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Full-Text Articles in Medicine and Health Sciences

Manager Onboarding To Improve Knowledge And Confidence To Lead, Christine (Tina) K. Asiimwe Dec 2021

Manager Onboarding To Improve Knowledge And Confidence To Lead, Christine (Tina) K. Asiimwe

Doctor of Nursing Practice (DNP) Projects

Background: Primary care (PC) is increasingly the setting for affordable, coordinated, end-to-end patient care, with PC managers in charge of organizational performance. While PC managers are central to high-functioning teams, they often receive inadequate onboarding.

Local Problem: Primary care onboarding competes with other operational priorities and faces time constraints, lack of mentorship, and cost.

Context: At an integrated healthcare system, a need was identified to develop structured, role-specific onboarding for newly hired PC managers to improve knowledge and confidence to lead.

Interventions: Bauer’s Four Cs framework for onboarding guided the development of a manager onboarding program for 12 new PC …


Improving An Electrocardiogram Competency Assessment Tool For Registered Nurses, Laurel K. Ng Dec 2021

Improving An Electrocardiogram Competency Assessment Tool For Registered Nurses, Laurel K. Ng

Master's Projects and Capstones

Abstract

Problem: Rapid and accurate interpretation of an EKG rhythm is an advanced-level competency required for all acute care nurses working in a cardiac monitored/telemetry unit. Observational data collected over a 4-month period by the facility clinical nurse educators identified that less than half of the nurses required to take the EKG exam passed on the first attempt.

Context: The education department at the facility onboards approximately 550-600 nurses annually for the 241-bed community hospital in the San Francisco Bay Area of Northern California, part of a larger healthcare organization.

Interventions: A total of 19 nurses from various …


Manager Onboarding To Improve Retention, Knowledge, And Confidence To Lead, Christine Asiimwe Dec 2021

Manager Onboarding To Improve Retention, Knowledge, And Confidence To Lead, Christine Asiimwe

Doctor of Nursing Practice (DNP) Projects

Objective: The purpose of this paper is to review the literature on manager onboarding best practices and their impact on turnover intention, knowledge, and confidence to lead teams in primary healthcare settings.

Background: Primary care onboarding is often insufficient due to competing operational priorities, time constraints, lack of mentorship, and cost. With primary care increasingly the setting for affordable, coordinated, end-to-end patient care, primary care managers must be well-prepared to lead the care team.

Methods: A review of the literature identified best onboarding practices associated with job satisfaction and turnover, reduced time to proficiency, increased knowledge, and confidence to lead. …


How Can Stem Retention Rates At Bgsu Be Increased Both In And Out Of The Classroom?, Josalyn A. Coffee Dec 2021

How Can Stem Retention Rates At Bgsu Be Increased Both In And Out Of The Classroom?, Josalyn A. Coffee

Honors Projects

Previous research in STEM student retention rates showed a gap in knowledge regarding why this group of student experience higher rates of burnout than other groups of students. This study investigated the barriers STEM students at BGSU experienced. A survey was sent out to STEM and non-STEM students alike that asked questions regarding student’s personal history before attending BGSU, their course experiences at BGSU, and the levels of support they have outside of BGSU. The survey data showed that there was little difference in the rates that students switch majors solely based on being in the STEM field. The data …


Serving Our Students: Evidence-Based Sex Education Policies And Practices Needed In Ohio, Lily Mckenzie Rosenberg Dec 2021

Serving Our Students: Evidence-Based Sex Education Policies And Practices Needed In Ohio, Lily Mckenzie Rosenberg

Honors Projects

Ohio has very minimal state-wide sex education laws, requiring only venereal disease education that has many similarities with abstinence-only education. Abstinence-only education has been shown to be ineffective in delaying first sex and lowering teen STDs, pregnancy, and birth rates. When students receive ineffective (or no) sex education it can impact them in many ways, leaving them unprepared for sexual lives as adults. To analyze the state of sex education in Ohio, this paper will look at sex education throughout Ohio both in law and in practice. I will then explore the impact of these minimal sex education laws on …


Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon Dec 2021

Using A Social Support Group To Educate And Empower Immigrant Latina Women, Diana N. Rendon

Department of Occupational Therapy Entry-Level Capstone Projects

The purpose of this capstone project was to promote mental health education and access to vulnerable South Florida Latina Women. The original intent was to establish a program providing families with mental health education, including information about common mental illnesses, signs and symptoms, community resources, and the impacts on occupations. This capstone experience was conducted with the Magnolias Women's Support Group at Caridad Center, located in Palm Beach County, Florida. The focus areas of this capstone were advocacy, policy and program development, and administration. Furthermore, this capstone project was intended to promote health literacy for underserved populations, especially immigrant women.


Implementation Of Strategic Supports Into Coursework To Improve Notetaking Abilities And Overall Ota Student Success, Cheyenne M. Murphy Dec 2021

Implementation Of Strategic Supports Into Coursework To Improve Notetaking Abilities And Overall Ota Student Success, Cheyenne M. Murphy

Department of Occupational Therapy Entry-Level Capstone Projects

Notetaking is a widespread practice utilized by students to capture valuable information mentioned throughout lectures, readings, and other supplementary instruction. Practices of notetaking can vary based on educational level and the student’s ability to take notes throughout their educational career. More specifically, the ability to take strategic notes is recognized as an important skill needed in a higher educational setting in relation to a students’ overall success (Salame & Thompson, 2020). When examining the effect of notetaking, earlier studies focused solely on the practice and utilization of notetaking (Rahmani & Sadeghi, 2011). The objective of this culminating project is research …


Identifying Factors Impacting The Intention To Use Videos Of Authentic Patient Encounters By Ems Educators, Melisa Martin Dec 2021

Identifying Factors Impacting The Intention To Use Videos Of Authentic Patient Encounters By Ems Educators, Melisa Martin

Boise State University Theses and Dissertations

The cornerstones of prehospital provider education include didactic instruction, psychomotor skills training, and hospital and ambulance clinical rotations. Increasing enrollment in healthcare education programs, limited clinical opportunities, and an increasingly technologically savvy student body are compelling educators to pursue supplementary techniques for teaching and learning. Although high fidelity simulators are becoming increasingly commonplace, other educational technologies are less widely adopted. Concomitantly, little research has been conducted exploring rationale and motivating factors for adoption and utilization of technology by EMS educators. Videos of authentic patient encounters recorded in clinical settings (VAPE) have the potential to provide students an opportunity to learn …


Stress And Anxiety Experience Of Dental Hygiene Students, Kristen Ford Dec 2021

Stress And Anxiety Experience Of Dental Hygiene Students, Kristen Ford

Electronic Theses and Dissertations

The ETSU dental hygiene program is very competitive and rigorous for those admitted. Student dental hygienists may experience higher levels of anxiety and more stressors while completing their course work and clinical hours than they have previously experienced in general education and prerequisite courses. These increased number of stressors and higher levels of anxiety may have negative impacts on students’ academic performance and success in clinical learning environments. A better understanding of the actual need for a stress reduction and anxiety management curriculum will facilitate creating and implementing this type of curriculum. A total of 44 current ETSU dental hygiene …


Digital Divide In Monterey County, Vanessa Diaz Dec 2021

Digital Divide In Monterey County, Vanessa Diaz

Capstone Projects and Master's Theses

The Monterey County Health Department Planning, Evaluation and Policy (PEP) Unit's goals are to empower the community, enhance public health and safety, ensure access to care, and engage the workforce. MCHD encourages all employees to understand social justice and equity for low-income and communities of color. Understanding and addressing health inequalities and justice in the county can improve overall health for everyone. The digital divide during the COVID-19 pandemic impacted too many Monterey County residents. The lack of computer access, computer literacy, and internet access may have impacted vaccination rates and even delayed COVID-19 resources. Utilizing the Monterey County COVID-19 …


Arkansas School Nurses’ Opinions On How An Increase In Recess Time Has Affected Recess-Related Injuries, Delaney Henderson Dec 2021

Arkansas School Nurses’ Opinions On How An Increase In Recess Time Has Affected Recess-Related Injuries, Delaney Henderson

