Medicine and Health Sciences Commons^™

Mental Health In U.S. Schools: Problems, Interventions, And Future Directions, Emma Rumpf-Snavely

Journal of Critical Issues in Educational Practice

The psychological well-being of American children has been a concern due to the rise in mental health issues. Efforts have been made to tackle some of the issues that are most prevalent among youth such as stress, depression, bullying, substance abuse, suicide and self-harm. Attempted solutions include legislation at the state level, school-wide regulations, and individualized supports. Despite these efforts, there are still discrepancies with implementation and regulation of policies and programs. These inconsistencies have resulted in the continual decline in the mental health of American youth. The United States can gain a more focused direction for their mental health …

Implementation And Program Evaluation Pilot Study: Educating Health Care Providers About Protecting Population Health During Climate Change., Christine Fasching Maphis

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Recommendations regarding the need to prepare nurses and other health care providers (HCPs) for the health impacts of climate change (CC) have grown ubiquitous in the literature. Timely, efficient and sustainable strategies by the health care industry are necessary. Failure to act is predicted to result in catastrophic and lethal population health consequences. A growing body of research identifies related knowledge gaps and supports HCP competencies and best practice interventions to mitigate adverse population health impacts of CC. A social ecological framework and the PRECEDE-PROCEED approach were employed to develop and evaluate a series of online webinars designed to equip …

Postpartum Depression: Educating The Provider And Staff About The Importance Of Screening, Referrals, Follow-Up And Adherence To The Maternal Mental Health Safety Bundle Toolkit, Natalie Regis

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

Background: Postpartum depression (PPD) affects approximately 10%-20% of women after childbirth. PPD is a disabling condition that can have serious health implications on mothers and their infants. Experts estimated that only 50% of women with PPD are diagnosed. Lack of education about screening practices can cause the disorder to go undiagnosed and untreated.

Purpose: The purposes of this quality improvement (QI) project were 1). To increase the provider and staff knowledge about the importance of screening with the implementation of a standardized screening tool 2). To increase PPD screening rates to 100% 3). To increase appropriate referrals to mental …

The Efficiency Of Well-Written Manuals Aided-Hand Knotting Skills Acquisition For Undergraduates, Theddeus O.H Prasetyono, Putri Rezkini

The New Ropanasuri Journal of Surgery

Introduction. Standard procedural skills training methods include tutorial, workshop, and feedback. Written manuals might add value to those standard methods; nevertheless, depends on how well they are composed. This research is aimed to evaluate the efficiency of well-written manuals of hand knotting skills in order to improve students’ procedural skills learning and competency.

Methods. This research was conducted through preliminary study to identify the assessor reliability and main study to evaluate the students’ scores for reef and surgeon’s knots using an objective structured assessment of technical skills (OSATS). Subjects’ preparedness and perception of the quality of the manuals …

Transformational Leadership For Frontline Leaders, Marta L. Hudson

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem. Transformational leadership (TL) represents the gold standard of leadership styles in contemporary healthcare organizations. The transformational leader's ability to motivate, influence, stimulate, inspire, and attend to followers' individual needs is an antecedent to job satisfaction, quality, and patient safety. The project aimed to improve TL constructs among frontline leaders (managers and assistant nurse managers). Based on the results of a needs assessment, these frontline leaders were provided an opportunity to improve their TL style.

Context. Leadership development is a strategic priority for a medium-sized medical center in a healthcare system in Northern California. Frontline leaders within patient care …

Valley Fever: Education For Primary Care Providers And Allied Health Care Professionals, Michelle Elizabeth Bergen

Doctor of Nursing Practice (DNP) Projects

Valley Fever: Educating Primary Care Providers and Allied Healthcare Professionals

Abstract

Problem: Coccidioidomycosis (cocci), informally Valley Fever (VF), infects the lungs with the fungal spore coccidioides. It is prevalent in areas where soil disturbance occurs. Currently, there are no related educational or standardized guidelines exist for primary care providers (PCPs) in California’s Central Valley, where VF is highly endemic (Centers for Disease Control and Prevention, 2018).

