Medicine and Health Sciences Commons^™

Goals Of Family Caregivers Of Persons With Dementia Across The Caregiving Career, Shalane R. Basque

Electronic Thesis and Dissertation Repository

Understanding goals of family caregivers of persons with dementia is critical to provide effective education and support. However, there is little understanding about family caregivers’ goals. This study investigated goals set by family caregivers prior to an education and training program and whether their goals varied across the caregiving career. Phases of the caregiving career were measured by relationship identity; the extent to which participants viewed their relationship in terms of familial and caregiver roles. Conventional content analysis on goals of 30 family caregivers yielded five categories which varied by relationship identity. Enhancing relationships reflected goals for the familial role …

Assessment Of Midwifery And Nursing Students’ Nutrition Competence In Ethiopia: A Cross Sectional Study, Endris Mekonnen Yimer, Firew Ayalew Desta, Kefyalew Muleta Akassa, Tadele Bogale Yitaferu, Mesfin Goji Abebe, Mebit Kebede Tariku, Hannah Gibson

International Journal of Health Sciences Education

Background: Malnutrition is a major public health problem in Ethiopia contributing to half of infant and child mortality. The 2014 mini Ethiopian Demographic and Health Survey revealed that four out of ten children under five are stunted, nearly one out of ten are wasted, and a quarter are underweight. One of the factors that contributed to the high stunting rate is the shortage of capable providers who are competent to provide nutrition services. The purpose of this study was to assess graduating midwifery and nursing students’ nutrition competence and explore the factors that influence their competence.

Methods: A cross-sectional survey …

Effects Of A Hospital-Wide Physician Communication Skills Training Workshop On Self-Efficacy, Attitudes And Behavior, Minna Saslaw, Dana R. Sirota, Deborah P. Jones, Marcy Rosenbaum, Steven Kaplan

Patient Experience Journal

Hospital systems interested in improving patient experience and physician engagement may look to physician communication skills training (CST) as a means of improving both. This study examines a 7.5-hour, multi-specialty, hospital-wide physician CST workshop in a large academic hospital system and its effects on participants’ self-efficacy, attitudes, and behaviors related to communicating with patients. Data was gathered from October 2014 through June 2016 through a web-based questionnaire sent to participants 6-weeks post-workshop which focused on skills taught in the course, attitudes toward communication training, and provider behaviors when communicating with patients. Along with demographic questions, a ten question retrospective pre-post …

Occupational Therapy Students In Norway: Do Their Approaches To Studying Vary By Year In The Program?, Tore Bonsaksen, Mikkel M. Thørrisen, Talieh Sadeghi

The Open Journal of Occupational Therapy

Approaches to studying may be influenced by students’ age, maturity, and experience in higher education. Students’ approaches to studying may develop toward deep and/or strategic approaches and away from a surface approach as they move through the curriculum, which is generally considered a positive development. This study aimed to identify differences in approaches to studying among first-, second-, and third-year students enrolled in an occupational therapy program. Three cohorts of students (n = 160) from one university college completed the Approaches and Study Skills Inventory for Students (ASSIST) along with sociodemographic information. One-way analyses of variance were used to …

Occupational Therapy Faculty Perspectives On The Use Of Telehealth As A Delivery Method For Healthcare Services, Holly Wasserman

All Theses And Dissertations

The use of telehealth for healthcare delivery is on the rise and is expected to increase due to the expansion of technological advances and the shortage of healthcare professionals to serve rural and remote communities. The use of telehealth by occupational therapists (OT) is relatively new, and it is unknown whether educational programs are adequately preparing OT students to practice in this context or if OT faculty members are adequately trained to deliver this content to their students. The purpose of this qualitative descriptive case study was to examine how faculty members teaching in a master’s level occupational therapy program …

An Exploratory Study On The Teaching Of Evidence-Based Decision Making, Erica Baarends, Marcel Van Der Klink, Aliki Thomas

The Open Journal of Occupational Therapy

Background: There is no clear guideline on how to teach students evidence-based decision making (EBDM), so this study aimed to assess the impact of an educational intervention on students’ EBDM skills.