Health, Human Performance and Recreation Undergraduate Honors Theses

Arkansas passed Act 641 in April of 2019, which extended mandated recess time from 20 to 40 minutes per day in Arkansas public schools, and included recess as instructional time, making Arkansas the state with the most required recess time (Arkansas Unstructured Social Time in Schools Act, 2019). There is a standard consensus among developed countries that children and youth should accumulate a minimum of 60 minutes of moderate-to-vigorous physical activity (MVPA) every day (Parrish et al., 2013). Unfortunately, only about half of youth meet the current and evidence-based guidelines (Kohl & Cook, 2013). The opportunity for children and adolescents …


Effects Of Abstinence-Based Sexual Education Compared To Evidence-Based Sexual Education In K-12 Schools, Lily Probst Dec 2021

Effects Of Abstinence-Based Sexual Education Compared To Evidence-Based Sexual Education In K-12 Schools, Lily Probst

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: Historically, sexual education in the United States has been abstinence-based (ABSE), meaning that sexual education is centered around encouraging adolescents to abstain from sexual activity outside of wedlock. On the other hand, evidence-based sexual education (EBSE) includes abstinence in its curriculum but does not emphasize it, instead highlighting contraception and prevention strategies. Additionally, EBSE teaches adolescents about healthy relationships, attitudes towards sexuality, gender roles, and provides resources for sexual and reproductive health services. Supplying adolescents in K-12 schools with access to evidence-based sexual education may not only decrease teen pregnancy rates and incidence of sexually transmitted infections (STIs) but …


Covid-19 Masks In Terms Of Functional, Expressive, And Aesthetic Consumer Needs, Lily Highley Dec 2021

Covid-19 Masks In Terms Of Functional, Expressive, And Aesthetic Consumer Needs, Lily Highley

Apparel Merchandising and Product Development Undergraduate Honors Theses

The purpose of this study was to assess consumers' perspectives of COVID-19 masks under the functional, expressive, and aesthetic areas. Due to the COVID-19 pandemic, masks have become an “accessory” to everyday life, and it was essential to research masks under these unique areas and explore consumer perceptions.

This study took place after background research on the topic and the FEA model. The study included a survey sent to Bumpers College students upon approval from the IRB. The data was analyzed and interpreted specifically in the FEA areas and can be useful to better understand the students at the University …


The Impact Of Corporal Punishment For Timorese High School Graduates, Veronica Godinho Pereira Dec 2021

The Impact Of Corporal Punishment For Timorese High School Graduates, Veronica Godinho Pereira

Graduate Theses and Dissertations

This research examines the impacts of corporal punishment for Timorese high school graduates. Physical punishment is a pervasive method of disciplining students and children used in Timor-Leste because it has been such a tradition (UNICEF 2017). Few researchers have attempted to analyze the negative impacts of corporal punishment and possible gender differences; there is no known research on the impacts of corporal punishment in Timor-Leste. This study uses an in-depth interview method, where data were collected from 26 Timorese high school graduates composed of both men and women from both private and public schools in Timor-Leste. The ages of the …


Stress Among Ncaa Division Ii Head Coaches, Dee Gerlach Dec 2021

Stress Among Ncaa Division Ii Head Coaches, Dee Gerlach

Graduate Theses and Dissertations

The purpose of this quantitative study was to identify factors that create stress among head coaches at the National Association Athletic Association Division II level. Data was collected through a demographic questionnaire and the Coaching Issues Survey (CIS), a tool used to measure specific factors that may create stress among coaches. The factors of the CIS include four subscales: Athlete-Concerns, Time-Role, Program-Success, and Win-Loss. Participants (N=416) consisted of head coaches representing the following sports: baseball, men’s basketball, women’s basketball, men’s golf, women’s golf, men’s and women’s golf, softball, women’s tennis, and men’s and women’s tennis. The independent variables for this …


The Development, Short-Term Efficacy, And Pilot Implementation Of An E-Learning Course In Physical Activity And Sedentary Behaviour For Pre-Service Early Childhood Educators, Brianne Bruijns Nov 2021

