affects their life. Healthcare providers should …

Emotional Support Animals On Campus: Relevance, Benefits, And Controversies, Grace Campbell

Honors Theses

This research pertains to Emotional Support Animals (ESAs) on university campuses. It explores the need for ESAs (specifically for college students), differentiates between types of support animals, and discusses benefits and controversies that come along with ESAs on campus. Following this, it sets up a research study that can be used at Western Michigan University relating to student experience with ESA utilization and approval. The study, if performed, would give insight to student experiences, and help the University in supporting the maximum number of students. Emotional support animals have many benefits for college students, including but not limited to, a …

Communication Techniques For Nursing Students, Karlee Coddens

Honors Theses

This thesis will discuss the effects nursing preceptors have on nursing students' clinical experience. This thesis will explore multiple factors that negatively impact nursing student’s communication with their preceptors. It has been found that clinical experiences are extremely important for the future of nursing students. However, there is often a communication barrier between nursing students and their preceptors. This barrier can lead to negative outcomes for new nurses entering the field. Strained communication can also create dangerous situations for patients. Students who fear harsh comments or vertical violence may be reluctant to disclose the limitations of their knowledge. We completed …

Inhibiting Effects Of Methyllycaconitine (Mla) On Pnu-282987 Induced Neurogenesis In Blast-Exposed Mouse Retinas, Nastia Zhiyew Chan

Honors Theses

Irreversible vision loss can be caused by retinal damage, disease, or aging. In recent years, the prevalence of ocular damage due to blast trauma has been increasing due to the modernization of warfare. Adult mammalian retinal neurons were previously thought to lack the capacity for regeneration to reverse vision loss, which deemed the effects of many ocular damages permanent. However, recent studies from this lab have shown that PNU-282987, an agonist to the alpha 7 subtype of neural nicotinic acetylcholine receptors, will result in neural regeneration in adult mammalian cells. For this research project, I will be using Methyllycaconitine (MLA), …

A Critical Analysis Of Discrepancies In Behavioral Health Program Ratings By Evidence-Based Practice Registers For Behavioral Health, Miranda Jade Lee-Easton

Dissertations

Decision makers in the behavioral health disciplines are under increasing pressure to identify and implement evidence-based practices (EBPs). These decision makers often do not have the time or expertise to assess primary studies of program efficacy or effectiveness. They could benefit from tools to assist them in identifying and implementing EBPs. One tool is an evidence-based practice register (EBPR). Prior studies have documented that when multiple EBPRs rate a given program, they may come to seemingly conflicting program ratings. The prior research concerning the reason for these conflicts is sparse. The purpose of the present study is to understand how …

Social Skill Program Development: A Bottom-Up Approach, Sydney Fallis

Capstone Projects

This Doctoral Capstone Experience involved developing and implementing a social skills group program for current clients at an occupational therapy outpatient pediatric clinic. The purpose was to provide an additional service for the clinic that clients could participate into further progress one’s social-emotional and social interaction skills. The program was developed for peers alike to learn and enhance their social skills within a realistic and supportive environment. Based on the mentor and client’s needs at Arcadia Center for OT, a social skill program was developed that integrated the bottom-up approach.

Exploring And Implementing Evidence-Based Educational Approaches In An Entry-Level Doctoral Occupational Therapy Program, Hannah Schultheiss

Capstone Projects

As occupational therapy programs begin to shift from entry-level Master’s to Doctorate curriculum, progressing the rigor accordingly while holding true to the field’s occupational roots remains a crucial consideration. At a private university in the Midwest, faculty were working against time constraints while building an entry-level doctoral occupational therapy program from the ground up and sought to establish a healthy, professional culture between faculty and students. This capstone experience and project addressed these goals by exploring the role and expectations of working as an educator in the program. Learning experiences were centered upon developing content related to pediatric and adolescent …

The Effects Of Theatre-Based Interventions With Older Adults Diagnosed With Neurodegenerative Diseases, Calli Hudson

Capstone Projects

The Doctoral Capstone Experience evaluated theatre and the relation with occupational therapy to observe the potential connection theatre can create to improve shared experiences, emphasize collaboration, and improve quality of life through participation and engagement of theatre-based interventions. In general, theatre allows the foundation of occupational therapy to remain pertinent within the intervention process by remaining flexible, client-centered, and meaningful to aid with participation and engagement by dismissing signs and symptoms of Alzheimer’s with a concentration on novel activities. Within the site of the project, there is currently a gap with socializing of consumers, due to the diverse group population, …

