Medicine and Health Sciences Commons^™

Intimacy Following Cerebral Vascular Accident, Hannah Caitlyn Guschel, Sarah Hendrickson

Graduate Student Scholarship

In the United States, a cerebral vascular accident (CVA) is a leading cause of death and a significant contributor to severe disabilities for adults (Centers for Disease Control and Prevention, 2022a). Two areas of post-stroke deficits and changes that are not frequently addressed in treatments are sexual activity dysfunctions and challenges with intimacy after stroke. Occupational therapy practitioners have the education, training, and practice areas within our framework to address issues relating to sexuality and provide education on the matter. Sexuality should be addressed, like all other activities of daily living, thorough and assiduous. This study was a cross-sectional design …

Promoting Engagement Of Male Individuals With Alzheimer’S In A Memory Day Care, Tara Brophy

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Alzheimer’s and related dementias impact an individual's cognitive, psychological, social, and physical functions resulting in impairments within the engagement of activities. Activities offer many therapeutic benefits including improvements in mood, alertness, communication, socialization, sleep, cognitive function, and quality of life. The focus of this quality improvement capstone project was to address the decreased level of engagement in male members within a memory day care center setting through engaging them in male-tailored activities. The project included the development of a website that provided tailored male-oriented activities and educational resources that were shared with the staff to revise their day care activity …

Differences In Immigrant And U.S. Native Born Patients’ Experiences In The American Healthcare System: A Correlational Study, Betaneya W. Daniel

Virginia Journal of Public Health

Objective: To examine any perceived barriers that might exist in the United States healthcare system and gather data on how different patients experience the system.

Methods: The study utilized a correlational analysis with usage of a Likert scale survey administered to U.S.- born natives, immigrants, and healthcare providers. The survey assessed respondents of their access to healthcare services, barriers to healthcare services, healthcare provider trust/relationships, and health institutions’ relations. Another survey assessed healthcare providers’ belief in the efficacy of their services and health institutions’.

Results: No statistically significant differences were found between U.S. natives and immigrants, but notable distinctions were …

Health Equity: Communicating Impaired Water Status, Emily Potter

Virginia Journal of Public Health

Introduction: Land use changes in the Rivanna River and James River Watersheds have increased the number of impaired recreational waters, and there is a disparity in the equitable communication of these impairments to different populations. Ineffective communication contributes to inequities in access to safe, accessible, and affordable water for vulnerable populations, placing public health at risk.

Methods: This study uses secondary data from the Environmental Protection Agency’s Watershed Index Online (WSIO) Indicator Data Tables, Virginia Department of Environmental Quality (DEQ), Rivanna River Association, and James River Association. Correlations, linear regression, and percent change were used to identify statistically significant trends …

Addressing Farm Safety: Farm Safety Dinner Theaters In The Shenandoah Valley, Tammy Kiser, Michelle Seekford, Jeremy Daubert

Virginia Journal of Public Health

Statistics demonstrate that farm safety and wellness issues affect all ages in the agricultural community. However, an increased proportion of youth and older farm workers comprise the highest rates of farm-related morbidity and mortality. Engaging farmers in increasing safe practices in the agricultural community is an important, ongoing challenge.

Methodology

Farm Safety Dinner Theaters, an initiative created through community-based participatory research (CBPR) at the University of Kentucky, provide a relaxed environment where farmers and their families can identify safety and wellness issues, watch as the actors process these issues, and enjoy a meal. Seeing the situations played out in theater …

Enhancing Community Engagement: Perspectives From Researchers, Community Members, And Service Providers, Anne-Marie O'Brien, Elyssa Wood

Virginia Journal of Public Health

Purpose: Compare and contrast perspectives from Research Team Members (RT), Community Members (CM) and Service Providers/Others (SP/O) about barriers and facilitators to community engagement and participation in health research.

Methods: A cross-sectional, descriptive survey study with a convenience sample of adults who lived and/or worked in the Commonwealth of Virginia was conducted between May and July 2022. Descriptive statistics and chi-square analyses were conducted to identify similarities and differences across the three stakeholder groups.

Results: A total of 303 participants were involved in this study. In general RTs, CMs and SP/Os were similar in their responses to perceived barriers and …

Mentorship Matters: Promising Results From Vpha’S Pilot Mentorship Program, Ashley Tharpe, Stacey B. Plichta, Anna R. Robertson, Kim Baskette

Virginia Journal of Public Health

Purpose

The Virginia Public Health Association (VPHA) Pilot Mentorship Program seeks to support public health students, early career professionals, and career switchers throughout the Commonwealth of Virginia in their growth as public health professionals. The program provides opportunities for participants to gain job-seeking and professional communication skills through live webinars, to connect with each other through online networking events, to manage stress through wellness webinars, and to interact with experienced public health professionals.

Methods

VPHA formed a volunteer committee to develop and implement the program in Fall 2022. Initially, the program was envisioned as a traditional one-to-one mentoring program; however, …

Describing Trends In Virginia's Dentist And Dental Hygienist Workforce: Challenges And Opportunities, Shillpa Naavaal, Yetty Shobo, Barbara Hodgdon

Virginia Journal of Public Health

Purpose: Regular assessment of the dental workforce is essential to improve the population's oral health. This analysis aimed to understand the trends in the distribution of dentists and dental hygienists (DHs) in Virginia.

Methods: Annual survey data (2013-2022) of dentists and DHs from the Virginia Department of Health Professions Healthcare Workforce Data Center was used to examine the trends in provider distribution by age, gender, race/ethnicity, and geography across Virginia.

Results: In 2022, there were 5,720 dentists and 5,290 DH licensees in Virginia. In the dentist workforce, there was a high representation of those aged ≥60 years (23%), males (58%), …

Hearing Loss And Cognitive Decline In The Aging Population: Emerging Perspectives In Audiology, Naveen K. Nagaraj

Communicative Disorders and Deaf Education Faculty Publications

In this perspective article, the author explores the connections between hearing loss, central auditory processing, and cognitive decline, offering insights into the complex dynamics at play. Drawing upon a range of studies, the relationship between age-related central auditory processing disorders and Alzheimer’s disease is discussed, with the aim of enhancing our understanding of these interconnected conditions. Highlighting the evolving significance of audiologists in the dual management of cognitive health and hearing impairments, the author focuses on their role in identifying early signs of cognitive impairment and evaluates various cognitive screening tools used in this context. The discussion extends to adaptations …

Combined Use Of Donepezil And Memantine Increases The Probability Of Five-Year Survival Of Alzheimer’S Disease Patients, Ehsan Yaghmaei, Hongxia Lu, Louis Ehwerhemuepha, Jianwei Zheng, Sidy Danioko, Ahmad Rezaie, Seyed Ahmad Sajjadi, Cyril Rakovski

Mathematics, Physics, and Computer Science Faculty Articles and Research

Background

Alzheimer’s disease (AD) is the most common neurodegenerative disease. Studying the effects of drug treatments on multiple health outcomes related to AD could be beneficial in demonstrating which drugs reduce the disease burden and increase survival.

Methods

We conducted a comprehensive causal inference study implementing doubly robust estimators and using one of the largest high-quality medical databases, the Oracle Electronic Health Records (EHR) Real-World Data. Our work was focused on the estimation of the effects of the two common Alzheimer’s disease drugs, Donepezil and Memantine, and their combined use on the five-year survival since initial diagnosis of AD patients. …

Contents Of Vol. 31, No.1, April 2024, Yuniardini Septorini Wimardhani

Journal of Dentistry Indonesia

This is the Cover and the Contents of the Vol. 31 No. 1 2024

Quality Improvement Initiative For Anaphylaxis Treatment In A Pediatric Emergency Department, Kaitlyn Leahey, Jack Becker, Angela Kim

St. Chris Research Day

No abstract provided.

Using Autorefraction Data To Predict Strabismus With Deep Learning Technology, Ibrahim Chaudhry, Aaila I Chaudhry Dr

St. Chris Research Day

No abstract provided.

Improving The Utilization Of Lunch Breaks For Nursing Staff, Norma Dawson, Kelsey Robinson, Bridget Miller, Deborah Monck, Beth Kessler

Operations Transformation

The Med-Surg Unit at LincolnHealth has a high number of nursing staff missing lunch breaks, despite encouragement and existing efforts to promote taking breaks. In addition, there are many instances where staff are not accounting for the breaks they have taken on their time sheets.

The Impact Of Reporting Patient Safety Events: An Integrative Review, Catherine M. Amitrano

Doctoral Dissertations and Projects

Since the 1999 Institute of Medicine landmark report, To Err is Human, leading organizations such as the Agency for Healthcare Research and Quality have been working with healthcare leaders to reduce patient harm. A problem in healthcare is errors continue to occur at alarming rates. The COVID-19 pandemic impacted patient safety efforts and organizations are trying to get to pre-pandemic patient safety progress. The purpose of this integrative review was to review and evaluate individual research studies on patient safety event reporting and summarize what is known about the topic in terms of how patient safety event reporting impacts patient …

Faith-Based Intervention To Prevent Adolescent Self-Injury: An Integrative Review, Adekemi O. Akinyemi

Doctoral Dissertations and Projects

This integrative review explores the efficacy of incorporating faith-based (Christian/spiritual) interventions within the framework of Dialectical Behavior Therapy (DBT) to prevent non-suicidal self-injury (NSSI) among adolescents aged 11-19. As the prevalence of NSSI among this demographic group continues to rise, understanding the potential benefits and challenges of integrating faith-based components into evidence-based therapeutic approaches is crucial. The review synthesizes existing literature, drawing on empirical studies, theoretical frameworks, and clinical evidence to assess the impact of faith-based integration in DBT. Through a comprehensive analysis of diverse sources (e.g. CINAHL, PubMed, PsycINFO, NIH) this review was able to shed light on the …

Improving The Socio-Emotional Competence Of Academic Nurse Educators: An Experimental Study, Helen Freeman

Doctoral Dissertations and Projects

An academic nurse educator with a high level of socio-emotional competence (SEC) can create an inviting learning environment that promotes the highest level of achievement from students. The purpose of this two-group pretest-posttest experimental study was to determine the extent of effectiveness of socio-emotional intelligence education and a reflection-guided professional development plan in improving the socio-emotional competence of academic nurse educators. The Bar-On emotional social intelligence (ESI) conceptual model and the Purkey invitational theory were frameworks used to guide the study. The Emotional Quotient Inventory (EQ-i 2.0) was used as the data collection instrument to measure the pretest and posttest …

Facilitator Ethnicity And Clinical Judgement Among Senior Minority Students Using Unfolding Case Studies, Rachael King

Doctoral Dissertations and Projects

Unfolding case studies are a technique used in advancing critical thinking in order for nursing students to enhance their clinical judgement. The format at which they are delivered can influence the degree of learning, understanding, applying, analyzing, and evaluating for students, especially senior minority nursing students. This quasi-experimental posttest survey between-groups study involved implementing unfolding case studies with a randomly selected minority or non-minority facilitator video recording for senior minority nursing students. After completing the case study, all participants were given a posttest survey, the Clinical Decision Making in Nursing Scale (Jenkins, 1983). The survey evaluates students’ self-perceived clinical judgement. …

Do More Than Train New Nurses...Retain Them! A Qualitative Research Study, Kerrin L. Hampton

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study is to understand the orientation experiences of new graduate nurses and identify retention practices that are relevant and beneficial to the population of interest. Study participants were new graduate nurses employed at a five-hospital healthcare system. Using social constructivism as the theoretical framework, the study sought to answer the research question of what are the lived experiences of new graduate nurses during orientation? Ten new graduate nurses participated in individual interviews to discuss their personal orientation experiences. The interviews informed the researcher regarding the meaning and value new graduates place on their orientation …

Exploring The Lived Experiences Of Rural Texas School Counselors Working With Students’ Mental Health After The Covid-19 Pandemic, Lanessa K. Allman

Doctoral Dissertations and Projects

The purpose of this qualitative descriptive phenomenological study was to describe the lived experiences of rural Texas counselors when working with students’ mental health in the aftermath of the COVID-19 pandemic. The study aims to answer questions of what school counselors describe as the mental health environment for students in rural Texas schools prior, during, and after the COVID-19 pandemic and the changes in the mental health environment of rural students. Most existing research has been focused on how COVID-19 changed school counselors’ roles and responsibilities and how the pandemic affected students’ mental health. The current study concentrated on the …

Patients’ Attitudes Towards Medical Students’ Participation In Procedures And Clinical Examinations In Lebanon, Rim Taleb, Racha Ftouni, Malak Abdel Khalek, Lama Uweis, Ali Yassine, Hussein Shoumar

BAU Journal - Health and Wellbeing

Medical practice revolves around patients’ safety and ensuring their well-being. Patients’ cooperation with medical students in their examination and management is an indispensable aspect of clinical education. They have the right to accept or refuse the participation of students in their care. However, students need to be integrated in this learning process. This presents a conflict between patients’ healthcare rights and medical students’ learning opportunities. Therefore, this study aims to explore patients’ attitudes towards the participation of medical students in procedures and examinations in Lebanon and identify the factors that affect their participation. A descriptive cross-sectional study was conducted using …

Using Gerontechnology For Care Transition Conversations In Senior Living, Roschelle L. Fritz, Catherine Van Son, Chris Veloicaza, Stephanie Soriano, Gabrielle Barling

ICHRIE Research Reports

Every day across the United States, thousands of senior living organizations assist with housing transition decisions for older adults experiencing health-related changes. These decisions impact resources for older adults and senior housing corporations, yet these decisions are based primarily on subjective observational data regarding older adults’ changes in function or cognition. Smart homes offering continuous, unobtrusive health monitoring with artificial intelligence capabilities are emerging as solutions offering health maintenance support and objective functional and health information. Such systems are well-positioned to support hospitality staff conversing with residents about transitioning from independent to assisted living. Our interdisciplinary nursing research and hospitality …

Focused Interdisciplinary Therapy: Making A Case For Group Based Intensive Therapy In Pediatric Neurorehabilitation, Teressa Reidy, Nicole Andrejow, Erin Naber, Joan Carney

Journal of Interprofessional Practice and Collaboration

Intensive therapy models for children with chronic disabilities are gaining popularity in clinical practice. This paper outlines an intensive, interdisciplinary group intervention protocol targeting functional mobility and occupational performance of three teenage participants diagnosed with cerebral palsy (CP) (GMFCS levels 1-3). Participants demonstrated gains in function as measured by the Canadian Occupational Performance Measure (COPM), Gross Motor Function Measure-88 (GMFM), Six Minute Walk Test (6MWT), Timed Up and Down Stairs (TUDS), and grip strength. These gains indicate that intensive group-based interdisciplinary therapy programs may improve the mobility and occupational performance of ambulatory teens with CP. A significant limitation of this …

Assessing Health Needs In A Dominican Republic Community During An Interprofessional Service-Learning Trip, Gabriela Andonie, Hanna Rotundo, Ashanti Jones, Logan Dugas, Shylon Francis

Journal of Interprofessional Practice and Collaboration

Purpose: International medical missions may increase access to medicines and care, but international teams must understand local needs to implement appropriate services. In 2023, a multidisciplinary team from our institution partnered with a nonprofit organization in the barrio of Cienfuegos, Dominican Republic with the goal of strengthening local health services. The primary objective of this study was to identify health-related needs in Cienfuegos from the perspective of community members and local health care workers.

Methods: A qualitative study was conducted as part of a service-learning initiative. After obtaining informed consent, the investigators conducted individual semi-structured interviews facilitated by multi-lingual interpreters. …

The Perceived Impact Of Direct Patient Care During The Covid-19 Pandemic On Occupational Therapy Practitioners’ Mental Health Status, Emilee N. Sasser, Kathleen French, Alison Lecompte, Carrie C. Slade, Jasper Queen

Journal of Interprofessional Practice and Collaboration

Aim: To identify the impact of severe acute respiratory syndrome-related coronavirus 2 (COVID-19) on the mental health status of occupational therapy (OT) practitioners providing direct patient care.

Methods: The researchers administered a survey to identify OT practitioners’ perceptions of mental health prior to and during the pandemic. The survey was posted online via a link on social media pages related to occupational therapy professional groups. Participants completed the self-administered survey consisting of 16 questions. Some participants provided narrative responses to select survey questions, which asked about their mental health prior to and during the COVID-19 pandemic.

Results: One hundred and …

Some Kind Of Unfolding: A Micro- To Macrosystemic Exploration Of The Emic Experiences Of Formerly Incarcerated Mothers, Mary Anne Gunter Phd Lpc Lmft

Journal of Interprofessional Practice and Collaboration

Problem

The incarceration of women has increased exponentially in the past 40 years. Over 80% of incarcerated women are mothers separated from their children. A mother’s incarceration can impose a destabilizing influence upon an already fragile family system.

Significance

Incarcerated mothers have been inconsistently provided supportive rehabilitative programs, which have demonstrated a correlation to decreased recidivism.

This qualitative study conducted semi-structured interviews that explored the phenomenological experiences of eight disenfranchised incarcerated mothers who were separated from their children, as well as of their experiences of a carceral setting and involvement with prison programs.

Implications

Thematic analysis of the data revealed …

Why Spiritual Leadership Matters In A New Physical Therapist Education Program, Ondrell S. Moore

Journal of Interprofessional Practice and Collaboration

Abstract

Physical therapists (PTs) function with a set of core values established to guide these rehabilitation specialists in providing person-centered care to diverse populations. Spiritual leadership aligns with the core values for the physical therapist. As community leaders and advocates, PTs are positioned to address health disparities that disproportionately affect rural communities and racial and ethnic minority groups. Physical therapist education programs that train student physical therapists to provide equitable care across cultures should reflect the diversity espoused by the American Physical Therapy Association (APTA). This article examines the impact of leadership in building a culture of belongingness and discusses …

Concept Analysis: Undergraduate Nursing Student Clinical Performance Anxiety, Maria Gros

Journal of Interprofessional Practice and Collaboration

Concept Analysis: Undergraduate Nursing Student Clinical Performance Anxiety

Maria Gros, MSN, RN, CEN

Department of Nursing, Nicholls State University

Correspondence to: Maria Gros, MSN, RN, CEN. Department of Nursing, Nicholls State University, 906 East 1^st Street, Thibodaux, Louisiana, 70301. Phone: 985-448-4730. Email: maria.gros@nicholls.edu

Article type: Original article written in a doctoral course in the Doctorate in Nursing Education at University of West Georgia

Word count: 3023 words

Abstract

Purpose: This paper defines and clarifies clinical performance anxiety (CPA) as it pertains to undergraduate nursing students in the clinical setting. This research also identifies how CPA can be detrimental to …

No Longer On Fire, Vikki M. Parker

Ought: The Journal of Autistic Culture

Capturing the poetic, lyrical essence of the ethereal universe, the pencil portal births whispers of the self in these Sourcedoodle collections, beginning as intuitive drawings and revealing their deeper essence through digital wizardry, healing art comes through for remembering the soul's purpose. A journey to gently collect the fragmented parts of a broken self. Like little souls dancing, each image has a story, a capturing of energy, an anchoring of light intensity, a glorious weaving of fluidity and a playful curiosity. A permission to be whole & a celebration of source discovering embodiment underpins this spiritual quest for discovering existence …

Resonant Perceptions: Exploring Autistic Aesthetics Through Embodied Cognition, James Hutson, Piper Hutson

Ought: The Journal of Autistic Culture

This study investigates the nuanced realm of aesthetic preferences among individuals with Autism Spectrum Condition (ASC) compared to neurotypical individuals, addressing a significant gap in understanding the diverse perceptual experiences within the neurodiverse community. The impetus for this study stems from the growing recognition of neurodiversity and the need to appreciate how individuals with ASC uniquely experience and interpret their environment, particularly in the context of aesthetics. Employing a dual-method approach, the research integrates data from comprehensive surveys and in-depth interviews to construct a comparative analysis of aesthetic preferences and experiences. Participants encompassed a broad demographic spectrum, ensuring a diverse …