Digital Commons Network^™

Reproductive Characteristics Of The Stripetail Darter (Etheostoma Kennicotti) Relative To Monogenean Gill Parasite Infection In Estill Fork In North Alabama, Joy L. Garcia, Zeina Celine Sleiman, Corinne N. Preacher, Bruce Stallsmith

Southeastern Fishes Council Proceedings

What relationship exists between Aethycteron sp. gill parasite infection and the reproductive characteristics of stripetail darters, Etheostoma kennicotti? 450 E. kennicotti were collected over 11 months from Estill Fork in Jackson County, Alabama. Gonads were removed and photographed. All oocytes were counted and then classified into one of four developmental stages based on size and appearance. Gill parasites belonging to the monogenean genus Aethycteron were excised, photographed, and counted. Sexual dimorphism in length and mass was observed in E. kennicotti. The number of males found at the 25> mm SL range far outnumbered the females while almost all …

Effects Of A Compassion Fatigue Workshop On Psychiatric Mental Health Nurses, Johnnie Elizabeth Bower Bsn, Mary Johnson Dnp

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Compassion fatigue (CF) is a collection of symptoms associated with exposure to traumas experienced by other people. Nursing is one of the professions that experiences CF from recurrent exposure to patient and family distress and from potential acts of abuse at work. Nurses working in behavioral health are one of the highest at risk for CF. Of newly graduated behavioral health nurses, 17.5% leave the field after one year and 33.5% leave after two. Signs of CF include hopelessness, feelings of inadequacy, anxiety, depression, fatigue, and increased absenteeism. Training in self-care techniques and mindfulness builds nurse resilience and …

Improving Outcomes For Persons With Opioid Use Disorder By Introducing Buprenorphine In The Emergency Department, Emily Caroline Wegenka, Mary Johnson, Thomas Vajen

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Opioid related death is the leading cause of accidental death in adults younger than 50 years old in the United States (US) with approximately 130 opioid related deaths daily. Emergency department (ED) visits for a non-fatal overdose, the one-year mortality is 4.7-5.5%. Studies show increased access to medications for opioid use disorder (MOUD) decrease morbidity and mortality related to OUD. Additionally, there is evidence that initiating MOUD in the ED increases engagement in outpatient follow up, also reducing morbidity and mortality associated with OUD.

LOCAL PROBLEM: The setting for this practice improvement project was a non-profit, rural …

Optimizing A Clostridium Difficile Screen For Intensive Care Unit Admissions, Mary Katherine V. Natour, Jennifer Smith

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Background: Clostridium difficile infection is one of the most common healthcare-associated infections. Careful screening upon hospital admission enables clinicians to mitigate the spread and sequelae of this illness through early intervention and isolation but this screening must be accurate and highly sensitive to maximize benefit.

Local problem: The site for this project, an ICU in Tennessee, currently employs a highly sensitive but nonspecific tool to detect CDI. This has resulted in low accuracy, low staff compliance, low patient morale, and unnecessarily high personal protective equipment (PPE) costs.

Methods: Levin’s evidence-based practice improvement model was chosen to guide this project from …

Antibiotic Stewardship In Patients With Viral Upper Respiratory Illness: Improving Quality Measures In Retail Health, Meredith A. Nolan, Robin Harris, Clay Smith

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Millions of people will die from antibiotic-resistant bacterial infections in the next 30 years. Retail health providers are pivotal in this global epidemiological problem.

LOCAL PROBLEM: Setting included 15 retail health clinics operated by Vanderbilt University Medical Center in Middle Tennessee. Project examined provider education, patient engagement, and commitment to antibiotic stewardship, components of the CDC's Core Elements of Outpatient Antibiotic Stewardship framework. Specific aims were that providers would have a significant reduction in the percentage of antibiotics prescribed for viral illness over the study period.

METHODS: Using the Evidence-Based Practice Improvement Model, a Quality Improvement …

Reducing Copd Readmissions Through The Implementation Of A Guideline-Based Clinical Pathway: An Evidence-Based Practice Improvement Project, Hannah F. Hall, Allyson Neal, Samantha Bauer

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. It is characterized by airway inflammation and damage that inhibits appropriate airflow. Exacerbations of COPD (ECOPD) hasten disease progression and have profound impacts on the patients.

Local Problem: East Tennesseans experience higher rates of COPD than the rest of the state. Community members at the project site identified that the inpatient management of ECOPD is inconsistent and discordant with the 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The purpose of this project was to reduce readmissions and increase guideline concordance by developing an algorithm …

Initiating Culturally-Directed Education For Hispanic Adults With Type 2 Diabetes Mellitus, Marie Davis, Jennifer Smith, Mandy Horner

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND:

The U.S. Hispanic population has the highest rate of Type 2 diabetes mellitus (T2DM), which is influenced by socio-economic status and language barriers. Current evidence suggests that the delivery of culturally-directed Diabetes Self-Management Education (DSME) with the use of an interpreter can reduce diabetes-associated complications.