Context: A Doctor of Nursing Practice project educational program for PCPs and allied healthcare workers (AHWs) at the Adventist Health Central Valley Network (AHCVN) clinics. The project aimed to educate PCPs to …

Continuous Glucose Monitoring And Diabetes Management During Pregnancy, Nicole Beamish

Doctor of Nursing Practice (DNP) Projects

Continuous Glucose Monitoring and Diabetes Management During Pregnancy

Abstract

According to the Scope of Practice, Standards of Practice, and the Standards of Professional Performance for Diabetes Educators, registered nurses play an integral role in the promotion of diabetes self-management education and training in diabetes care (AADE, 2017). This paper upholds the standards set forth by the American Association of Diabetes Educators (2017) governing body, to stimulate the process of peer review, promote documentation of the outcomes of diabetes self-management education and training (DSME/T), encourage research to validate practice and improve quality DSME/T and diabetes care for pregnant women who use …

An Education Program For Novice Nurses To Increase Case Management Knowledge, Emily Trefethen

Doctor of Nursing Practice (DNP) Projects

Problem: Heart failure (HF) is a chronic disease where the heart cannot deliver an adequate amount of blood that the body requires. HF is one of the costliest cardiovascular diseases plaguing public health in the United States (Go et al., 2014). HF is the main reason for hospitalizations in adults and a leading contributor to the rise in healthcare costs. Approximately 25% of Medicare patients are readmitted within 30-days of discharge (Go et al., 2013). To address excessive hospital readmissions, the Centers for Medicare and Medicaid Services (2019) initiated the Hospital Readmissions Reduction Program in October 2012 to reduce Medicare …

A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall

Master's Projects and Capstones

A Systems Approach to Increase the ICU Nursing Workforce During a Pandemic

Abstract

In early March 2020 an intensive care unit (ICU) patient died of COVID-19 in an integrated healthcare system hospital in Northern California. Data from China and the CDC indicated that more healthcare members would require intensive care and could overwhelm the 21 acute care hospital macrosystem. A microsystem pilot program to upskill peri-anesthesia care unit (PACU) RNs to care for ICU patients was initiated. Concurrently the upskill pilot program was reviewed by macrosystem nursing leadership. Over a three-week period, the program was standardized, disseminated and implemented across …

Early Screening Of Postpartum Depression, Mary Ramirez

MSN Capstone Projects

Postpartum depression (PPD) is the most common pregnancy-related complication affecting over half-million mothers each year in the United States and only 50% of these women seek treatment or even receive a mental health evaluation (American College of Obstetrics and Gynecology, 2015; Horowitz & Goodman, 2004). Failure to detect or diagnose PPD can have serious consequences for both mom and baby. Nurses play a key role in discharge teaching and education, which puts them in the perfect position to ensure that adequate referrals are coordinated and to stress the importance of follow-up care to new mothers (Logsdon et al., 2018). Current …

Diabetes Education In The Emergency Department: Decreasing Repeat Visits And Admissions, Keith Hatfield

MSN Capstone Projects

Parkland Memorial Hospital (PMH) has many patients with diabetes under its care (Parkland Health & Hospital System, 2019a). Lewis et al. (2015) found that most patients with diabetes seeking care in a large urban ED lacked the basic diabetes survival knowledge needed to stay healthy. Poor diabetes control leads to complications and illness, which leads to repeat ED visits and inpatient admissions. A further literature review supported providing patients with additional diabetes education to reduce admissions.

This project will train the ED Registered Nurses (RN) to provide additional diabetes education at discharge and provide the patient with educational materials to …

Medication Error Prevention Strategies, Shana L. Brown

MSN Capstone Projects

The fundamental purpose of every healthcare organization is to enhance patient quality of life through the provision of superior healthcare to produce the best patient outcomes. In the pre-hospital practice setting of helicopter emergency medical service (HEMS) the desire of system leaders and medical staff is to be primarily patient-centered, focused on the safety and wellbeing of patients while at the same time managing the business finances and budget of the organization. Maintaining a healthy environment with safe patient practices is the responsibility of organization administrators, physicians, nurses, paramedics, and all healthcare providers.