Methods: This was an explorative mixed-method study of 12 undergraduate occupational therapy students and their teacher. The teaching was aimed at increasing self-efficacy and cognitive skills in EBDM. Semi-structured interviews were conducted to gather the students’ perceived learning benefits. Before and after the intervention, a self-efficacy questionnaire, a critical thinking test, and scored generic cognitive skills in an argument were used as measures of learning achievements. Content …

Entertainment-Education Videos As A Persuasive Tool In The Substance Use Prevention Intervention "Keepin' It Real", Youngju Shin, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger

Communication Faculty Articles and Research

Based on social cognitive theory and narrative engagement theory, the current study examined hypothesized indirect effects of engagement with keepin’ it REAL (kiR) curriculum entertainment–education (E–E) videos on youth alcohol use via youth drug offer refusal efficacy. Students in 7th grade (N = 1,464) at 25 public schools in two Midwestern states were randomly assigned to one of the two versions of the kiR curriculum, the kiR urban version and the kiR rural version. Each version had their own set of five culturally-grounded E–E videos depicting communicative skills to refuse drug offers. Differential effects for engagement components …

Effect Of Implementation Of Simulation On Critical Thinking Skills In Undergraduate Baccalaureate Nursing Students, Joanne M. Knoesel

Dissertations, Theses, and Capstone Projects

Human patient simulation (HPS) is a time and cost intensive teaching modality that is used widely in nursing education, and has been implemented with little evidence to support its efficacy (Jeffries & Rizzolo, 2006). Researchers note the lack of reliable tools to measure learning using this teaching modality, and consequentially there is a paucity of research linking critical thinking and simulation (Jeffries, 2007; Kneebone, 2003; Nehring, 2008). Nursing clinical decision making affects patient outcomes. Critical thinking is a key factor in clinical decision making. A review of the relevant literature is equivocal on the use of simulation in undergraduate nursing …

Pilot Test Of Communication With A ‘Rapid Fire’ Technique, Desiree A. Díaz, Candace Pettigrew, Christine Dileone, Meredith Dodge, Deborah Shelton

Journal for Evidence-based Practice in Correctional Health

Abstract

An innovative communication training technique, ‘Rapid Fire’, was created to enhance communication and was incorporated into the debrief component of a simulation designed for correctional nurses to promote learning and engagement. The term ‘Rapid Fire’ was used to expose the critical time element that appears in the first five minutes of many crisis situations, where a quick relay of information and problem solving is essential; such as in a cardiac arrest or other rapidly deteriorating patient situations. This technique consists of a five-minute session prior to the structured debrief. During the ‘Rapid Fire’ portion of the debrief, all learners …

Public Schools, And Health Care: A Strategy To Promote Social Inclusion, Jana Sladkova, Anahi Viladrich, Nicholas Freudenberg

Occasional Paper Series

Sladkova, Viladrich, and Freudenberg refer to “social inclusion” as the process through which the newly arrived find their voice in an already complex, cacophonous society. They describe an approach to social inclusion for adult immigrants that melds learning English at the same time as learning to negotiate our often-Byzantine health care system. They highlight programs that work and a new perspective on how to maximize the effectiveness of limited adult education opportunities.

Coming To The New D.A.R.E.: A Preliminary Test Of The Officer-Taught Elementary Keepin’ It Real Curriculum, L. Edward Day, Michelle Miller-Day, Michael L. Hecht, Desiree Fehmie

Communication Faculty Articles and Research

The present study reports a preliminary evaluation of D.A.R.E.’s new elementary school keepin’ it REAL substance abuse prevention program. Given the widespread dissemination of D.A.R.E., this evaluation, even though of short term effects, has important implications for national prevention efforts. The new prevention curriculum teaches social and emotional competencies such as decision making and resistance skills. Social and emotional competencies and other risk factors were examined among students (N = 943) in 26 classrooms, 13 classrooms in the treatment condition (n = 359) and 13 classrooms in the control condition (n = 584) using a quasi-experimental matched group design. Pretest …