The Development, Short-Term Efficacy, And Pilot Implementation Of An E-Learning Course In Physical Activity And Sedentary Behaviour For Pre-Service Early Childhood Educators, Brianne Bruijns

Electronic Thesis and Dissertation Repository

The overarching purpose of this dissertation was to develop an e-Learning course in physical activity and sedentary behaviour and test its short-term efficacy and implementation among pre- and in-service early childhood educators (ECEs). The Delphi approach was adopted for Study 1, wherein a panel of international experts in physical activity and sedentary behaviour suggested topics for the course and, together with a panel of ECE experts, rated their importance. Study 2 employed a pre-post design to explore the changes in pre- and in-service ECEs’ physical activity and sedentary behaviour-related knowledge, self-efficacy, behavioural intention, and perceived behavioural control following course completion. …


Education Effectiveness Of Recognizing Asymptomatic Bacteriuria In A Long-Term Care Facility, Xie Zhonghua, Lisa Ertman, Carole Jenson, Kimberly Langer, Kristi Petersen Nov 2021

Education Effectiveness Of Recognizing Asymptomatic Bacteriuria In A Long-Term Care Facility, Xie Zhonghua, Lisa Ertman, Carole Jenson, Kimberly Langer, Kristi Petersen

Nursing DNP Projects

This article presents the educational effectiveness of recognizing asymptomatic bacteriuria (ASB) in a long-term care facility using presentations and clinical pathways. Results indicate interventions are effective in identifying ASB but inconclusive of the number of inappropriate UA reductions.


Exercise Prescription Practices In University Counseling Centers: Testing The Information-Motivation-Behavioral Skills Model, A'Naja M. Newsome Nov 2021

Exercise Prescription Practices In University Counseling Centers: Testing The Information-Motivation-Behavioral Skills Model, A'Naja M. Newsome

USF Tampa Graduate Theses and Dissertations

The co-occurence of physical inactivity and poor mental health in the college student population can lead to chronic health issues that have negative short-term (e.g., academic success and weight gain) and long-term (e.g., obesity, serious mental illness, and premature mortality) impacts. Integrating exercise prescription into the mental health treatment plan of college students could enhance the holistic care model described by The American College Health Association (ACHA) and Healthy Campus task force. Understanding the knowledge, attitudes, and skills that mental health professionals (MHPs) hold regarding exercise prescription is important for policy formation and program development for college student health. The …


African American English-Speaking Children's Judgments Of Grammaticality: Effects Of Clinical Status And Grammatical Structures, Lori Elizabeth Vaughn Nov 2021

African American English-Speaking Children's Judgments Of Grammaticality: Effects Of Clinical Status And Grammatical Structures, Lori Elizabeth Vaughn

LSU Doctoral Dissertations

African American English (AAE)-speaking children’s ability to judge the grammaticality of sentences was evaluated by their clinical status and grammatical structure. The study originated from a need to understand more about the tense and agreement systems of AAE speakers with specific language impairment (SLI) relative to their typically developing (TD) AAE-speaking peers. Tense and agreement forms are typically excluded from the assessment and treatment of children who speak AAE in fear of misinterpreting a dialect difference as a language disorder. As a result, limited information exists about the tense and agreement systems of AAE-speaking children.

The data were archival and …


Self-Perceived Leadership Behaviors Of Collegiate Athletic Trainers And Strength And Conditioning Coaches: A Case Study, James Thomas Daley Nov 2021

Self-Perceived Leadership Behaviors Of Collegiate Athletic Trainers And Strength And Conditioning Coaches: A Case Study, James Thomas Daley

All Theses And Dissertations

The purpose of the case study was to examine the self-perceived leadership characteristics, behaviors, and communication styles of professionals within the pillars of the high-performance sport model, specifically athletic trainers, and strength and conditioning coaches, to gain perspective on their ability to influence student-athletes and colleagues at the NCAA DIII level. A qualitative case study format allowed the researcher to engage with a small sample of participants and explore the differences and similarities between the participant groups. Participants were selected based on their primary job title and setting at over 80 institutions of higher education that participate in NCAA Division …


