Medicine and Health Sciences Commons^™

Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines Graduate Medical Education (GME) metrics in the Mountain West (Arizona, Colorado, Nevada, New Mexico, and Utah). The original report from the Association of American Medical Colleges (AAMC) includes data from all 50 states and includes measures of graduate medical education and the facilities needed to conduct graduate medical education. This fact sheet builds upon data previously published in fact sheets on Nevada medical residencies for the 2021, 2022, and 2023 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of …

Investigating Students’ Lived Experience With Prebriefing Structure And Elements In Nursing Simulation Education, Meghan Liebzeit

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prebriefing is a growing body of knowledge in nursing simulation education. It is recognized as an important factor in the simulation experience, however the practice of prebriefing varies widely making it difficult to understand what methods best prepare students for the simulation scenario. While research over the last decade has identified prebriefing increases confidence, skills, and clinical judgment, what content is important to include in prebriefing, or how it promotes the achievement of outcomes is under recognized.Implementing an intervention based on a pedagogically sound eight-week simulation clinical course, developed with the theoretical underpinnings of Vygotsky’s Zone of Proximal Development, Kolb’s …

Development Of Online Modules To Introduce Prospective Students To The Profession Of Occupational Therapy, Hosia Towery

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prospective students interested in Occupational Therapy academic programs are subject to the admission criteria of each educational institution, including experiential learning, clinical observation hours, volunteer experiences, or similar prerequisites. There are no standardized criteria established for these prerequisite requirements b the accreditation agency, as it is within the scope of Higher Education. There is no accountability at the regional or local level to ensure educational opportunities for prospective students interested in higher education, creating a gap as highlighted in the recent global pandemic, where student access to education was further challenged. Students are reliant on a variable set of requirements …

Is Dietary Teaching Via Telehealth Effective In Lowering Hgba1c In Adult Patients With Prediabetes Or Type 2 Diabetes?, Mia Mccallum-Crawford

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prediabetes and Type 2 diabetes mellitus (T2DM) are two common conditions diagnosed in the primary care setting. Both conditions benefit from a healthy lifestyle, managing blood sugar levels, and getting diabetes self-management education and support (DSMES). Within the past two decades, the healthcare community in the US has witnessed a substantial rise in diabetes among adults. Overall, the self-management of diabetes continues to worsen nationally. The purpose of this project is to improve patients’ self-management of both Prediabetes and T2DM through nutrition and show how nutritional counseling via telehealth provided by a nurse practitioner can improve HgbA1C values over 3 …

Educational Attainment Of Same-Sex And Opposite-Sex Dizygotic Twins: An Individual-Level Pooled Study Of 19 Twin Cohorts, Keith E. Whitfield, Numerous Authors, See Full List Below

Office of the President Faculty Publications

Comparing twins from same- and opposite-sex pairs can provide information on potential sex differences in a variety of outcomes, including socioeconomic-related outcomes such as educational attainment. It has been suggested that this design can be applied to examine the putative role of intrauterine exposure to testosterone for educational attainment, but the evidence is still disputed. Thus, we established an international database of twin data from 11 countries with 88,290 individual dizygotic twins born over 100 years and tested for differences between twins from same- and opposite-sex dizygotic pairs in educational attainment. Effect sizes with 95% confidence intervals (CI) were estimated …

Implementation Of A Protocol In The Freestanding Emergency Department To Screen For And Identify Possible Victims Of Human Trafficking, Joe Alvarado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human trafficking (HT) victims often seek medical care in the emergency room setting. In a recent study among HT survivors, 88% attested to receiving medical care while in captivity, with 63% treated in the emergency care setting. Freestanding emergency departments typically have lower acuity and lower patient volumes than hospital-based emergency departments. This setting creates shorter wait times and minimizes the length of stay at every point during the emergency room experience. For traffickers, this is an ideal situation if their victim needs medical attention, and they want to get in and get out of the emergency room with less …

Implementing A Heart Failure Education Program For Bedside Nurses In The Acute Care Setting, David L. Morrow

UNLV Theses, Dissertations, Professional Papers, and Capstones

Heart failure is a chronic disease in which a weakened heart is no longer able to deliver adequate blood flow to supply the body with needed oxygen and nutrients. Heart failure is the most common reason for hospitalization in the United States for patients age 65 and over, accounting for over 1,000,000 hospital admissions annually. Due to the chronic nature of this debilitating condition and associated symptoms, patients discharged from the hospital with a diagnosis of heart failure are at high risk for readmission. Effective self-care behaviors have been shown to reduce readmissions and improve quality of life for these …

Acceptability And Feasibility Of Web-Based Diabetes Instruction For Latinos With Limited Education And Computer Experience, Sharon A. Fitzgerald, Victor E. Martinez-Zavala, Kenia Yazmin Reyna Blanco, A Paula Cupertino, Mugur V. Geana, Edward F. Ellerbeck

Journal of Health Disparities Research and Practice

Introduction: The internet offers an important avenue for developing diabetes self-management skills, but many Latinos have limited experience with computer-based instruction.

Objective: To evaluate the feasibility and acceptability of delivering a web-based diabetes education program in a computer classroom for Spanish-speaking Latinos.

Methods: Spanish-speaking Latinos (n=26) attended two classroom sessions to learn computer skills while navigating a web-based diabetes education platform. Diabetes knowledge was assessed before and after the intervention; structured interviews were completed to assess program acceptability.

Results: Half of participants (50%) had not previously used a computer. Post-intervention, diabetes knowledge improved significantly (p=.001). The majority of participants (86%) …

Gambling Education Programs For Adolescents: A Systematic Review, Brittany Keen, Alex Blaszczynski, Fadi Anjoul

International Conference on Gambling & Risk Taking

Around two thirds of Australian adolescents aged 10-14 years old have gambled in the last year, and rates of problem gambling are up to four times higher among adolescents than in the adult population. Schools provide a unique opportunity to intervene in cognitive and behavioural development, and while several gambling education programs exist in schools across Australia and internationally, few have been empirically evaluated. The purpose of this review was to provide a systematic appraisal of the published research on gambling education programs for adolescents. The review aimed to identify the number and quality of studies that have evaluated gambling …

Delirium Education Program For Critical Care Nurses: A Mixed Methods Study, Meredith Padilla Padilla

UNLV Theses, Dissertations, Professional Papers, and Capstones

Approximately 10-30% of hospital admissions develop delirium where nearly 30-40% of the delirium cases are preventable. Non-detection rates by acute care healthcare workers were reported at 72-75%. Hence, it is crucial for hospitals to develop delirium education programs focused on early recognition and prevention. Thus, the purpose of this mixed method study was to develop and evaluate the effect of a delirium education program (DEP) on improving critical care nurses’ knowledge and self-confidence in identifying delirium and the associated risk factors. In the quantitative strand (Phase I) of the study, both the intervention and control groups completed the online pre-tests …

An Evidence Based Approach To Sepsis: Educational Program, Dolores Perez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Evidence-based guidelines for recognizing and treating sepsis have been available for decades, yet healthcare providers do not adhere to the recommendations. Sepsis can progress rapidly if not recognized early. Literature reports reveal that sepsis is the leading cause of death in non-cardiac intensive care units (ICUs), and it is one of the most expensive conditions to treat. A hospital in the Las Vegas, Nevada area had previously introduced sepsis management prescriptions in 2011 with no formal education of sepsis guidelines to nurses. The original hospital’s sepsis management prescription sets followed guidelines dated 2008. The purpose of this project was to …

Education And Educational Attainment In Southern Nevada, Jennifer Pharr, Courtney Coughenour, Shawn Gerstenberger

Nevada Journal of Public Health

Failure to complete high school has a direct impact on a person’s earning potential and quality of life. Higher levels of education are associated with better health. Because of this association, it is important for children and adults to have access to quality education. The percentage of adults who have successfully pursued higher education in Southern Nevada is lower than the peer Mountain West metropolitan areas and the national average. Nevada high school graduation rates are the lowest in the nation. High school graduation rates and dropout rates vary by race/ethnicity in the Clark County School District. High school graduation …

The Lived Experience Of The Novice Nursing Dean: Exploring The Meaning And Significance, Melissa Rae Bouws

UNLV Theses, Dissertations, Professional Papers, and Capstones

Deans of nursing hold a unique position for the future of the profession. Few others have the potential to bring about change within the academic setting, or hold such a strong influence on the future of nursing and on our students. Current statistics reveal multiple vacancies in nursing dean positions. Further understanding of how nursing deans begin their role, attain their identity as dean, and successfully execute this important position is needed to recruit and retain strong leaders who have the methods and skills to develop and support the advancement of the nursing profession. Understanding the process of becoming nursing …

Testing A Reflection Education Intervention On Baccalaureate Nursing Students' Level Of Reflection During Online Clinical Post Conference, Jaime Alicia Hannans

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background

The majority of faculty-student interactions are at low cognitive levels during nursing clinical post conference (CPC), a time often utilized for reflective thinking. Strategies have been implemented to promote or even teach reflection, but the level of reflection or impact of the intervention in nursing, such as the relationship to student attributes or clinical reasoning, is often not evaluated.

Specific Aims

The specific aims of this study are to (a) test the effect of a reflection education intervention on the baccalaureate students' level of reflection during online CPC, (b) examine the relationship between student attributes and level of reflection, …

Game Change: What Have We Learned? Pt. 2, Robert E. Lang, Sonya D. Horsford, Marya L. Shegog, Ramona Denby-Brinson, Fatma Nasoz

Brookings Scholar Lecture Series

Share Knowledge. Change Lives. Transform our Community.

Our Mission: The Lincy Institute at UNLV conducts and supports research that focuses on improving Nevada's health, education, and social services.

Our Research Areas: Education, Health, Social Services, Information Technology

Factors Which Influence The Use Of Active Learning Strategies By Nursing Faculty, Deborah Lowell Shindell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nursing education is facing a crisis. Anachronistic teaching methods are no longer keeping up with the needs of new graduates entering practice. Despite a body of knowledge which supports the use of active learning in higher education, nursing faculty continue to rely on lecture as their primary pedagogical approach. Previous study of the use of research products in clinical nursing practice identified systematic factors such as characteristics of the communication of research findings and characteristics of the organization form the greatest barrier to use. This study discovers if these same barriers face nursing educators.

Using Roger‟s Theory of Diffusion of …

The Utilization And Effectiveness Of The Hesi E(Square) Exit Exam As A Graduation Requirement Toward Increasing Nclex-Rnrtm Pass Rates In Baccalaureate Nursing Programs, Debra Henline Sullivan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Due to a desire to better prepare BSN students for the Nurse Council Licensure Examination for Registered Nurses (NCLEX-RN^® ) and to increase first-time pass rates, nursing programs across the US are using predictive testing to implement policies that require students to pass a standardized exit exam to graduate (National League for Nursing, 2010). Evolve Learning Systems owned by Elsevier, Inc. offers such an exit exam named the HESI E ² , which recommends a benchmark score to predict success on the NCLEX-RN^® . To offset an expected decrease in NCLEX-RN^® pass rates due to recent changes …

The Development And Validation Of A Tool To Measure Self-Confidence And Anxiety In Nursing Students While Making Clinical Decisions, Krista Alaine White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to develop, test, and establish psychometric properties for a quantitative instrument that measures the levels of self-confidence and anxiety experienced by undergraduate nursing students while making clinical decisions. The new tool is entitled the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) scale. The tool is a self-report, Likert-type instrument …

Effects Of Environment On Children's Motor Scores, Eligibility Status, And Administration Times, Derrick Mittelstadt, Abigail Parker, Kirsten Pickett, Heather Temkin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Best practices for assessing developmental skills in young children focus on naturalistic observation in everyday settings, but the effects of environment on test scores, eligibility status and administration time have not been explored. The Peabody Developmental Motor Scales-Second Edition (PDMS-2) was administered to 34 children aged 18 to 59 months in natural and pull-out settings. PDMS-2 total, gross, and fine motor quotient (TMQ, GMQ, and FMQ) scores were significantly lower in the natural environment (p’s≤.014). Based on our results, more children would qualify for services when tested in natural environments using TMQ and GMQ scores. It also took significantly longer …

Empirical Testing Of The Neuman Systems Nursing Education Model: Exploring The Created Environment Of Registered Nursing Students In Nevada’S Colleges And Universities, Diane H. Elmore

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purposes of this paper are to: (a) present the strategies and rationale for creation of a middle range nursing theory that is specific to nursing education, (b) to determine if propositions of the model are valid and appropriate to support further research based on the student-centered education model, and (c) to conduct initial research on the created environment of nursing students, which is one of two the primary constructs of the nursing education model. Use of the Neumans Systems Nursing Education Model (NSNEM), a student centered educational model, which is consistent with the Neumans System Model (NSM) provided the …

Comparing Net And Eri Standardized Exam Scores Between Baccaulureate Graduates Who Pass Or Fail The Nclex-Rn, Mary D. Bondmass, Sheniz Moonie, Susan Kowalski

Environmental & Occupational Health Faculty Publications

In the United States, nursing programs are commonly evaluated by their graduates success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this paper is to describe a change in NCLEX-RN success rates following the addition of standardized exams throughout our program's curriculum, and to compare these exam scores between graduates who pass NCLEX-RN and those who do not. Our results indicate an 8.5% change (p < 0.000) in the NCLEX-RN pass rate from our previous 5-year mean pass rate, and significant differences in standardized test scores for those who pass the NCLEX-RN compared to those who do not (p < 0.03). We conclude that our selected standardized exam scores are able to significantly identify graduates who are more likely to pass NCLEX-RN than not.