Analysis Of Graded Gross Anatomy Dissections And Demonstrations As A Supplemental Educational Tool, Stephanie Leanne Cummings

Theses & Dissertations

Teaching and assessment modalities for human anatomy curriculums vary between schools. The University of Nebraska Medical Center utilizes an integrated gross anatomy lab curriculum including hands-on dissection, lecture, and 3-D models. The GCBA 909 course, Human Gross Anatomy Lab, just recently incorporated graded dissections and demonstrations into their master of medical anatomy (MMA) curriculum. Students were required to complete and demonstrate eight additional dissections compared to physician assistant (PA), physical therapy (PT) students. Upon completion of these dissections, students were assessed based on the quality of their dissections and were also required to demonstrate the cadaveric dissections to anatomy faculty …

Evaluation Of An E-Portfolio Pilot Streamlining.Docx, Carrie Smucker

Deborah Bambini

Are Students Competent? Methods Of Assessing Bachelor Of Social Work Student Competence, Amber L. Bailey-Residori

Scholar Week 2016 - present

Author Abstract:

Higher educational institutions must demonstrate that their Bachelor of Social Work (BSW) students are competent prior to graduation. There are conflicting studies regarding the reliability of field instructor, faculty, and students’ self-assessment. The purpose of this study was to examine the consistency of how field instructors, faculty, and students assessed social work students' competence across three academic years. This quantitative research study examined historical data from one Midwestern University where students, faculty, and field instructors rated students’ competence in the last semester of their senior year using the Council on Social Work Education’s (CSWE) 13 core competencies (2.1.1-2.1.10d). …

Improving New Graduate Critical Care Nurse Practitioner Knowledge And Retention Using A Dedicated Orientation And Mentoring Program, Katherine Huffer

Dissertations

Abstract

Background: There has been a significant amount of research into the many challenges that nurse practitioners (NPs) face as they transition from school to practice, however, there is limited research on how to improve this transition. Regardless of the setting in which the NPs are working, novices NPs alike report feelings of being unprepared and experiencing high levels of stress, anxiety, fear, and frustration. New research suggests that a comprehensive NP orientation and residency programs may provide a way to integrate the new NPs into their practice environment successfully.

Method: Kern’s Six Step Approach to Curriculum Development for Medical …

Exploring Self-Efficacy And Anxiety In First-Year Nursing Students Enrolled In A Discipline-Specific Scholarly Writing Course, Kim M. Mitchell, Tom Harrigan, Torrie Stefansson, Holly Setlack

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: Very few studies measuring writing self-efficacy or anxiety in undergraduate nursing students exist in the education literature. The purpose of the present investigation was to identify if changes to writing self-efficacy and writing anxiety will occur in first-year baccalaureate nursing students who are exposed to a discipline-specific scholarly writing course employing scaffolding strategies as the primary instructional method. Concurrently, this study was the pilot test for a new measure assessing writing self-efficacy, The Self-Efficacy Scale for Academic Writing.

Method: A one-group pre-test/posttest design was employed. Sixty-four (64) paired questionnaires were available for analysis. Bandura’s self-efficacy theory and a scaffolding …

Many Hands Make Light Work: Crowdsourced Ratings Of Medical Student Osce Performance, Mark Grichanik

USF Tampa Graduate Theses and Dissertations

Clinical skills are often measured using objective structured clinical examinations (OSCEs) in healthcare professions education programs. As with assessment centers, it is challenging to provide learners with effective feedback due to burdensome human capital demands. The aim of this dissertation was to evaluate the viability of using a crowdsourced system to gather OSCE ratings and feedback. Aggregating evaluations of student performance from a crowd of patient proxies has the potential to mitigate biases associated with single-rater evaluations, allow the patient a voice as the consumer of physician behavior, improve reliability, reduce costs, improve feedback latency, and help learners develop a …

Competency Development In Community-Based Occupational Therapy, Sunny R. Winstead

All Theses And Dissertations

The aims of this study were: a) to discover which strategies community-based occupational therapists (OTs) find most effective for developing the competencies that have been identified as unique to community-based occupational therapy (OT) practice, b) to examine respondents’ perceptions of the effectiveness of their academic training and of current professional development resources, and c) to explore respondents’ suggestions for improving academic training and continuing education for OTs in community-based practice. Data collection was completed using an electronic survey that targeted members of the American Occupational Therapy Association who have experience in community-based OT. The survey was completed by 81 OTs …

Investigating Personality Traits Of Registered Nurses: Implications For Personnel Evaluation, Stephanie N. Means

Dissertations

The United States is currently facing a registered nurse (RN) shortage that is expected to reach the millions in the next few years. Since the beginning of the century, healthcare professionals and administrators have strived to develop and implement ways to increase recruitment and retention in the nursing field. It has been recognized that the key to recruitment and retention is to get the right nurse in the right place, which means focusing on clinical proficiencies as well as personality qualities and characteristics. Personality assessment has long been used to evaluate person-job (P-J) fit of applicants for positions across the …

Is The Effectiveness Of Lecture Capture Related To Teaching Approach Or Content Type?, Jared A. Danielson, Vanessa Preast, Holly Bender, Lesya M. Hassall

Lesya Hassall

The purpose of two related studies was to explore the relationships between course characteristics (teaching approach, content type, and level of curricular coordination), lecture-capture implementation, and learning in a veterinary medical education environment. Two hundred and twenty two students and 35 faculty members participated in the first study, which surveyed respondents regarding their perception of lecture-capture use and impact on learning. Four hundred and ninety one students participated in the second study, which compared scores on a standardized test of basic science knowledge among groups experiencing various levels of lecture-capture implementation. Students were most likely to view captured lectures in …

Awareness And Use Of Electronic Health Records In Entry-Level Occupational Therapy And Occupational Therapy Assistant Curricula, Louis F. Dmytryk, Tina M. Deangelis

The Open Journal of Occupational Therapy

The Accreditation Council for Occupational Therapy Education (ACOTE) requires programs to instruct entry-level occupational therapy (OT) and occupational therapy assistant (OTA) students in technology that may include electronic documentation systems, distance communication, virtual environments, and telehealth (standard B1.8). At this time, there are no publications describing if and how electronic health record (EHR) instruction is implemented in entry-level OT and OTA programs. The purpose of this study is to investigate awareness and use of EHRs in entry-level OT and OTA curricula. Respondents from 76 nationally accredited entry-level programs (two OT doctoral, 24 OT masters, two OT combined bachelors/masters, and 48 …

Concussions And Student Sports: A 'Silent Epidemic', Susan C. Davies, Charles J. Russo, Allan G. Osborne

Charles J. Russo

An issue that has gained attention concerns concussions among student–athletes in elementary and secondary schools. In fact, in light of the “silent epidemic” of concussions among student–athletes, in the six month period ending in August of 2011, the number of states that enacted statutes on concussion management jumped from eleven to thirty–one and the list of jurisdictions with laws in place continues to grow.

Based on the significance of concussion management, the remainder of this article is divided into two sections. The first part of the article examines the background on concussions while the second offers recommendations for concussion management …

Role Emerging Placements In Undergraduate Occupational Therapy Training: A Case Study, Martin Fitzgerald, Abigail Kate Smith, Nazman Rehman, Michelle Taylor

Internet Journal of Allied Health Sciences and Practice

Purpose: Role-emerging placements in occupational therapy training are contributing to professional and workforce development because of their strong occupational focus and placement of students in emerging practice. This manuscript explores how one role-emerging placement challenged and developed student theoretical and clinical skills, presented new ways of working at the recipient site, and enhanced service delivery. Methods: The background to role-emerging placements in occupational therapy is explored through the use of a case study which reflects on and analyses how the assessment and treatment of occupation enhanced service delivery at a local, non-traditional site. Eight students in England developed and …

Reframing Health Professions Leadership Education, Courtney E. Vannah

CETL Mini-Grant Research Papers

As leadership training becomes more common in allied health professions curricula, efforts must be made to tailor training to student need. As such, understanding the frames through which health professions students view leadership is essential. According to Bolman and Deal, there are four leadership frames (human resource, structural, symbolic and political) and although most people access most readily one frame or another, the most effective leaders are able to access all four frames. This study describes what leadership frame(s) preference exists among an allied health professions student population in order to alert educators that frame preferences do exist so as …

College Of Health Professions Annual Assessment Report 2016-2017, College Of Health Professions

News, Magazines and Reports

The College of Health Professions (CHP) Assessment Plan was developed in the spring of 2016 to assess the CHP student learning outcomes (SLOs) which were developed and approved in the spring 2015. The student learning outcomes were developed based on the CHP mission statement and core values. The mission statement, core values, and student learning outcomes are included on the CHP website.

Standardized Critical Thinking Tests As A Predictor Of Success In Nursing Programs, Jaimee Kastler Kastler

Walden Dissertations and Doctoral Studies

High attrition rates and a nursing shortage across the nation have led schools of nursing to seek out ways to better identify which applicants will be most successful in graduating from the nursing program and passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Nursing programs have historically included standardized entrance exam scores and prerequisite scores among their admission criteria but have not used standardized critical thinking assessments (CTA), even though critical thinking is an integral part of being a successful nursing professional. Using Astin's input-environment-output (I-E-O) model, the purpose of this retrospective correlational study was to determine whether …

Improving The Quality Of Nursing Documentation In Home Health Care Setting, Chidiadi Obioma

Walden Dissertations and Doctoral Studies

Poor nursing documentation of patient care was identified in daily nurse visit notes in a health care setting. This problem affects effective communication of patient status with other clinicians, thereby jeopardizing clinical decision-making. The purpose of this evidence-based project was to determine the impact of a retraining program on the quality of documentation of patient care in nurses' notes in a home health agency in central Texas. A retrospective audit of quality of nursing documentation using the Nurse and Midwifery Content Audit Tool (NMCAT) was done. A pre- and posttest design was used. A convenience sample of de-identified nurses' notes …

The Development And Validation Of A Novice Nurse Decision-Making Skills Education Curriculum, Joanne Stephanie Simmons

Walden Dissertations and Doctoral Studies

Novice nurses (NNs) are entering critical care environments with limited knowledge, skills, and decision-making expertise. They are expected to care for complex patients in a dynamic healthcare setting. The research question for this project examined whether NNs improve their knowledge and skills by participating in a nursing decision-making skills curriculum. The purpose of the project was to develop and validate a nursing decision-making skills education curriculum working in an intermediate critical care unit. Taba's instructional theoretical model was used to guide the new curriculum development along with current evidence based practice found in the current literature. Scaffolding approach theory encouraged …

Educating To The Collaborative Care Model, Darcy N. Duncan

Walden Dissertations and Doctoral Studies

The problem addressed in this project was the lack of experienced RNs needed in the acute care setting to deliver safe, quality patient care, while effectively managing resources and providing job satisfaction. The purpose of this project was to determine if an education module designed to educate charge and rover nurses on the Collaborative Care Model (CCM) would enhance staff nurses' abilities to provide safe, high quality care to patients, and improve staff nurse retention on one unit in an acute care setting. The theoretical frameworks utilized to guide the education module included: Lewin's theory of planned change, Benner's novice …

Is Feedback To Medical Learners Associated With Characteristics Of Improved Patient Care?, Victoria Hayes, Robert Bing-You, Kalli Varaklis, Robert Trowbridge, Heather Kemp, Dina Mckelvy

Maine Medical Center

Our Research Question: "What is the association of medical learner feedback with characteristics of improved patient care?"