LOCAL PROBLEM:

The project took place at a free clinic in North Carolina. The purposes of this project was to create a culturally-directed DSME bundle for Hispanic adults with the use of a Spanish interpreter to improve understanding of T2DM management.

METHODS:

The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was …

How Soon Is Too Soon? A Quality Improvement Approach To Postoperative Length Of Stay Following Transcatheter Aortic Valve Replacement, David Brian Jones, Robin Harris, Paul N. Fiorilli Md, Allyson Neal

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Heart valve disease prevalence is expected to rapidly increase over the next twenty years. Aortic stenosis, the most common valvular disorder, is a significant cause of heart failure hospital admissions and high mortality if left untreated. Treatment options include surgical aortic valve replacement (SAVR) and the more popular transcatheter aortic valve replacement (TAVR). The rapid increase of TAVR procedures generates hospital bed capacity issues, and there is no recommendation defining the minimum length of stay (LOS) following TAVR.

LOCAL PROBLEM: The setting was a 1,100-bed academic medical center in southeastern Pennsylvania with an average annual TAVR volume …

Tooth Root Abscess And Mandibular Infections In Old World Camelids: 3 Cases, Alyssa Sparnon, Joseph Smith, Pierre-Yves Mulon, Silke Hecht, David Anderson, Sarel Van Amstel

Faculty Publications and Other Works -- Large Animal Clinical Sciences

There are limited reports of mandibular infections and tooth root abscesses in camels (Old World Camelids). This is in contrast to multiple reports and case series detailing diagnosis, management, and therapy of similar infections in New World Camelids such as llamas and alpacas. The purpose of this case series is to present three cases of camels in North America with these infections and to detail the diagnostics, therapeutic interventions, management, and follow-up of these cases. Radiography was utilized in all three cases, as was sedation and/or anesthesia. Similar to llamas, florfenicol was used for antimicrobial therapy and flunixin meglumine was …

Speaking Volumes: No. 1, Spring 2024, University Of Tennessee Libraries

Speaking Volumes

No abstract provided.

Pharmacokinetics Of Famotidine In Goats After Intravenous Administration, Olivia Escher, Joseph Smith, Kamryn Christopher, Bryan Hogan, Lainey Harvill, Makenna Hopson, Sherry Cox

Faculty Publications and Other Works -- Large Animal Clinical Sciences

No abstract provided.

Undergraduate Council Minutes Of Meeting March 19, 2024

Undergraduate Council Meeting Minutes

No abstract provided.

Graduate Council Minutes - March 21, 2024, Graduate Council

Graduate Council Minutes

No abstract provided.

Making (Applied) Sport Management Accessible, Adam William Love

Journal of Applied Sport Management

The Applied Sport Management Association’s Distinguished Service and Mentorship Award was initiated in 2022 as a renaming and repurposing of the ASMA Scholar Lifetime Achievement Award presented from 2009 to 2020. This service and mentorship award recognizes an ASMA member who has exhibited continued, exemplary service to ASMA, who connects sport management research with practitioners in an applied manner, and who demonstrates dedication to students and mentorship within the ASMA. Recipients of this award provide a keynote address to the ASMA membership at the annual conference. The content of this address is published in the Journal of Applied Sport Management …

Examining Reported Versus Actual Attendance In College Basketball Non-Conference Games: Do Scheduling Elements Make A Difference?, Nels Popp, Stephen Shapiro, Jason Simmons, Ryan Dastrup

Journal of Applied Sport Management

This study examines factors impacting sport attendance at non-conference NCAA Division I men’s college basketball games. Non-conference college basketball games are relatively unique because athletic department personnel control many of the scheduling variables related to event popularity, including opponent, game day, and start time. As such, it is valuable for administrators to know which elements might maximize event revenue. The current study is also unique because it examines both reported attendance (tickets disseminated) and actual attendance (tickets scanned at the venue). A total of 48 schools provided ticket scan rate data for their non-conference home basketball games over three seasons …

Co-Creating The Pitch: An Exploration Of The Role Of Traditions On Co-Creation In European Soccer, Eric Hungenberg, Mark Slavich, Ricardo Cayolla

