Building Confidence, Diminishing Stress: A Clinical Incivility Management Initiative For Nursing Students, Younglee Kim, Phoebe (Yeon) S. Kim, Henrietta Nwamu, Anne Lama

Nursing Faculty Publications

Objective: The aim of this study was to evaluate the effectiveness of an interactive program designed to reduce nursing students’ perceived stress and improve self-efficacy and readiness to professionally address incivility during clinical practice. Background: Incivility in clinical settings adversely impacts learners, educators, institutions, and healthcare systems, undermining safety and the teaching–learning process. Despite its increasing global prevalence, effective interventions remain largely unexplored. Methods: Our mixed-methods study, conducted from March to April 2024, involved senior baccalaureate pre-licensure nursing students (N = 35) from a California State University. The three-week, one-hour-per-week, interactive clinical incivility management program was developed through an extensive …

Identifying Key Predictors Of Academic Achievement In A Longitudinal Medical Research Module., Anesu Karen Murambadoro, Juan C. Lopez-Alvarenga, Kevin Garcia Valdez, Kory Deshawn Punch, Nina Mourao, Elias Arellano Villanueva, Tyler Torres, Nikhilesh Anand, Bharathi Shrikanth Gadad

Research Colloquium

Background: Research engagement among medical students is often hindered by perceived time constraints, lack of motivation, inadequate facilities, and insufficient supervisory guidance. Only 7% have published research papers. Project-based programs enhance research skills but frequently lack alignment between objectives, teaching methods, and evaluation. In the Rio Grande Valley, there is limited research on these issues. This study aims to analyze the performance of pre-clerkship students in a two-year longitudinal research course.

Aim: We hypothesize that core independent variables (InVar) such as attitudes toward research (R-ATR), cognition (BCRS), self-efficacy, and competency scores will improve throughout the longitudinal Research Module. These …

Supporting Students’ Physical Activity Self-Efficacy Within High School Physical Education, Ken Murfay, Aaron Beighle, Heather Erwin, Erin Aiello, Sarah Pyszczynski

International Journal of Physical Activity and Health

Research examining physical activity (PA) is significant because of the known benefits of PA. Studying high school (HS) students is particularly important due to the consistent decline in PA as students age. One strategy to increase PA is to increase someone’s self-efficacy (confidence) to be physically active which is commonly positively associated with PA. Most of the research on how to support physical activity self-efficacy (PASE) comes from outside-of-school interventions with minimal literature on how to support students’ PASE within HS physical education (PE). This study attempted to identify and share practices that current HS PE teachers were implementing to …

Hyperlipidemia: Enhancing Patient Education And Clinical Support To Improve Self-Efficacy, Kelly L. Caniglia

Doctoral Dissertations and Projects

Hyperlipidemia is a chronic, progressive disorder routinely encountered in primary care practice. In the United States, coronary artery disease and cerebrovascular disease are the leading causes of death. Hyperlipidemia is a modifiable risk factor for the development of coronary artery disease, cerebrovascular disease, and peripheral artery disease. However, many individuals fail to recognize the severity of the health consequences associated with hyperlipidemia. Most often, hyperlipidemia is the direct result of unhealthy lifestyle behaviors. Comprehensive care falls short in primary care settings, often due to non-compliance with necessary lifestyle behavior changes. Primary care patients' lack of knowledge and awareness signals a …

Standardizing Critical Skills And Competency Validation To Promote Self-Efficacy Among Rapid Response Nurses, Kelli Dail Baker

Doctoral Dissertations and Projects

Competency validation is a key component of supporting nurses with necessary skills to provide care for their patients. However, many healthcare organizations do not have a standardized process for determining which skills are evaluated and the method by which evaluation occurs. To address competency validation among rapid response nurses (RRNs), this evidence-based practice project was proposed to increase self-efficacy. This project involved a thorough data review of all rapid response skills, categorizing all interventions based on quantity and acuity, and holding a hands-on educational fair for a set of standardized skills. A quasi-experimental design was used to collect data pre- …

The Mental Effect Of Obesity On Active-Duty Service Members In The United States: A Phenomenological Approach, Tegan M. Quigley

Doctoral Dissertations and Projects

This phenomenological research was intended to explore the impact that obesity has on the mental health of soldiers in the U.S. military. The U.S. military has stringent physical fitness standards that must be met by each soldier regardless of sex. These standards can be challenging to maintain. Obesity is an increasing issue in the United States, and soldiers are not immune. Research regarding the physical issues that occur from obesity has been performed, but this study aimed to explore the behavioral or mental health effects that obesity can have within the military community. This study explored the following questions: In …

