Digital Commons Network^™

Pre-Transplant Evaluation Period Efficiency Through The Use Of An Electronic Scheduling Template, Christy Dawn Byrd

Student Scholarly Projects

Practice Problem: Candidacy for transplant evaluation is a complex and lengthy evaluation process. Delays in National Organ Registry have significant unfavorable impacts on patient outcomes as 22 people a day die awaiting a lifesaving treatment. Operational efficiencies can improve the pre-transplant evaluation period and significantly improve patient outcomes.

PICOT: In an outpatient transplant clinic (P), will leveraging an evidence-based scheduling template (I) compared to the current practice of first available appointment (C) reduce the evaluation period by 66% from a 3–4-week evaluation to a 1-week evaluation resulting in expedited listing on the National Organ Registry (O), when applied over …

Gender Identity & Perception Of Happiness, Victoria Miller, Lynn Geurin

2023 Celebration of Student Scholarship - Poster Presentations

The purpose of this study was to examine the relationship between gender identity and perception of happiness. Researchers examined the topic of gender identity and overall happiness based on a fluid or nonbinary perception of gender.

How Programing And The Enviorment Impact Occupation Participation With Individuals Living On A Secured Unit, Courtney Gast

Occupational Therapy Doctoral Student Capstone Posters

This Capstone was completed at Crestmont North in Lakewood. Modifications to the enviorment and activities program increased purpose and meaningful participation for older adult residents 55 years and older living within a secured unit. A written guide was developed for the activities staff with resources to enhance the care of older adults

Well Mind, Well Life: A Mental Wellness Program For Lgbtq Young Adults, Michelle Casey

Occupational Therapy Doctoral Student Capstone Posters

This capstone was in partnership with the LGBT Community Center of Greater Cleveland. It included the development of a peer-led program for queer-identifying young adults to promote mental wellness. Free resources have been provided to the site to enhance mental wellness promotion at the Center.

Planning And Evaluation For Floyd County Veterans Treatment Court, Johnathon Carmack, Lisa Shannon, Shira Birdwhistell

2023 Celebration of Student Scholarship - Poster Presentations

The Floyd County Veterans Treatment Court Evaluation began with a comprehensive literature review of recent peer reviewed articles using the Morehead State University Camden Carroll Library online database Fourteen peer reviewed articles were selected based on their relevance to Veterans Treatment Court.

Religious Beliefs & Marital Satisfaction: Examining The Impact Of Religious Beliefs On Marital Satisfaction, Trenton Rose, Monica Himes

2023 Celebration of Student Scholarship - Poster Presentations

The focus of the study is to examine the relationship between religious beliefs and marital satisfaction. The goal was to look at how religion was being incorporated into marriages and how it impacted their satisfaction with the marriage.

Sustaining Rural Pharmacy Workforce Understanding Key Attributes For Enhanced Retention And Recruitment, Daniel Terry, Blake Peck, Danny Hills, Jaclyn Bishop, Mark Kirschbaum, Kehinde Obamiro, Hoang Phan, Ed Baker, David Schmitz

Public and Population Health Faculty Publications and Presentations

Objective: To pilot the Pharmacist Community Apgar Questionnaire (PharmCAQ) and evaluate its usability and capacity to develop a greater understanding of the unique factors that impact the rural recruitment and retention of pharmacists.

Design: Cross-sectional design involving face-to-face, telephone or video conferencing interviews.

Setting: Twelve rural communities across Tasmania and Western Victoria, Australia.

Participants: Participants (n = 24) included pharmacists, a Director of Clinical Services, pharmacy practice managers and senior pharmacy assistants.