Journal of Applied Sport Management

As the sport of soccer continues to grow throughout the world – and particularly into North America – the current study assessed the causal effect fans’ sensory traditions have on co-creation. Data were collected by intercepting Portugese and Spanish soccer attendees outside of the stadium prior to the match’s start. A total of 282 useable surveys were retrieved from fans during the 2022-23 seasons. Path modeling results indicate that traditions relating to aesthetics, sound, and beverage provided the greatest means to co-create experiences for attendees. The study’s results align with previous research within retail and sport exhibiting the positive impact …

“Together We Go Far”: Exploring The Motivational Dispositions Within Connected Fitness, Melissa Davies, Thomas Aicher, Brianna Newland, Eric Hungenberg

Journal of Applied Sport Management

This study examined the motivational profiles of connected fitness users to better position brands as they compete with the reopening of physical gyms and in-person classes. Using survey responses from 663 Peloton users, a K-cluster analysis was performed to identify three clusters of Peloton users (Wellness, Physique, and Social Performance), based on their motives for using the brand’s app. Findings suggest that connected fitness brands should leverage their ability to create social engagement and challenging opportunities to better their own past performance to differentiate themselves and retain users in a very cluttered and competitive marketplace.

The Journey Continues: Highlights From The 2024 Asma Conference, Marshall Magnusen

Journal of Applied Sport Management

The Journal of Applied Sport Management (JASM) is the official publication of the Applied Sport Management Association (ASMA), which is a scholarly organization that builds research partnerships between faculty and students. ASMA also facilitates connections between sport management faculty and students studying sport and practitioners working in the sport industry. In 2023, the annual conference was hosted by Samford University under the direction of Dr. Patrick Marsh. With 300 registrants, the 2024 conference was the most attended in ASMA history. It took place in Knoxville, Tennessee. Hosted by the University of Tennessee, the conference was spearheaded by Drs. Adam Love …

Insen 2023 Yearly Updates, Walid Metwally, Matteo Gerlini, Cristen Ford, João Claudio Batista Fiel J.C.B.F., Dr. Alpana Goel

International Journal of Nuclear Security

The International Nuclear Security Education Network (INSEN) is the primary international network for nuclear security educational initiatives. INSEN plays a central role in fostering collaboration and knowledge-sharing among nuclear security education experts worldwide. In the wake of the global pandemic, INSEN remained committed to strengthening nuclear security education and resumed in-person activities. The International Atomic Energy Agency (IAEA) confirmed its continued dedication and support to the network’s mission and presented new activities aimed at elevating global nuclear security efforts.

Throughout the year and during the annual and leadership meetings, working groups showcased their vibrant work and presented innovative ideas, invigorating …

Addressing The Adoption Gap: Exploring Resistance To Evidence-Based Practices Among Ncaa Coaches, Lawrence W. Judge, Jeffrey Petersen, Olivia Huffman, Selen Razon

Journal of Applied Sport Management

Athletic coaches strive to achieve optimal performance from their athletes and teams, yet many coaches fail to utilize new evidence-based practices (EBPs) with potential to improve performance. Many sport leaders and administrators seeking to assist and support positive change face resistance from coaches. This paper explores the lack of usage of EBPs among NCAA coaches and the subsequent effects on athlete performance and development. This problem is conceptualized through the theoretical underpinnings of diffusion of innovation theory and social cognitive theory. Application of resistance to change theories identifies action steps to help overcome barriers in the implementation of EBPs including …

Tcwp Newsletter No. 374, Tennessee Citizens For Wilderness Planning

Tennessee Citizens for Wilderness Planning Newsletters

No abstract provided.

Assessment Of Professional Counseling Dispositions: A Content Validity Analysis, Patrick R. Mullen, Jacob Joseph, Kaitlin Jones Hinchey, Morgan Walker, Jennifer Niles

Teaching and Supervision in Counseling

Counselor educators evaluate the professional counseling dispositions of trainees throughout their development within training programs. There have been few consistent articulations of professional dispositions as many programs and measures define them differently. In our study, we developed the Assessment of Professional Counseling Dispositions (APCD) and performed a content validity study of the measure. Our findings provide evidence for the content validity of the APCD. We discuss these findings, their implications, and future research using the measure.

Counselor Trainee Cognitive Complexity: Peer Interactions And Assessments, Alexandra Gantt-Howrey, Erin Woods, Gulsah Kemer

Teaching and Supervision in Counseling

In their training efforts, counselor educators focus on a variety of characteristics, including cognitive complexity (CC). Cognitively complex counselors can identify and integrate the multiple characteristics and perspectives of their clients and have been found to be generally more empathic and accepting of ambiguity (Castillo 2018; Granello, 2010; Welfare & Borders, 2010b). Although CC is considered as an integral counselor attribute (Castillo, 2018), how CC may be related to within-program peer interactions has yet to be explored. Through this convergent mixed methods study (Creswell & Creswell, 2017), we sought to understand how n = 7 participants’ experiences with and assessments …

Promoting Counselor Trainees’ Clinical Skill Development Using Virtual Reality Simulations, Amber L. Pope, Chelsea Hilliard

Teaching and Supervision in Counseling

Although research on virtual reality (VR) as a pedagogical tool within counselor education is scarce, the parallel use of VR in health sciences education indicates VR simulations may have similar utility and effectiveness in training counselors. This conceptual piece aims to assist counselor educators in building VR simulations for counselors-in-training (CITs). The authors review the research on VR usage in counselor education and explore the practical implications of VR simulations for training counselors. The authors describe the development and utilization of VR simulations across multiple stages of training in a counselor education master’s program to support CITs’ clinical skill development …

The Class Of 2019: Academic Employment Prospects For Counselor Education Doctoral Graduates, Christopher Lawrence, Gregory Hatchett

Teaching and Supervision in Counseling

The purpose of this investigation was to estimate the percentage of counselor education doctoral (CED) program graduates who attained faculty positions within two years of graduation and to compare the number of these graduates to the number of advertised faculty positions during this same timeframe. To do so, we used archival, publicly available data for graduates of CACREP-accredited CED programs during the 2018-2019 academic cycle (N = 314). Approximately two-fifths of these graduates had faculty positions. Graduation from a public university increased the odds of having any faculty post, whereas graduation from a public university and the Carnegie Classification of …

A Model Of Retention And Remediation For Online Counselor Education, Colleen M. Grunhaus, Matthew Lyons

Teaching and Supervision in Counseling

Online counseling programs experience unique retention and gatekeeping challenges. Increased isolation and personal adversities are common factors associated with attrition for online students; and broad-access admission policies of online counseling programs often lead to increased gatekeeping concerns postadmission. Counseling programs develop policies and procedures related to retention, remediation, and dismissal, but extant models of remediation do not also address student retention or the unique challenges of online counselor education. We present a model, The Retention and Remediation Model for Online Counselor Education, that demonstrates a comprehensive policy for retention, remediation, and dismissal in online counseling programs through a three-prong approach …

Perceptions Of The Instructional Research Training Environment And Research Self-Efficacy, Missy Moore, John Mccall, Todd Bolin, Austen Bingham

Teaching and Supervision in Counseling

We examined counselor education and supervision (CES) doctoral students’ (n = 117) perceptions of their instructional RTE and research self-efficacy. Students had more positive perceptions of their instructional RTE and higher research self-efficacy when research courses were taught by counseling faculty. Additionally, the instructional RTE was predictive of research self-efficacy above and beyond intrapersonal, interpersonal, and experiential variables. Implications for counselor education programs are provided.

Professional Identity Development Of Black Doctoral Students In Counselor Education: A Reflexive Model, Olivia T. Ngadjui Phd, Elizabeth A. Doughty Horn

Teaching and Supervision in Counseling

This grounded theory study comprised the perspectives of how past and current Black doctoral students formalized their professional identity in counselor education. Findings included reflexivity as a central theme within the internal process of Black doctoral students navigating counselor education programs and a model of professional identity development.

Relationships Of Empathy And Color-Blind Attitudes On Counseling Students’ Critical Consciousness, Bagmi Das, Maggie M. Parker, Sarah Litt

Teaching and Supervision in Counseling

A critical piece of counselor education is enhancing counselors’ in training (CITs) multicultural competence. Concepts included in CIT cultural development include both developing empathy (Constantine, 2001) and dismantling color-blind racial attitudes` (Neville et al., 2013). Thus, this study presents multiple regression to explore the relationships between color blindness, empathy development, and critical consciousness of 166 counseling students. Results indicate that that empathy and color-blind attitudes have associations with some aspects of critical consciousness, but not sociopolitical participation. Implications for counselor education and directions for future research are discussed.

Social Justice Identity And Program Evaluation: A Pilot Study Of Cmhc Students, Heidi L. Henry

Teaching and Supervision in Counseling

Program development and evaluation can be used to address historical inequities in mental health, but they are scarcely studied in counselor education. The purpose of this pilot study was to examine how taking one social-justice focused CMHC management course impacted 66 counseling students’ social justice identity and program evaluation understanding. Participating students completed a group program proposal focused on social justice and program evaluation. To assess change in their social justice attitudes, behaviors, and program evaluation understanding, they completed a demographic questionnaire, pre-test, and post-test. The results, derived from t-tests and Wilcoxon Signed-Rank tests, indicated a significant improvement from pre- …