One of the primary duties that healthcare …

A Review Of Horticultural Therapy And Horticultural Therapy Education In The United States: Addressing Challenges And Opportunities, Derrick R. Stowell

Doctoral Dissertations

The Horticultural Therapy (HT) profession has been formally organized in the United States since 1973. Despite the long history of horticulture being used as therapy, the profession of HT in the United States has not advanced as quickly as other allied healthcare professions. This study will review the current challenges and opportunities for HT and HT education in the United States.

A qualitative study of the status of the profession was conducted to determine what challenges and opportunities the profession of HT currently has and how the profession can meet those challenges and opportunities. The study sample was recruited from …

Effect Of 24/7 Attending Coverage In The Neonatal Intensive Care Unit On Fellow Education, Mitali Sahni, Anja Mowes

School of Medicine Faculty Publications

© 2020, The Author(s). Background: There is a current change in type of attending coverage in the Neonatal Intensive Care Unit (NICU) from home calls to 24/7 in house coverage. Effects of this increased attending physician presence on education of NICU fellows has not been studied. The objective of this study is to evaluate the fellows’ perception of in house attending coverage on their education and evaluate its effect on their perceived autonomy. Methods: A secure, anonymous, web-based survey was designed using RedCap. The web-based survey was sent via the section of Neonatal Perinatal Medicine of the American Academy of …

The Practical Applications Of Video Games Beyond Entertainment, Jack Martin

School of Professional Studies

Much of the attention directed toward video games is focused on their role as entertainment. However, researchers have found that video games can have other, more practical uses for society. This thesis is designed to examine three specific examples of the practical applications of video games: video games in education, video games as accessible technology, and the social uses of video games. This project is based on pre-existing research conducted by professionals studying the aforementioned subtopics. Anecdotal stories from educators, people with disabilities, and developers are also discussed. The thesis explores specific examples of video games being used practically, and …

The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig

Theses and Dissertations

The report, To Err is Human, by the Institutes of Medicine (IOM, 2000) brought attention to medication safety in the United States healthcare system. While advances have been made in patient safety, including electronic medication dispensing systems, electronic medication administration records, and scanning systems, it is estimated that 7,000 to 9,000 people die each year due to medication errors (Tariq et al., 2019). The medication administration process involves steps from prescribing to administration. However, nurses administering the medications are the final check point. James Reasons’ Swiss Cheese Model of Accident Causation illustrates the role that systems play in medical errors. …

Nurses' Attitudes Toward Physician-Assisted Suicide, Cheyenne Star Lowrey-Lagrone

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Physician-assisted suicide, or PAS, is end-of-life option in which patients self-administer physician-prescribed lethal medication to end their life. Nurses' own interpretations and understandings of the legalities, ethical dilemmas, and factors that influence their attitudes can be analyzed to determine the nurses’ role in the support or opposition of the practice. Although nurses do not have an active role in PAS, they play a pivotal role in patient advocacy and education. This paper analyzes the factors that contribute to nurses’ attitudes toward the practice, along with the benefits of education of this topic going forth.

Nursing Students’ Knowledge And Attitudes About Pain Management And Opioids, Hedieh Hatami Sirjani

Health Services Research Dissertations

Statement of the problem: healthcare professionals’ knowledge of using opioids for pain management safely is critical in preventing opioid abuse and overdose. Undergraduate curricula of health professional schools, including undergraduate nursing programs, need to improve and adopt a comprehensive education regarding this issue.

Method: the first project was a systematic analysis of the literature regarding the educational interventions’ impact on healthcare professional knowledge and practice behavior regarding prescription opioids. The second project was a qualitative study of nursing students to explore their experience, self-efficacy, and knowledge of prescription opioid use for pain management and whether they feel the need for …

Bangladesh: Covid-19 Knowledge, Attitudes, Practices & Needs—Responses From Three Rounds Of Data Collection Among Adolescent Girls In Districts With High Rates Of Child Marriage, Sajeda Amin, Ubaidur Rob, Sigma Ainul, Md. Irfan Hossain, Forhana Rahman Noor, Iqbal Ehsan, Mehnaz Manzur

