Medicine and Health Sciences Commons^™

Applying The Nominal Group Technique For Specifying The Interacting Dimensions Affecting Adherence To Post–Sharps Injury Follow-Up Services, Abdullah Aliff Abdul Wahab, Rosnah Ismail, Asnarulkhadi Abu Samah, Noor Dalila Inche Zainal Abidin, Nurul Asyikin Mustaffa, Halim Ismail

The Qualitative Report

Scale of adherence to post–sharps injury follow-up services among healthcare workers is uncommon compared to medication adherence scale. To develop a novel and culturally adapted scale, stakeholders should be consulted to specify dimensions by deducing it from the existing framework. This study was to demonstrate how health stakeholders were consulted to specify the dimensions.

This study employed two sessions of Nominal Group Technique. Each session consisted of 12 purposive-sampled mixed participants i.e., healthcare managers and providers. A four-step sequential protocol was used for collecting participants’ key ideas on what adherence factors in post–sharps injury follow-up services: silent idea generation, round-robin …

Perceptual Fatigability And Neuromuscular Responses During A Sustained, Isometric Forearm Flexion Muscle Action Anchored To A Constant Level Of Perceived Exertion, Robert W. Smith, John Paul V. Anders, Tyler J. Neltner, Jocelyn E. Arnett, Joshua L. Keller, Terry J. Housh, Richard J. Schmidt, Glen O. Johnson

Journal for Sports Neuroscience

Objective: The purpose of the present study was to examine the fatigue-induced changes in torque, and the electromyographic (EMG) and mechanomyographic (MMG) responses during a sustained submaximal, isometric forearm flexion muscle action anchored to a constant rating of perceived exertion (RPE). Methods: Eleven women (mean ± SD: age = 20.5 ± 1.9 yrs.; height = 169.9 ± 6.6 cm; body mass = 73.2 ± 15.9 kg) performed 2, 3s forearm flexion maximal voluntary isometric contractions (MVIC) before a sustained isometric muscle action anchored to RPE = 7 until task failure (defined as torque that would require RPE > 7, or the …

Feasibility And Acceptability Of A Pilot Knowledge Translation Telementoring Program For Allied Health Professionals, Ingrid J. Hickman, Ashley E. Cameron, Prue Mcrae, Shelley A. Wilkinson, Maxine O'Brien, Samantha Kozica-Olenski, Adrienne M. Young

Internet Journal of Allied Health Sciences and Practice

Purpose: Knowledge translation (KT) in the health system is critical for the delivery of evidence-based practice. Supporting allied health professionals to plan and implement KT, using strategies that broadly reach across multiple geographical locations of the workforce, are needed. We piloted KT group telementoring via videoconference as an innovative solution to support and empower a vastly dispersed workforce.

Methods: The 6-month Knowledge Translation Support Service (KTSS) involved monthly, one-hour, virtual group-based support of clinician-led KT projects within state-run hospital and health services. Supported by an independent facilitator, a panel of KT experts and health service leaders provided constructive critique and …

Assessing A Novel Adaptation To Cci Devices To Model Human Mild Traumatic Brain Injury, William R. Kochen, Kristen Craven, Rachel E. Barkey, Jane M. Flinn, David D. Cerri

Journal for Sports Neuroscience

Background: Traumatic Brain Injuries (TBIs) are a health crisis with over a million people suffering injuries each year in the United States. The majority of TBIs are mild injuries which often produce no period of unconsciousness and no gross damage to the brain or skull. A range of TBI animal models exist but many produce injuries too severe to characterize as mild. One TBI induction method commonly used is Controlled Cortical Impact (CCI) devices.

New Method: The purpose of this study is to assess a novel adaptation to CCI devices that allows for the induction of mild injuries that …

Athletic Trainers’ Perceptions And Frequency Of Use Of Health Care Core Competencies, Daniel C. Waterman Jr, Cailee E. Welch Bacon, Julie M. Cavallario, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Core competencies (CCs) have been standard for all health care professions since 2001 but have only recently been integrated into professional-level education in athletic training. Currently, there is no research showing perceptions or frequency of use in various subgroups of athletic trainers based on experience. Method: We evaluated athletic trainer (AT) perceptions and frequency of use of CCs and perceived preparedness by professional-level education. A cross-sectional web-based survey was completed by 644 clinically practicing ATs. The survey included demographics (5 items), perceived use for CCs (22 items), perception of educational preparedness (6 items), and perceived frequency of use within …

Simulation-Based Learning: From Learning Theory To Pedagogical Application, Sarah Ross

Internet Journal of Allied Health Sciences and Practice

Simulation is a powerful learning tool, but being powerful requires understanding and incorporating sound educational learning theory and pedagogical practices into the design and implementation. Unfortunately, current research and publication related to simulation show limited evidence of integration of educational theory. While articles may reference learning theories in introductions or literature reviews, there is little evidence of these theories being integrated into the conceptual framework, research, or simulation-based learning event design. The purpose of this article is to highlight four learning theories that are most commonly integrated into simulation-based learning activities and how they can be specifically and practically applied …

Collegiate Athletic Trainers’ Experiences Planning For Return-To-Sports During Covid-19: A Qualitative Research Study, Eric G. Post, Justin S. Disanti, Christianne M. Eason, Hayley J. Root, Thomas E. Abdenour

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to explore the role of intercollegiate head athletic trainers in the process of planning to resume sport, as well as their experiences across the course of the pandemic to identify key strategies, challenges, and future considerations during the Covid-19 pandemic. Method: This exploratory, descriptive qualitative study was conducted via one-on-one semi structured interviews through the Zoom video conference technology. Twenty-four head athletic trainers across NCAA Division I, II, and III institutions participated in the study. Results: Emerging themes included the development of detailed, institution-specific plans with shared elements such as policies for testing …

Effects Of Anaerobic Exercises On Cardiac Workload, Peripheral Resistance, And Lipid Index In Grade-I Hypertensive Young Adults, Ali Farhad, Sumaira Farooqui, Batool Hassan

Internet Journal of Allied Health Sciences and Practice

Purpose: Hypertension is the leading preventable risk factor for various cardiovascular diseases. With the soaring prevalence globally, there is a need to identify the non-pharmacological management for the maintenance of blood pressure. Hence this study is aimed to determine the impact of an-aerobic exercise in grade-I hypertensive young adults. Methods: A total of 92 participants were recruited from the OPD of a tertiary care hospital between the periods of 11 months (August 2017-June 2018) and were allocated in an anaerobic and aerobic group. The intervention was given based on ACSM, FITT protocol for 8 weeks. The pre- and post-systolic blood …

Impact Of Pro Bono Clinic On Attitudes, Beliefs, And Confidence Towards Cultural Competence In First-Year Doctoral Physical Therapy Students, Scarlett Morris, Ruiping Xia, Troy Klaassen, Trey Johnson

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural competence is an essential skill for healthcare providers in our increasingly ethnically diversified society. There is an unmet need for educating future culturally competent physical therapists. The purpose of this study was to investigate the impact of pro bono clinic on cultural competence in first-year doctoral physical therapy students. Method: Forty-two participants completed a survey before and after attending three individual sessions of mentored pro bono clinical experiences during their first semester. The survey assessed participants’ attitudes and beliefs (Part I), and self-perceived level of confidence (Part II) towards cultural competence. Wilcoxon signed-rank tests were performed. Results: The …

Athletic Trainers’ Hand Hygiene Behaviors During The Covid-19 Pandemic, Olivia Jackson, Matthew J. Rivera, Kenneth E. Games, Lindsey E. Eberman

Internet Journal of Allied Health Sciences and Practice

Purpose: Hand hygiene (HH) is a cost-effective public health intervention to prevent infectious disease transmission, including COVID-19. Health care professionals have shown poor adherence to HH best practices, and little is known about athletic trainer (AT) HH. ATs typically work in dynamic, unpredictable environments, creating barriers to HH compliance. The purpose of this study was to understand the self-reported behaviors and challenges with adherence to HH of secondary school ATs, particularly related to mitigating infection transmission during the COVID-19 pandemic. Methods: In this qualitative study, we conducted 11 semi-structured interviews with secondary school ATs actively engaged in direct patient care …

A Student Physical Therapist’S Perspective On Her Efficacy Providing Culturally Competent Care: A Reflective Case Study, Anna S. Kelly, Deborah M. Wendland

Internet Journal of Allied Health Sciences and Practice

Purpose: Cultural differences and personal biases can affect the way a clinician provides care and the way in which patients receive it. The Commission on Accreditation in Physical Therapy Education (CAPTE) designates cultural competence as one of the professional practice expectations for physical therapy students, although no standardized blueprint exists for Doctor of Physical Therapy (DPT) programs. This case report will illustrate how reflection can be used to facilitate a student’s growth into becoming more prepared to practice in a culturally aware and effective way. In addition, this report seeks to provide a student’s perspective on her efficacy providing culturally …

The Impact Of #365papers: A Daily Scientific Twitter Campaign To Disseminate Exercise Oncology Literature, Kendra Zadravec, Sarah Weller, Logan Meyers, Kirstin Lane, Jeffrey Kong, Kristin L. Campbell

Internet Journal of Allied Health Sciences and Practice

Purpose: Many health researchers and practitioners use Twitter to stimulate scientific dialogue and collaboration among peers, as well as the general public. In 2018, the Clinical Exercise Physiology Lab (CEPL) undertook a year-long scientific Twitter campaign (#365Papers) where one peer-reviewed publication related to cancer and exercise/physical activity was tweeted per day. Features of this campaign included Throwback Thursdays (selected article published before 2018) and guest tweeters (article chosen by other exercise oncology researchers). We report on the impact of the #365Papers campaign based on Twitter Analytics data (i.e., engagement rate). We also explore how engagement rate differed depending on publication …

Implementing Strategies For Strengthening Australia’S Rural Allied Health Workforce, Catherine Cosgrave

Internet Journal of Allied Health Sciences and Practice

Purpose: In many rural places, health services struggle to maintain an adequate health workforce to meet their communities’ health care needs. Shortages of allied health professionals are of particular and growing concern. To address this challenge, a two-year Whole-of-Person Retention Improvement Project was developed involving a research partnership with two rural public health services in Victoria, Australia. This project was informed by the author’s Whole-of-Person Retention Improvement Framework (WoP-RIF), aimed to produce new knowledge for rural health services to attract, recruit, and improve the retention of allied health professionals. A set of evidence-informed and contextually relevant recommendations were made in …

Building Heath Research Capacity: The Impact Of A United Kingdom Collaborative Programme, Koser Khan, Ana Porroche-Escudero, George Georgiou, Jennie Popay

Internet Journal of Allied Health Sciences and Practice

Purpose: Strengthening research capacity (RC) amongst health professionals has both organisational and individual benefits. It can increase the quality of research and support the transfer of evidence into practice and policy. However there is little evidence on what works to develop and strengthen RC. This paper contributes to the evidence base by reporting findings from an evaluation of a programme that aimed to build capacity to use and do research amongst NHS and local authority organisations and their staff in a large english research partnership organisation. Methods: The evaluation used multiple qualitative methods including semi-structured interviews, focus groups and workshops …

Clinician Productivity During Student Full Time Clinical Experiences, Jamie Dehan, Michele Avery, Trevor Elmer, Yvonne Colgrove

Internet Journal of Allied Health Sciences and Practice

Purpose: Clinical education is an essential part of physical therapy education. Clinicians who provide student clinical training have the primary responsibility of patient care and meeting their job demands including meeting productivity standards. Adding a student to the mix is often perceived as negatively impacting productivity. The purpose of this study is to examine the impact on clinician productivity in direct patient care while hosting a student for a clinical experience. This study (a) investigates differences seen when hosting a DPT student or a PTA student; (b) compares differences seen influenced by which curricular stage the student is in for …

Kinematic Analysis Of A Series Of Jumps In First Position In Professional Ballet Dancers, Jessica Smith, Kevin Robinson, Pat Sells

Internet Journal of Allied Health Sciences and Practice

Purpose: Few ballet-specific studies in the literature examine kinematics during dance activities. Sports studies have identified injury risk in athletes by observing kinematics during specific activity, but this has not yet been explored for ballet. Evaluating kinematics in dancers has the potential to identify injury risk and influence treatment for prevention and rehabilitation. Therefore, the purpose of this study was to examine the landing kinematics of professional ballet dancers during a series of 16 ballet-specific jumps. Methods: This study was a multi-factor repeated measures design. Participants (3 males, 16 females aged 19-33 years; first or second company members) performed 16 …

Intensive Robot-Assisted Gait Training In Individuals With Chronic Spinal Cord Injury: Case Series From Saudi Arabia, Naif Alraddadi, Sanaa Madi

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this study was to report whether intensive body weight-supported treadmill training with a robotic exoskeleton could improve over-ground functional mobility in individuals with chronic spinal cord injury and to investigate its feasibility and safety. Methods: This was a case series design. Two male individuals with chronic (> 1 year since injury) spinal cord injury (SCI) were included in this study. All subjects underwent intensive gait training sessions 5 times per week using exoskeleton for 12 weeks with a total of 60 sessions. The duration of the session was 60 minutes, including the installment of the HAL, …

Short-Term Service-Learning: Implications For Preparing Health Science Students For Practice, Tamara Lemmonds, Jamie Adam, Elena Wong Espiritu, David K. Wyant

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this paper is to examine students’ self-reported learning outcomes following participation in collaborative interprofessional service-learning experiences through the qualitative analysis of participants’ written, guided critical reflections. Method: Participants responded to guided reflection questions pre and post trip. The four pre-trip open-ended reflection questions included: what the students expected or hoped to learn, how they expected to learn this, the importance of this learning for their career skill development and how this learning could be used in the future. Upon completion of the service-learning experience, students were asked the same questions with slight variation- What did they …

Gout: Current Considerations, Alexandria Fappiano, Wilson Crone

Internet Journal of Allied Health Sciences and Practice

Gout is a treatable chronic inflammatory condition that can cause severe joint pain and disfigurement. Commonly, it affects the first metatarsophalangeal (MTP) joint as a monoarticular process. It is typically caused by hyperuricemia and genetic mutations of the uricase gene. Gout is definitively diagnosed with the presence of negative birefringent needle-shaped crystals in the synovial fluid of the affected joint. Classically, seafood and alcohol are risk factors for developing gout. However, given current population trends, obesity is another major risk factor. While weight loss is the best conservative management, medications can also be used to manage gout. The treatment is …

Clinical Wellness Coaching: A Brief Assessment Of The Development, Implementation, And 3-Year Experiences Of Interns In A Graduate Certification Program, Marion W. Evans Jr., Melissa Cox, Melika Forooshani

Internet Journal of Allied Health Sciences and Practice

Purpose: Mississippi is one of sickest states according to national assessments and ranks 49^th for overall health outcomes. In addition, Mississippi is the most overweight and obese state, the least physically active state, and ranks second in adult hypertension. This paper reviews the development and three-year assessment of a novel wellness coaching program developed at one southeastern university in a partnership with a foundation whose primary interest was to see more wellness and lifestyle coaching offered in primary medical clinics in the state. Methodology: A model for training graduate students in wellness coaching was envisioned and interdisciplinary training model …

Balance, Nafisa Choudhury

be Still

As the COVID-19 pandemic grew into a frightening monster to be reckoned with, medical professionals throughout the world had to address a question within themselves: where does the balance lie between our duty to heal and our personal obligations for our individual health and safety?

As personal protective equipment shortages, long work hours, and hospital overflow wreaked havoc on the medical systems nationwide, doctors, nurses, and other medical personnel were plunged into uncertainty and were almost wholly unsupported in this ethical dilemma. Our duty to treat and our obligation to treat the community around us does not often directly conflict …

Rhythm, Divy Mehra

be Still

While clinical medicine is an intellectual creative art form, surgery is a performance art form. The composure, precision, grace, focus, and command needed to execute a procedure to perfection is not so different from that which is needed to execute a musical performance. The parallels are magical.

Seesaws And Spheres, Samantha Sostorecz

be Still

No abstract provided.

The Tight Rope Walk Of A Medical Student, Bhargavi Madhu

be Still

When I think of Balance, I thought of my life as a medical student. It is similar to a tight rope walk where we are walking the line of medical school, aspiring to become physicians while trying to balance school, a family life, hobbies and eventual work life. It is important to find the right balance in order to not face burn out, something that is seen all too often amongst medical professionals.

Above Water, Vania Arboleda

be Still

After a trial and error period, I understood that balance is not about absolute control but of continuous inspiration.

ABOVE WATER represents my balancing act during my first year in medical school while going through the Covid-19 pandemic. It has been hard not to lose pieces of myself in these tumultuous times, especially when there is so much to learn and so little time. I turned to my loved ones to bring me light and joy. To be those shades of color that I had lost. I painted ABOVE WATER as a reminder of how I got here and why …

Teamwork In Medicine, Ananna Kazi

be Still

This photograph demonstrates a group of medical students participating in a team building activity of stabilizing a balance board. A few of the students had their eyes closed while other helped them navigate their ways. This activity prompted the students to work as a team to complete the activity successfully and efficiently. In the middle of the COVID-19 pandemic, this fun activity not only taught the students the importance of teamwork to have a balance at work, but also gave an opportunity to be emotionally balanced, away from work and studies.

Eustress, Becky Li

be Still

Medical school proved to be one of the most challenging times for me to find balance. This past year in clinical rotations is when I especially found myself teetering to an higher degree of stress as I found myself overthinking and questioning my competence. Now having overcome the peak of this challenge, this composition serves as a snapshot and reflection of one of the most challenging but rewarding times.

Journaling: A Practical Approach, Taniszahera Momin

be Still

No abstract provided.

Balancing Medical School With Life, Katie Lamar

be Still

A poem about the trials of work life balance in medical school.

Balance And Baking, Idarabasi E. Akpan

be Still

The piece is a personal perspective of how engaging in hobbies can help one find balance and peace. It is about discovering my love for baking and how baking has shaped my life as a person and a medical student. Baking puts me in a somewhat meditative state that grounds me and makes me feel connected to the world at large and to my needs in particular.