Main Outcome Measures: Interviews enabled the completion of the PharmCAQ, which assigns quantitative values to 50 key factors to ascertain a community's strengths and challenges associated with …

A Pilot Program To Address Nurse Leader Moral Distress Secondary To The Performance Evaluation Of Underperforming Personnel, Lisa Krening

Doctor of Nursing Practice Projects

Problem Description: First defined in 1984, as a nurse knowing the correct course of action but perceiving barriers that constrain the action, moral distress has evolved to include challenging situations associated with moral uncertainty, moral conflict, and ethical or moral dilemmas (Campbell et al., 2016; Fourie, 2015, 2016; Jameton, 1984). While the bulk of the moral distress literature has highlighted the challenges of direct care nurses, nurse leaders also grapple with ethical dilemmas that often lead to moral distress (Edmonson, 2010; Ganz et al., 2015; Prestia et al., 2017). Additionally, research indicates that nurse leaders lack experience in navigating ethical …

Extending Immunity For Drug Overdoses, Dixie R. Tabet, Maggie G. Spadaro, Kaylie E. Moss

[Archive] Belmont University Research Symposium (BURS)

The Tennessee Code 63-1-156 provides immunity to those who suffer from a drug overdose that seek medical assistance, only for the first overdose. After the first overdose, individuals who seek medical assistance do not receive immunity and are subject to criminal charges. Over the past 5 years, drug overdose deaths have increased significantly and in 2021 3,814 Tennesseans died from a drug overdose. In addition, individuals incarcerated for drug-related offenses make up about 20% of the state’s prison population. The state of Tennessee has had a significant increase in drug abuse rates, leading to a rise in overdose deaths and …

Depression Screening In Hematology/ Oncology Outpatient Clinic, Nikki Marshall Msn, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Oncology patients have multiple factors that can lead to depression, such as treatments, end-of-life decisions, stressors from home, pain, financial responsibilities, and transportation needs. If depression goes unaddressed, it can diminish the quality of life in oncology patients.

Objectives: (1) The purpose of this evidence-based practice (EBP) project is to improve Hematology/ Oncology (HEM/ONC) patient quality, with improved screening (PHQ-9 screening tool) and identification as well as referral for adult patients (18 and older). (2) Assess the knowledge, perception of depression, and confidence level of utilizing the PHQ-9 screening tool in the hem/onc outpatient clinic staff. (3) To increase …

Creating Opportunity For The Homeless Population To Engage In Meaningful Occupations, Jada S. Toliver

Capstone Projects

Creating an opportunity for the homeless population to learn life skills, and improve their engagement in meaningful occupations is critical in helping people reintegrate back into the community. Through the development of Life Skills workshops the homeless population could learn appropriate life skills, receive education and advocate for their basic needs to be met. The needs addressed were increasing participation in occupations such as work, socialization, leisure activities, and promoting the importance of maintaining their health. The objectives were: (1) developing professional reasoning skills through scholarly exploration, (2) achieving greater resiliency by implementing goal attainment scaling, (3) utilizing evidence based …

Occupational Therapy In A Daytime Homeless Shelter Setting, Ruth Erin Garcia

Capstone Projects

Occupational therapy (OT) is an allied health profession that works with individuals on improving their engagement and performance in meaningful occupations. This doctoral capstone project (DCE) was completed at Ministry with Community (MwC), a daytime shelter and resource center. There is emerging but limited literature regarding the role of OT working within a homeless shelter setting. Additionally, individuals experiencing homelessness are at risk for occupational injustice, or restriction to engagement in meaningful life activities.

The primary goal of this DCE was to improve engagement in meaningful occupations. The focus was program development with a secondary focus on advocacy. The objectives …

Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez

Capstone Projects

As we age, it is common for individuals to participate in less meaningful and purposeful occupations due to cognitive and physical declines. Research has shown that gardening is a popular leisure activity that offers many therapeutic benefits. This capstone project involved creating an evidence-based therapeutic gardening program for older adults at Care Resources. This community-based day center offers many activities and opportunities for participants to get involved with; however, after completing a needs assessment, it was clear that participants could benefit from more hands on and productive activities that help encourage regular attendance to the day center. The objectives of …

Occupational Therapy's Role In Serving Individuals With Social, Emotional, And Cognitive Deficits At Cheff Therapeutic Riding Center, Molly Ireland