Poverty, Gender, and Youth

From April 20–30, 2020, during a nationwide lockdown, the Population Council Bangladesh conducted the first round of a rapid phone-based survey on COVID-19 knowledge, attitudes, and practices. The survey randomly selected girls who had provided phone numbers during enrollment in a skills-building program that began before the pandemic. The survey’s objective was to assess the impact of COVID-19 on adolescent lives and to design programs that would contribute to protecting girls and meet social distancing guidelines imposed by the government. Phone interviews were conducted with 479 girls living in the districts of Chapainawabganj, Kushtia, and Sherpur who were participants in …

Developing Competencies For Public Policy Advocacy: A Comparative Case Analysis, Amy L. Lewis

Electronic Thesis and Dissertation Repository

While health care and social service students in Ontario are expected to graduate with competencies in policy advocacy, the lack of knowledge and skills negatively impacts their participation as licensed providers. This study used an exploratory, comparative case study methodology with a critical theory lens to identify the process of how community-based organizations engaged in public policy advocacy to create educational competencies for undergraduate curricula. Eight organizational leaders participated in semi-structured interviews that were transcribed and analyzed both inductively and deductively using major concepts from Kingdon’s multiple streams theory to distinguish the policy advocacy process and Bloom’s taxonomy to identify …

Assessing The Use Of Student-Developed Clerkship Guides For Improving Clerkship Expectations And Experiences: An App-Based Approach., Jose Chavez, Lauren Muenchow, Matthew Hidalgo, Jiyun Lim, Jose Campo Maldonado, Lori Berry, Michael Machiorlatti

MEDI 9331 Scholarly Activities Clinical Years

Background: The transition for medical students from pre-clinical education to the clinical learning environment introduces different expectations, methods of evaluation, and new working conditions. A mobile-friendly web application with clerkship specific information was developed to assess whether clinical preparedness increased among third-year medical students at transitioning to their clinical curriculum.

Objectives: To determine whether medical students’ clinical preparedness increased as they transitioned into clinical rotations by using a mobile-friendly web application that contained information and advice shared by senior medical students that had already completely their rotations.

Methods: Third-year medical students at the University of Texas Rio Grande Valley School …

Design And Printing Of A Low-Cost 3d-Printed Nasal Osteotomy Training Model: Development And Feasibility Study., Michelle Ho, Jared Goldfarb, Roxana Moayer, Uche Nwagu, Rohan Ganti, Howard Krein, Ryan Heffelfinger, Morgan Leigh Hutchinson

Department of Otolaryngology - Head and Neck Surgery Faculty Papers

BACKGROUND: Nasal osteotomy is a commonly performed procedure during rhinoplasty for both functional and cosmetic reasons. Teaching and learning this procedure proves difficult due to the reliance on nuanced tactile feedback. For surgical simulation, trainees are traditionally limited to cadaveric bones, which can be costly and difficult to obtain.

OBJECTIVE: This study aimed to design and print a low-cost midface model for nasal osteotomy simulation.

METHODS: A 3D reconstruction of the midface was modified using the free open-source design software Meshmixer (Autodesk Inc). The pyriform aperture was smoothed, and support rods were added to hold the fragments generated from the …

Achieving An Inclusive Nursing Culture: Developing A Model For Diversity And Inclusion Education, Amber K. Charleville

Theses and Graduate Projects

The creation of an inclusive environment is essential in health care. Therefore, this paper describes the development of an educational project to achieve a more inclusive nursing culture with registered nurse case managers at a large Midwest teaching hospital. This project sets forth the goal of establishing and discussing diversity and inclusion education by proposing a model with reflection, learning, and growth as self- sustaining practices in an ongoing cycle of praxis with Chinn and Kramer’s emancipatory knowing. Over the course of a year, monthly modules will be taught by a facilitator who will encourage discussion and reflection on various …

From The Editors, Natasha Menard, Kelsie Fournier

Student Journal of Occupational Therapy

This welcome letter from the editors of the Student Journal of Occupational Therapy introduces the inaugural issue of the journal and outlines its mission to engage student researchers at all levels of the research publication process and its commitment to ethical, open-access publication.