Yoga-Based Occupational Therapy For People With Upper Extremity Dysfunction: An Educational Video Series, Bianca Salgado, Steven Gerardi, Mary Smith

Summer 2024 OTD Capstone Symposium

The upper extremity (UE) is essential for daily activities and occupational tasks. The inability to perform these tasks can negatively impact self-efficacy and hinder injury recovery. Current hand therapy often focuses on biomechanical approaches, neglecting these psychosocial aspects and deviating from core occupational therapy (OT) principles. Integrating yoga into OT for UE injuries and disorders can fill the gap in hand therapy needed to address psychosocial factors. However, Certified hand therapists who are occupational therapists lack the knowledge to integrate yoga-based interventions into OT practice for clients with UE conditions. The purpose of this project was to create an educational …

Implementation Of A Resiliency Model Of Care For Women Experiencing Homelessness, Aneitha Marie Pratt, Jennifer Terese Arth, Danielle Wright, Allyson Matney Neal

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

BACKGROUND: The majority of homeless women have experienced trauma. Trauma correlates with adverse mental and physical health outcomes. Resilience is a learned skill associated with better mental health and quality of life. Mindfulness-based interventions can increase resilience.

LOCAL PROBLEM: The project setting was an urban shelter serving homeless adults in East Tennessee. The population of interest was adult homeless women at the shelter. Shelter staff recognized the unique needs of women and sought to help women address trauma. Project aims were (a) implement the Community Resiliency Model (CRMÒ) as a mindfulness- and somatic-based approach to increase resiliency, (b) …

Psychological Profile Of Brazilian Jiu-Jitsu Athletes, Leandro De Lorenco-Lima

Doctoral Dissertations and Projects

Martial arts and combat sports have been shown to influence several desirable psychological factors positively. This quantitative study aimed to explore the differences in mental strength, resilience, grit, self-efficacy, self-control, aggression, life satisfaction, and mental health between belt ranks in Brazilian Jiu-Jitsu (BJJ) athletes. A sample of 410 BJJ participants (323 males and 87 females) from 18 to 60 years of age was included in this study. Data was collected anonymously via Google Form and included the Mental Strength Scale, Brief Resilience Scale, Grit Scale, General Self-Efficacy Scale, Brief Self-Control Scale, Brief Aggression Questionnaire, Satisfaction with Life Scale, Mental Health …

An Examination Of The Career Decision-Making Self-Efficacy Of Final-Year Nursing Students, Edah Anyango, Esther Adama, Janie Brown, Irene Ngune

Research outputs 2022 to 2026

Background: One in four newly graduated registered nurses leave their employment positions within the first year. To reduce this attrition, nursing stakeholders could focus on the final year of nursing education because students at this stage make professional career plans, including their practice destination for the graduate year and their commitment to the profession. Previous studies provide evidence of nursing students' career preferences and specialty choices. However, there is a dearth of data that focuses on the students' career decision-making process. Aim: This study examined the self-efficacy or confidence of final-year nursing students in making career decisions and the factors …

The Moderating Role Of Perseverance And Determination In Action In The Context Of Self-Efficacy And Life Satisfaction Of Sportspeople With Mobility Impairment, Natalia Segiet, Krzysztof Gerc

Baltic Journal of Health and Physical Activity

Introduction: The article assumes the biopsychosocial model of disability and refers, inter alia, to the assumptions of the concept of empowerment, which recognizes the fact that practicing sports by people with disabilities creates favorable conditions for strengthening resources and developing skills. An attempt was made to develop a model that verifies the moderating importance of mental resilience in the aspect of experiencing a sense of effectiveness and life satisfaction in sportspeople with mobility impairment. Material and method: The research conducted in an encrypted online manner involved 58 people (31 able-bodied sportspeople and 27 sportspeople with physical disabilities). The following tools …

Effects Of Physical Activity On Self-Efficacy Of Patients With Bronchial Asthma, Carolin Schulze

Baltic Journal of Health and Physical Activity

Introduction: Due to higher exposures to fine dust, increased smoking and prevalence of obesity and stress, an increase in the diagnosis of bronchial asthma can be expected, which requires adequate, scientifically tested, alternative therapy methods. The current study investigated the effects of regular physical training on general and disease-specific self-efficacy. Materials and Methods: Overall 82 participants with mild to moderate medicated asthma (63% female, mean age = 41.88 ± 10.43 years) took part in the study. They were randomly divided into three groups: (1) no intervention, (2) progressive muscle relaxation and (3) physical activity intervention. Intervention lasted ten weeks with …