Capstone Projects

This capstone aimed to gain experience and knowledge in developing evidence-based materials that positively affect the programming at the Cheff Therapeutic Riding Center. Within occupational therapy (OT), Equine-Based Therapy (EBT) has demonstrated positive outcomes for improving participation in meaningful occupations. However, based on a needs assessment with the Cheff Therapeutic Riding Center, a demonstrated increased need for outreach and enhanced mental health programming for trauma-related populations was evident. Therefore, the objectives to meet their needs were to develop a sustainable evidenced-based program utilizing EBT for individuals with trauma and provide input for their evaluation process and therapeutic riding classes within …

A Critical Analysis Of Discrepancies In Behavioral Health Program Ratings By Evidence-Based Practice Registers For Behavioral Health, Miranda Jade Lee-Easton

Dissertations

Decision makers in the behavioral health disciplines are under increasing pressure to identify and implement evidence-based practices (EBPs). These decision makers often do not have the time or expertise to assess primary studies of program efficacy or effectiveness. They could benefit from tools to assist them in identifying and implementing EBPs. One tool is an evidence-based practice register (EBPR). Prior studies have documented that when multiple EBPRs rate a given program, they may come to seemingly conflicting program ratings. The prior research concerning the reason for these conflicts is sparse. The purpose of the present study is to understand how …

Covid-19 Vaccine Hesitancy And Vaccination Rate Among The Latino Population In South Carolina, Brynn E. Lynagh

Senior Theses

It is common knowledge that COVID-19 disproportionately impacts racial and ethnic minorities in the United States. Furthermore, these sects of the population exhibit increased vaccine hesitancy and lower vaccination rates as compared to the aggregated population of the United States, furthering the risk posed by COVID-19 to these communities. In particular, this study focuses on the Latino population in South Carolina, the vaccination rate among this community, and the perspectives which contributed to their vaccination decision. Two hundred Spanish and Portuguese speaking residents of South Carolina were interviewed using a paper survey conducted by pre-trained interviewers. The survey gathered data …

Implementasi Kebijakan Bantuan Pangan Non Tunai Dalam Rangka Pengatasan Kemiskinan Di Era Covid - 19, Haura Ariesta, Fentiny Nugroho

Jurnal Ilmu Kesejahteraan Sosial

This study focuses on the implementation of the Non-Cash Food Assistance (BPNT) policy in poverty alleviation efforts in Kembangan District, West Jakarta, during the COVID-19 pandemic. While the BPNT program managed by the Ministry of Social Affairs of the Republic of Indonesia adheres to the distribution procedures, several challenges have emerged, including delays in disbursing aid funds, invalid beneficiary data, issues with E-waroeng (food stalls), account registration, delayed distribution, and occasional inadequacy of food supplies. However, supportive factors such as effective coordination, improved data management, education, active participation from local authorities, and the commitment of E-waroeng owners have contributed to …

Maternal Healthcare Access And Obstetric Complications: A Cause And Effect Relationship?, Lena Sharara

Independent Study Project (ISP) Collection

Poverty-stricken migrant women, named ‘Kayayei or Kayayo’ because of the nature of their job in the informal sector, have high birth rates and are said to have many barriers affecting their access to maternal health resources. In this study, Kayayei in Madina Market were interviewed and both quantitative and qualitative data were gathered to determine whether a relationship exists between access to maternal health and the obstetric complications and outcomes experienced by Kayayei. A Chi-Squared Test of Independence and a Qualitative Content Analysis were both used to analyze the data. Due to a non-significant p-value, it was found that the …

The State Of Transgender And Kinnar Communities In Delhi: Case Studies Connecting Socioeconomic Factors To Health, Ray Craig

Independent Study Project (ISP) Collection

The paper seeks to draw connections between socioeconomic barriers faced by the transgender (trans) community in Delhi, India and the healthcare that the community receives. It primarily discusses transgender people who are not part of the kinnar population, with as much consideration to the experiences of the kinnar community as possible, given limited access to their circles. Five transgender individuals and two cisgender individuals who have worked with trans communities participated in semi-structured qualitative interviews to understand various factors that affect trans people’s daily lives and their healthcare experiences in Delhi. Interviews were transcribed and coded, finding common themes of …