Opioid Use Disorder: A Crisis Of Concern, Evangella Harville Nov 2021

Opioid Use Disorder: A Crisis Of Concern, Evangella Harville

Electronic Theses and Dissertations

According to a statement from the U.S. Centers for Disease Control and Prevention, between 2000 and 2017, approximately 700,000 people died from drug overdoses in the United States. Approximately 128 persons lose their life each day from an opioid overdose. The data for this study were collected by the vice president of operations at the study site from a preexisting database for 2019 and 2020. The participants were inpatient patients, 18 and older, both male and female, and were from all ethnicities. The study facility was located in Western New York and offered a 30-bed inpatient treatment center with 24-hour …


Troubling Service User Involvement In Health Professional Education: Toward Epistemic Justice, Stephanie Leblanc-Omstead Oct 2021

Troubling Service User Involvement In Health Professional Education: Toward Epistemic Justice, Stephanie Leblanc-Omstead

Electronic Thesis and Dissertation Repository

It has become increasingly popular in health professional education to solicit the contributions and involvement of people who have firsthand or ‘lived’ experiences of using mental health services – a practice hereafter referred to as service user involvement (SUI). SUI is founded on the premise that service users ought to be involved in the development and evaluation of services and systems they experience, which includes the education of future health professionals. Despite the momentum this practice has gained in a range of international contexts, SUI is often conceptualized, organized, and implemented uncritically, and with tremendous inconsistency across health professional education …


Attributes And Characteristics Of The Physician-Physician Assistant Organizational Leader Relationship, Victoria S. Louwagie Oct 2021

Attributes And Characteristics Of The Physician-Physician Assistant Organizational Leader Relationship, Victoria S. Louwagie

Graduate Dissertations and Theses

Purpose: The aim of this study was to evaluate and better understand the attributes and characteristics of the influential physician, the dual-roled physician assistant (PA)leader and how this relationship impacts the PA leader and the PA leader-physician relationship. These dual-role PA leaders may possess additional formal job titles and duties while also having direct reports.

Method: We surveyed PA leaders at a large academic medical center and its associated health system. The survey instrument evaluates perceptions, attitudes and characteristics of the PA leader, influential physician, and their relationship.

Results: There were 34/56 PA organizational leaders that responded to the survey …


Debriefing With Pearls & Watson’S Caritas, Heather A. Uccello Oct 2021

Debriefing With Pearls & Watson’S Caritas, Heather A. Uccello

Seton Hall University Dissertations and Theses (ETDs)

Debriefing, an important aspect of students’ clinical experience, is a reflective, critical thinking analysis and communication strategy that provides rapid feedback after either a simulated or genuine clinical event. To teach this higher-level critical thinking skill throughout the learning process, nursing programs require specific methodology and faculty expertise. The National League for Nursing supports nurse educators having a theory-based strategy, formal training, and ongoing competency evaluation. Informed by Jean Watson’s Theory and the Promoting Excellence and Reflective Learning in Simulation standardized debriefing tool methodology, this project outlines a framework that nursing schools can use to potentially improve the debriefing process …


Athletic Training Educators’ Perceptions Of Interprofessional Education And Educational Strategies Used To Infuse Ipe Within Athletic Training Programs: A Mixed Methods Approach, Christina Orozco Nevers Oct 2021

Athletic Training Educators’ Perceptions Of Interprofessional Education And Educational Strategies Used To Infuse Ipe Within Athletic Training Programs: A Mixed Methods Approach, Christina Orozco Nevers

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: As athletic trainers (ATs) educators and professionals we recognize the importance of preparing our students to practice as part of an interprofessional team and acknowledge that this training must begin while they are in the academy. Although there is lots of information about interprofessional education (IPE) in various other healthcare professions (HCPs), there is limited information about how AT educators are infusing IPE into the curriculum. To maximize the development of interprofessional teaming practices in healthcare we must first understand the most effective ways to infuse IPE in AT professional programs given how compact the curriculum is. Educators must …


The Holistic Self-Care Learning Experience Of Rn-To-Bsn Students: A Phenomenological Study Of Meaning And Value, Elaina C. Mahlan Oct 2021

The Holistic Self-Care Learning Experience Of Rn-To-Bsn Students: A Phenomenological Study Of Meaning And Value, Elaina C. Mahlan

Doctor of Education (Ed.D)

The health of the nursing workforce is a critical aspect of high-quality health care and community health promotion, but extensive research indicates that too many nurses neglect selfcare and suffer negative health outcomes. While nursing education must provide self-care learning experiences to improve the health of nurses, the value and influence of a learning experience must be interpreted from the learner’s point of view. The purpose of this phenomenological study was to elicit the personal value that RN-to-BSN students ascribed to a self-care learning experience within a holistic nursing course at a public university. The holistic nursing paradigm offers a …


The Effect Of Postpartum Depression Screening Education For Postpartum Nurses, Shecarra S. Cook Oct 2021

The Effect Of Postpartum Depression Screening Education For Postpartum Nurses, Shecarra S. Cook

Electronic Theses and Dissertations

Depression affects about 13% of pregnant women and about 10% of women after childbirth. Some cases are so severe, the mother may even commit suicide. If left untreated, postpartum depression (PPD) affects both the mother’s and the infant’s health as well as their quality of life. The gap in clinical practice is that currently, patients only complete a postpartum depression screening tool during their 6-week follow-up appointment with their OB/GYN, leaving a gap in PPD detection and care during the immediate postpartum period. Postpartum nurses are not usually given specialized training in postpartum depression. The purpose of this study was …


Police Officers' Perceptions Of The Law Enforcement Narcan Program And The Effectiveness In Fighting The Opioid Epidemic, James Russo Sep 2021

Police Officers' Perceptions Of The Law Enforcement Narcan Program And The Effectiveness In Fighting The Opioid Epidemic, James Russo

Seton Hall University Dissertations and Theses (ETDs)

Abstract

The purpose of this study was to investigate how police officers perceived the N.J. Narcan policy and standards in saving lives and deterring opioid use. This study also examined the impact of the law enforcement Narcan program in reducing the opioid overdose death rate. Participant interviews will be conducted, and thematic coding will be utilized to capture the dominant themes associated with the police officers’ perceptions of the N.J. Narcan policy and standards in reducing the opioid overdose death rate. Fifteen police officers will participate in the study, and their anonymity will be maintained to elicit transparent responses. This …


The Influence Of Cbct-Derived 3d-Printed Models On Endodontic Microsurgical Treatment Planning And Confidence Of The Operator, Shreyas Oza, Johnah C. Galicia Sep 2021

The Influence Of Cbct-Derived 3d-Printed Models On Endodontic Microsurgical Treatment Planning And Confidence Of The Operator, Shreyas Oza, Johnah C. Galicia

Orthodontics and Endodontics Theses

Aims Use of 3D printed models in Endodontics has been gaining popularity since the technology to create them became more affordable. Currently, there are no studies that evaluate the influence of 3D models on endodontic surgical treatment planning and on operator confidence. Therefore, aims of this study were to: (i) Determine whether the availability of a 3D printed analogue can influence treatment-planning and operator confidence; and, (ii) Assess which factors of operator confidence are influenced, if any.

Materials and Methods Endodontists were asked to analyze a pre-selected CBCT scan of an endodontic surgical case and to answer a questionnaire that …


A Transformative Journey: The Lived Experience Of Healthcare Learners Participating In Pain Management Education, Zoe A. Leyland Aug 2021

A Transformative Journey: The Lived Experience Of Healthcare Learners Participating In Pain Management Education, Zoe A. Leyland

Electronic Thesis and Dissertation Repository

There is little emphasis on pain management education for healthcare providers. In September 2019, the Master of Clinical Science (MClSc) program in Advanced Healthcare Practice at Western University in London, Ontario introduced a new, “Interprofessional Pain Management” (IPM) field. The program follows a competency-based framework, and the learners are all practicing healthcare providers with a special interest in pain. Part of the purpose of this thesis is to describe the process of development and implementation. The objective is to provide educators and healthcare providers an in-depth look at how the pain education is experienced. This includes exploring the lived experience …