Using Self-Assessment Tools And Complementary Alternative Therapy For Chronic Migraines In Menopausal Women, Krystal Rachelle Bridwell

Electronic Theses and Dissertations

Abstract

Migraine headaches are ranked as one of the highest disabling conditions in the United States. Women who are in the perimenopausal transition phase have a higher prevalence of disabling migraines that can result in a decreased quality of life, loss of income, decreased productivity, and a higher risk for emotional difficulties. The gap in practice is the lack of education on complementary alternative medicine (CAM) and the use of a migraine diary to recognize individual symptoms as a substitute or cotherapy with pharmacologic treatments. The purpose of this scholarly project was to improve clinical practice and outcomes for perimenopausal …

Honoring Veterans’ Wishes: Efficacy Of An Evidence-Based Shared Decision-Making Tool In Va Icu Goals-Of-Care Discussions, Stephanie Alexander, Anna Astashchanka Md, Venktesh Ramnath Md

Doctor of Nursing Practice Final Manuscripts

Abstract

Introduction: This Doctor of Nursing Practice project aimed to enhance the knowledge and confidence of the San Diego Veterans Health Administration’s (VASD) Intensive Care Unit (ICU) medical providers in goals-of-care discussions (GOCD). Additionally, this project aimed to improve the documentation of these discussions.

Background: Delays in GOCD can lead to futile medical and surgical interventions, inappropriate antibiotic use, and higher rates of mental health conditions in patients and their loved ones. Earlier GOCD are associated with lower ventilation and resuscitation rates, earlier hospice enrollment, reduced ICU admissions, lower financial costs, and better patient and caregiver quality of life. However, …

Barriers To Gluten-Free Diet Adherence And How They Relate To Quality Of Life And Self-Efficacy In College Students With Celiac Disease, Caitlin Elizabeth Wall

Master's Theses

Celiac disease (CD) is a chronic, autoimmune disorder with an increasing global prevalence. As the only current treatment is a strict gluten-free diet (GFD), adherence is imperative to maintain optimal health in individuals with the disease. There are many potential barriers to GFD adherence, including social, mental, and financial difficulties. College also presents a unique set of challenges for students with CD that may not be experienced by those without the disease. The purpose of this study was to determine the potential barriers to GFD adherence experienced by college students with celiac disease in the United States. This study also …

Incorporating Occupation-Based Activities Into Treatment For Adolescents With Substance Use Disorders To Increase Self-Efficacy, Brea E. Westberg

Occupational Therapy Capstone Presentations

In 2022, over 48.7 million people aged 12 and older reported having a substance use disorder in the past year. Adolescents are increasingly becoming involved in substance use behaviors that impact their lives daily. There is limited evidence for providing mental health interventions, including those provided by occupational therapy practitioners, to adolescents with SUDs within the substance use treatment setting. Self-efficacy is an important part of the substance use recovery process. Therefore, the purpose of the capstone project was to determine the effects on self-efficacy after incorporating occupation-based activities into programming for adolescents in treatment for SUDs. The Model of …

The Effect Of Academic Self-Efficacy On Sleep And Academic Performance: A Moderation Analysis, Nhien Nguyen An La

2024 Spring Honors Capstone Projects

While research acknowledges the independent effects of sleep and self-efficacy on academic outcomes, the potential moderating role of academic self-efficacy (ASE) on the relationship between sleep and academic success remains unexplored. Academic self-efficacy has been consistently associated with students' motivation, goal setting, and resilience, while sleep quality predicts cognitive functioning and memory consolidation. Thus, this project addressed the gaps in the literature by examining these three variables collectively among 371 UTA college students using a cross-sectional survey design. Results suggested that among the subscales of ASE, only ASE academic performance in class significantly predicted academic performance (p < .001), while sleep quality and the remaining three subscales did not. Additionally, ASE interaction at school was found to be a significant moderator in the relationship between sleep and academic performance (p < .001). The findings of this study could have implications for educational interventions aimed at enhancing student achievement and promoting self-efficacy in academic settings.