Desa Wisata Atau Wisata Desa:Menelaah Fase Kesepian Masyarakat Pasca Pandemi Covid -19, Maureen Wanda Sabrina, Kania Saraswati Harisoesyanti

Jurnal Ilmu Kesejahteraan Sosial

The Tourism Village Policy launched by the government has developed into an ambitious initiative that can boost the community's economy. However, behind this dream, there is a complex discussion about how ready the village community is to undertake this transformation. This article discusses the stages of the community undergoing the tourism village program against the background of Taraju Village having limited access, the existence of newly formed supporting community self-help groups, and even the community's initial rejection of the development of a tourism village. Meanwhile, this tourist village has achieved achievements on a provincial and national scale. The research used …

Examining The Feasibility Of Telehealth Trauma-Focused Cognitive Behavioural Therapy (Tf-Cbt) With Young People In Foster Care, Jill Mcleigh, Adrianna Martin, Laura Lamminen

Behavioral Health/Developmental Delay

Despite the high rate of trauma exposure among young people with child welfare involvement, various systematic and patient barriers exist that inhibit utilization of evidence-based trauma treatments. One strategy for alleviating barriers to such treatments is using telehealth. A few studies have found that the clinical outcomes of telehealth TF-CBT are comparable to those found from clinic-based, in-person treatment administration. Studies have yet to examine the feasibility of telehealth TF-CBT with young people in care. The current study sought to address this gap by examining outcomes for patients who received telehealth TF-CBT, along with factors that may have impacted successful …

The Relationship Among Emotional Intelligence, Coping Strategies, And Occupational Burnout For Child Protective Service Workers, Yvette Longoria

Dissertations

There are low retention rates of child protective service caseworkers and this impacts the quality of care of the families served. The purpose of this study was to examine the relationship between emotional intelligence, coping strategies and occupational burnout for CPS caseworkers. In addition, examining the relationship between education type, education level, and caseload size as it relates to emotional intelligence, coping strategies, and occupational burnout among child protective caseworkers. The theoretical framework utilized was the Transactional Theory of Stress and Coping. A convenience sampling was used to collect participants employed as FBSS or CVS caseworkers at Texas Department of …

Implementing A Teamstepps® Approach With An Interdisciplinary Team To Increase Successful Post-Surgical Discharge Efficiencies, Ann Marie Moynihan Msn, Aprn, Nea-Bc, Onc

Doctor of Nursing Practice Projects

Background: Communication breakdowns contribute to discharge delays in the acute care settings. TeamSTEPPS® is and evidence-based program that seeks to optimize patient outcomes by improving communication and teamwork.

Objectives: The primary aim of this Quality Improvement (QI) project was to increase by 5% the number of patients discharged by noon. The secondary aims of this project were to improve the interdisciplinary team's communication and to improve workforce efficiencies and use of staff time.

Methods: A pre and post intervention design was used to collect and analyse the rate of successful discharges by noon, in addition to evaluating the interdisciplinary team’s …

Peran Program Pengembangan Petani Sebagai Implementasi Csr Pt. Smgp Terhadap Resistensi Masyarakat, Ahmad Taufik, Indra Lestari

Jurnal Ilmu Kesejahteraan Sosial

The presence of mining projects or power plants that utilize or exploit natural resources has the potential for environmental, social, and economic problems for the community. There are many cases of rejection from communities around the project area, which can even lead to conflict and anarchic actions that cause losses for several parties. Meanwhile, there are demands for energy sustainability amidst the current crisis in the availability of fossil energy. Therefore, the government provides support through several policies, one of which is encouraging the implementation of Corporate Social Responsibility so that core project activities can take place with attention to …

Implementasi Tahapan Pengembangan Masyarakat Dalam Program Perhutanan Sosial, Ahmad Nur Faizal, Moch. Ilham Noer Sunan