An Occupational Therapist's Role As A Prospective Payment System Coordinator And Identifying Patient Trends In An Inpatient Rehab Center, Autumn Idalski

Capstone Projects

This capstone experience explores the role of a Prospective Payment System (PPS) Coordinator within an inpatient rehabilitation setting and how the skills of an occupational therapist qualify the profession to contribute to the success of a PPS team. A literature review revealed the importance of non-traditional education placements within the occupational therapy curriculum to provide well-rounded experiences to students to leverage their professional careers. A needs assessment revealed a need to identify patient outcome trends within different Rehabilitation Impairment Categories at the capstone site. Objectives for this capstone experience and project include gaining competence in reviewing patient charts within the …

Advocating For Occupational Therapy At The Systemic Level, Alyssa Schwartz

Capstone Projects

The future of occupational therapy, a commonly misunderstood and underutilized profession, is largely influenced by advocacy at the systemic level. The following capstone project was completed at the American Occupational Therapy Association with the federal advocacy department. The capstone site mentor, Abe Saffer, is a lobbyist who mainly works on workforce, mental health, and school-based occupational therapy issues. Throughout this project, the capstone student advocated for occupational therapy and those that occupational therapy serves through legislation, networking, and by facilitating the development of OTP advocates. Additionally, the student acquired skills to continue to advocate for herself, the clients she works …

Program Development Of Meaningful Work For Those With Brain Injury: A Doctoral Capstone Experience, Alyssa Mckenna

Capstone Projects

In the United States there were 18,557 people diagnosed with traumatic brain injuries (TBI’s) with 49% of those injuries being caused by vehicular crashes in 2021 (Traumatic Brain Injury Model Systems National Data and Statistical Center, 2021). Those who suffer from these injuries often struggle to maintain jobs due to the symptoms resulting from the TBI’s. Vocational rehabilitation programs have been created to address the skills necessary to participate in the work environment. Vocational rehabilitation is a specialized area of occupational therapy. Recent changes have been made to Michigan’s auto no-fault insurance policy that has created a gap between this …

Occupational Therapy In A Daytime Homeless Shelter Setting, Ruth Erin Garcia

Capstone Projects

Occupational therapy (OT) is an allied health profession that works with individuals on improving their engagement and performance in meaningful occupations. This doctoral capstone project (DCE) was completed at Ministry with Community (MwC), a daytime shelter and resource center. There is emerging but limited literature regarding the role of OT working within a homeless shelter setting. Additionally, individuals experiencing homelessness are at risk for occupational injustice, or restriction to engagement in meaningful life activities.

The primary goal of this DCE was to improve engagement in meaningful occupations. The focus was program development with a secondary focus on advocacy. The objectives …

Service Gap In Kalamazoo County: Establishing A Reimbursable, Child-Led Multidisciplinary Feeding Tube-Weaning Protocol, Piper Friend

Capstone Projects

I partnered with the feeding team at Bronson Methodist Hospital (BMH) including outpatient pediatric occupational therapy, gastroenterologists, and dietitians to implement an evidence-based tube-weaning guideline for tube-dependent infant and pediatric patients. There is limited research in the area of tube-weaning and therefore limited national standards and guidelines to support clinicians and families going through this process. Current options for feeding tube-weaning services for Kalamazoo residents include traveling to Helen DeVos’s Intensive Feeding Program in Grand Rapids which places a heavy emphasis on behavioral intervention. This does not support the autonomy of the child or support the holistic occupation of feeding. …

Resident Reported Changes To Social Engagement And Quality Of Life Due To Increased Physical Activity Within A Senior Living Facility, Sydney Leroy

Capstone Projects

The purpose of this Doctoral Capstone Experience (DCE) was to see if regular participation in an exercise program could promote positive changes in social engagement and overall quality of life for older adults residing in an independent or assisted living facility. A standardized assessment and interview were completed with each participating resident before and after a 6-week exercise program to assess any changes in social engagement and quality of life. As a result, recruitment for this study and overall resident participation increased by advertising new and existing exercise classes throughout the senior living facility. In addition to the already scheduled …