Sugar-Sweetened Beverages Consumption Based On Individual And Environmental Factors Among The Faculty Of Public Health Universitas Indonesia’S Students In 2023, Safira Diva Aranis, Wahyu Kurnia Yusrin Putra, Asih Setiarini, Teguh Jati Prasetyo

Indonesian Journal of Public Health Nutrition (IJPHN)

Sugar-sweetened beverages (SSB) are beverages that contain added sugars. Excessive consumption of SSB can have an impact on health. Some of the effects caused by SSB include obesity, fatty liver, type II diabetes, hypertension, heart disease, nutritional deficiencies, and dental caries. This research aims to determine the differences in the proportion of SSB consumption based on individual and environmental factors among students of the Faculty of Public Health UI (FPH UI) in 2023. This study uses a cross sectional design with a sample size of 194 individuals. The researcher collected data including respondent’s identities, habits of reading food labels, knowledge …

Development And Implementation Of A Training Manual For Increased Utilization Of The Universal Exercise Unit (Ueu), Anya Marie Jones

OTD Capstone Projects

This doctoral capstone project was completed in partnership with Rehab Without Walls (RWW) Neuro Solutions in Hendersonville, TN; an outpatient clinic dedicated towards serving adults with various neurological conditions, including stroke, spinal cord injury, traumatic brain injury, cerebral palsy, and more. The focus of this project was to develop a training manual for the therapists at RWW to improve occupation-based utilization of the Universal Exercise Unit (UEU). Through the lens of the Ecology of Human Performance (EHP) model and Albert Bandura’s theory of behavior change, each therapist’s performance range (i.e., ability to perform tasks) depended on both the context (the …

Exploring Caregivers Of Individuals With Dementia’S Self-Efficacy: A Qualitative Study, Julia Seymour Otd, Kristin Domville Drot, Mot, Otr/L, Cody Cox Otd, Med, Otr/L, Plcc

Spring 2024 Virtual OTD Capstone Symposium

A qualitative research study was done by conducting in-person and virtual interviews with past and current caregivers of individuals with dementia. This study was done to get a better understanding of caregiver self-efficacy, and how Occupational Therapy can be a solution and an advocate for caregivers.

Optimizing Digital Proficiency To Improve Perceived Self-Efficacy In Telehealth Nurses, Serena Young

Doctor of Nursing Practice Projects

The use of telehealth to provide care management services has increased as healthcare continues to evolve. Seven million Americans were predicted to use telehealth in 2020, which increased to over 35 million through the pandemic. These services have been shown to decrease healthcare disparities and promote positive health outcomes. Education and training for nurses providing telehealth services have not kept up with the increased demand. Nurses providing care management telehealth services in a large tertiary health system have low perceived self-efficacy for technology. Leaders in the organization believe this is causing a lack of digital proficiency in their workforce. This …

The Ci-Asd Program: Implementation Of Contextual Interventions For Autism Spectrum Disorder (Ci-Asd) With Latino Families (Preliminary Report), Gabriel Gonzalez, Erik Pérez, Angela Blackwell

Spring 2024 Virtual OTD Capstone Symposium

Children diagnosed with Autism Spectrum Disorder (ASD) experience sensory processing differences that affect their participation in daily activities and routines. Autism affects an estimated 1 in 36 children in the U.S. However, Latino children are diagnosed two years later than white children. Latino families still have the greatest disparities in accessing ASD resources throughout the U.S. compared to white families. The lack of ASD services and resources led to decreased parental self-efficacy, quality of life, and increased child behavioral problems.

Contextual Interventions Adapted for Autism Spectrum Disorder (CI-ASD) are an emerging intervention for occupational therapy (OT) practitioners. Recent literature shows …

Attitudes And Self-Efficacy Of Swimming Coaches Towards The Inclusion Of Swimmers With Autism Spectrum Disorder, Eleftheria Kasagianni, Dimitrios Kokaridas, Panagiotis Varsamis, Vasilis Tsimaras

International Journal of Aquatic Research and Education

The purpose of this study was to investigate the attitudes and self-efficacy of swimming coaches regarding the inclusion of swimmers with autism spectrum disorder (ASD). The sample consisted of 150 Greek swimming coaches with an average age of 29.58 years. Each participant completed the Swimming Coaches Attitudes towards Inclusion Questionnaire for perceptions assessment and the Biddle and Goudas (1997) self-efficacy questionnaire. The statistical analysis used SPSS 27 to calculate Cronbach’s alpha, Pearson product-moment correlations, independent t-tests, and ANOVA. The findings of the study showed that the swimming coaches expressed positive attitudes and a high percentage of perceived self-efficacy towards the …

The Effects Of Debriefing Methods On Athletic Training Students’ Self-Efficacy, Amy Brzoska, Lori Kupczynski, Julie L. Murphy