Jurnal Ilmu Kesejahteraan Sosial

The community's dependence on the forest makes the community's position vulnerable when access to the forest is restricted. The restrictions on community access to forests impact on emerging social problems such as poverty, conflict, and illegal logging. Responding to this problem, the government rolled out a social forestry program to improve people's lives. This research uses a qualitative approach with data collection techniques through observation, semi-structured interviews, and documentation to study in depth how the community development stages are implemented in the social forestry program in Burno Village. The results showed that there were community development efforts from CDK Lumajang …

Model Perencanaan Strategis Dalam Service Organization : Sebuah Kajian Literatur, Rakhmiana, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

In Indonesia, several types of HSOs include government organizations, private organizations, and non-profit organizations. Strategic planning is crucial for HSOs as it helps them to map their direction and goals, manage their resources, identify opportunities and challenges, coordinate their activities, and measure and evaluate their performance. To assist in strategic planning, various mapping models can be used. One of the models that can be used is Scenario- Based Road Mapping (SBRM). This research is a literature review that discusses different strategic planning models for HSOs, which can help organizations formulate more effective and adaptive strategies. These models can help HSOs …

What Makes A Family: How An Empowerment-Based Health Care Delivery Model Employs Family Planning To Positively Impact Families In Rural Maharashtra: A Study In Jamkhed, Ahmadneger, Sezin Sakmar

Independent Study Project (ISP) Collection

The paper examines how an empowerment-based health care delivery model employs family planning services to positively impact families in rural Maharashtra. Family planning services provide those with the ability to become pregnant the option to control their own reproductive lives, whether they choose in favor of or against having children. Contraceptive use advances people’s human rights to choose whether they want to bear children and how many children they want, and people should have the choice of their preferred contraceptive method. The paper examines this issue within the framework of the Comprehensive Rural Health Project’s Jamkhed Model. Through the Jamkhed …

Therapy Approaches Provided To Traumatized Refugee Children, Esther Ekeh

Independent Study Project (ISP) Collection

The study examined various trauma treatments provided to traumatized refugee children and evaluated their effectiveness. Interviews were conducted with five mental health professionals, comprising two males and three females. The professionals included a psychologist at Caritas, a coordinator at Syrian American Medical Society (SAMS), a manager of an international non-governmental organization (NGO), a clinical psychologist at the Happiness Again Project, and a psychologist at an NGO. All interviews were conducted in person. Thematic analysis was employed to analyze the interview data. The findings revealed that play therapy and group therapy emerged as the most effective trauma treatments for traumatized refugee …

Leaving Home With Broken Bones: A Case Reflection, Aniqa Rahman, Sarah Kohl, Kyra Smith, Haley Gagne

CECE Spring Showcase 2023

An inter-professional team approach to a case of chronic illness in the backdrop of housing instability in rural Maine. This case was designed with the collaborative efforts of students from the Undergraduate, Osteopathic Medicine, and Physical Therapy schools.

Telemental Health In Emergency Care Settings: A Qualitative Analysis Of Considerations For Sustainability And Spread, Mckenzie K Roddy, Patricia Chen, Alvin D Jeffery, Jeydith Gutierrez, Melissa Rubenstein, Corey Campbell, Eric Blake, Michael J Ward

Faculty, Staff and Students Publications

Objectives: Following rapid uptake of telehealth during the COVID-19 pandemic, we examined barriers and facilitators for sustainability and spread of telemental health video (TMH-V) as policies regarding precautions from the pandemic waned.

Methods: We conducted a qualitative study using semistructured interviews and observations guided by RE-AIM. We asked four groups, local clinicians, facility leadership, Veterans, and external partners, about barriers and facilitators impacting patient willingness to engage in TMH-V (reach), quality of care (effectiveness), barriers and facilitators impacting provider uptake (adoption), possible adaptations to TMH-V (implementation), and possibilities for long-term use of TMH-V (maintenance). Interviews were recorded, transcribed, and analyzed …