The Development Of A Portfolio For Academic Promotion And Tenure For Occupational Therapy Educators, David Levan

The Open Journal of Occupational Therapy

Advancement of occupational therapy educators is a significant achievement and important contribution to the American Occupational Therapy Association’s Vision 2025 and Centennial Vision. Successful promotion demands excellence and active engagement in faculty skill development, both of which are essential to student learning. The academic promotion and tenure process presents a new and unfamiliar expectation for entry-level and tenure-track occupational therapy educators. A multitude of institutional policies and procedures, formal and informal recommendations from administrators and colleagues, and lack of mentorship can make planning for academic promotion and tenure confusing and difficult. The purpose of this article is to provide …

Comparing In Vivo Versus Simulation Training For Transnasal Endoscopy Skills, Laura L. Wolford, George W. Wolford

Teaching and Learning in Communication Sciences & Disorders

Fiberoptic endoscopic evaluations of swallowing (FEES) is as important of a swallowing evaluation as the videoflouroscopic swallow study, but far fewer speech-language pathologists are competent in its use (Ambika, Datta, Manjula, Warawantkar, & Thomas, 2019; Brady & Donzelli, 2013; Pisegna & Langmore, 2016). One hurdle in FEES training is the necessity of practicing transnasal endoscopy on volunteers. The primary aim of this study was to compare the learning effectiveness of practicing transnasal endoscopy via simulation with practice in vivo for a student’s first passes of the endoscope. The end goal of this study was to determine the most cost-effective and …

Impacts Of The Covid-19 Pandemic On Global Education, Santanu De

Biology Faculty Books and Book Chapters

Coronavirus Infectious Disease 2019 (COVID-19) has been one of the most dreaded, recent pandemics impacting multifarious global sectors, including education. To control contagion, affected nations ordered academic campus closures and home-schooling plans. Schools, colleges, and universities underwent a paradigm shift adopting internet-based delivery of lectures, synchronously or asynchronously (recorded), with virtual labs. Medical education suffered significantly; suspending student internships in hospitals decreased practical exposure to clinical specialties, impairing students’ performance, and competency.Teachers of traditional classes, with technical assistance, undertook rigorous trainings to restructure pedagogical and assessment strategies online using web/mobile applications and other digital tools.

“Eliminating The Drudge Work”: Campaigning For University-Based Nursing Education In Australia, 1920-1935, Madonna Grehan Dr

Quality Advancement in Nursing Education - Avancées en formation infirmière

At his death in 1945, Sir James William Barrett, a medical doctor in the state of Victoria left a bequest to the University of Melbourne, his alma mater. Barrett’s entire professional life was conducted at the University. According to his will, Barrett had been so influenced by his experiences of American universities which offered education in nursing that he directed a sum of money to the University of Melbourne for the foundation and/or development of a School of Nursing.

The background to Barrett’s bequest is a complex episode in Australian nursing education history that has received little attention. In the …

Historically Informed Nursing In The Time Of Reconciliation, Sylvane Filice, Michelle Spadoni, Patricia Sevean, Sally Dampier

Quality Advancement in Nursing Education - Avancées en formation infirmière

In this article, the authors offer that the 2017 publication of Dr Sonya Grypma’s article entitled Historically informed nursing the untapped potential of nursing education was the catalyst for discussion of how historical content is addressed in nursing curricula and how it should be further enhanced. It offers perspectives on approaches used in undergraduate education to incorporate history in nursing curricula. Additionally, it suggests envisioning historically informed nursing through a relational lens. It will be of interest to readers as the area of pedagogy of historically informed nursing in the global environment of today is an urgent discussion in particular …

Cardiac Resuscitation Training: An Integrative Literature Review, Dominick Pahl

Nursing Masters Papers

Despite highly trained healthcare professionals being readily available to respond to In-Hospital Cardiac Arrest (IHCA), a patient experiencing an IHCA often remains a devastating event for the patient. Each year in America, 13.5% of all deaths result from sudden cardiac arrest. Even with healthcare professionals certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS), the survival rates following an IHCA are not inspiring. The median survival rate to hospital discharge of an adult experiencing IHCA is 26.4% and 49.5% for the pediatric population. Despite a continued focus on improving CPR quality from the American Heart Association (AHA), …