Internet Journal of Allied Health Sciences and Practice

Purpose: Simulation-based education is a teaching method used successfully in nursing and medical education, as well as in the military and aviation fields. It provides students with safe learning environments and opportunities to practice skills not seen or used during clinical rotations. Debriefing is an essential component of simulation where learning occurs while also fostering critical thinking, clinical reasoning, and promoting self-efficacy with clinical skills. However, the evidence rarely indicates which debriefing method is best at increasing clinical evaluation skills self-efficacy. The purpose of this study was to compare the effects of debriefing methods on students’ clinical evaluation self-efficacy. Methods: …

Fidélité D’Un Club De Lecture Pour Étudiantes Et Étudiants En Sciences Infirmières, Caroline Gibbons, Jimmy Bourque, Tim Aubry

Quality Advancement in Nursing Education - Avancées en formation infirmière

Résumé

Contexte : La mesure de la fidélité d’un club de lecture (FCL) est essentielle pour interpréter l’effet de cette intervention sur les résultats ciblés. À notre connaissance, aucune étude ne démontre comment la FCL peut être mesurée et liée aux résultats pédagogiques obtenus. Il n’existe pas de mesure standard de la FCL, ni d’études portant sur l’implantation d’une telle mesure.

But : Décrire la conceptualisation de grilles d’évaluation de la FCL et le processus d’implantation de telles grilles d’évaluation de la FCL.

Méthode : Étude descriptive des étapes de la mesure de la FCL, issue d’une étude quasi-expérimentale, à …

Boosting Confidence In Hearing Loss Services Through An Interprofessional Simulation Led By Peer Instructors, Amanda Stead, Jordan Tinsley, Trent Westrick, Elizabeth Olson, Alexandra Alfieri, Lauren Sams

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists have an ethical responsibility to work with clients with hearing loss. Therefore, speech-language pathology (SLP) students must receive specific education and training in working with this population. SLP students may have low self-efficacy about their ability to work with clients with hearing loss if they haven’t participated in specific training. Interprofessional education utilizing peer teaching by doctor of audiology (AuD) students is one method for helping SLP students learn specific skills to address hearing loss in a clinical setting. The purpose of this study was to investigate SLP graduate students' self-efficacy with working with individuals with hearing loss; …

Enhancing Health Professions Students’ Attitudes And Self-Efficacy To Care For Unhoused Populations, Jacob T. Greenfield, Brad Phillips, Kathryn L. Hoffman, Gina M. Baugh

Journal of Occupational Therapy Education

Health professions students, including occupational therapy students, often have limited exposure to unhoused populations, which may alter their attitudes and self-efficacy to participate in their care. In turn, this could reduce access and quality of care for these marginalized groups. The purpose of this study was to evaluate the impact of a phased multimodal learning approach on interprofessional health sciences students’ attitudes and self-efficacy in providing care to unhoused individuals. A pre-posttest single group design was used to evaluate a didactic presentation, poverty simulation, and street-based experiential learning experience. Findings revealed significant differences in students’ (N=257) attitudes and self-efficacy in …

Occupational Therapy Educators’ Self-Efficacy To Teach In A Blended Curriculum, Inti A. Marazita, Amy Adcock, Mary Shotwell

Journal of Occupational Therapy Education

Educational trends have influenced occupational therapy education as evidenced by the adoption of new teaching methods such as blended learning. Blended learning is a combination of both synchronous and asynchronous learning that occurs online as well as portions of the learning occurring in a brick-and-mortar. As more occupational therapy programs design their curriculum to include blended learning, it is essential to understand occupational therapy educators' self-efficacy related to their skills and capabilities to teach in such an innovative format. Little is known regarding occupational therapy educators' self-efficacy to teach in a blended curriculum. This qualitative study aimed to examine the …

An Athlete's Perspective: Comparing Talent Development Environments For Boys And Girls In Western Australia Youth Soccer, Mikayla J. Lyons, Jenny A. Conlon, Sophia Nimphius, Brad S. Keller, Christopher Joyce

Research outputs 2022 to 2026

This study aimed to compare the perceptions of boys and girls regarding their gender-specific talent development environments (TDEs) in state-level youth soccer. Seventy-one players (girls, n = 35; boys, n = 36) aged 11–18 years completed the Talent Development Environment Questionnaire (TDEQ-5), Sports Motivation Scale (SMS-6), Coach-Athlete Relationship Questionnaire (CART-Q), and Self-Efficacy and Outcome Expectancies (SEOE) of strength training questionnaire. Mann–Whitney U tests and Hedges’s g effect sizes were used to identify group differences. Boys scored higher for TDEQ-5 subdimensions: long-term development focus, alignment of expectations, and holistic quality preparation. For the CART-Q, boys perceived greater coach commitment, whilst girls …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …