Digital Commons Network^™

The Impact Of Covid-19 During The First Two Years: Giving Voice To Pediatric Nurses, Karen S. Gralton, Kathryn J. Malin, Eileen Sherburne, Danielle Smith, Stacy Wenner, Julie Averbeck, Amy Newman, Anita Norton, Genesee Hornung, Karen Kavanaugh

College of Nursing Faculty Research and Publications

Purpose

The purpose of this study was to describe the experiences of pediatric nurses providing direct care in a variety of settings during the first two years of the COVID-19 pandemic.

Design and methods

This was a qualitative descriptive study. Donabedian's Quality Framework for the Evaluation of Healthcare was used to guide the design. Purposive sampling was used to recruit 24 direct care nurses from inpatient and outpatient settings within one healthcare system. Semi-structured, audio-recorded interviews were conducted in-person or via a virtual platform from November 2021 through March 2022.

Results

Four major themes were determined across all settings and …

Maternal-Fetal Surgery For Myelomeningocele Longitudinal Follow-Up Model: Mitigation Of Care Fragmentation Through Care Coordination And Outcomes Reporting, Jonathan Castillo, Mary M Locastro, Romain Corroenne, Anjali Malhotra, Alexander Van Speybroeck, Grace Lai, Michael A Belfort, Magdalena Sanz Cortes, Heidi Castillo

Faculty, Staff and Students Publications

Purpose

Methods

Results

Reducing Diabetic Ketoacidosis Incidence In Children With Type 1 Diabetes Through Wraparound Services At Texas Children's Hospital: The Reach Program, Selorm Dei-Tutu, Fulfilled Ighalo, Pavandeep Rakhra, Rebecca Butler, Amelia Martinez, Kelly Timmons, Don Buckingham, David D Schwartz, Meghan Craven

Faculty, Staff and Students Publications

Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of

My Life, My Story And Life Recovery Among Veterans With Substance Use Problems, Grace Chang Md, Mph, Martha J. Duffy Md, Susan Nathan Md

Patient Experience Journal

Objective: The United States Veterans Health Administration My Life, My Story (MLMS) program is a patient-centered care intervention where veterans are interviewed about their life story and may grant permission to include it in their electronic health record (EHR). Our purpose was to focus on a sample of MLMS narratives from veterans with self-disclosed substance use (SU) from our institution, and to evaluate the potential relationship between their content and a life change for the better, and to compare their content with the EHR. Methods: The narratives were reviewed on 4 domains (past challenge, substance use, experience of a turning …

Social Determinants Of Health Screening In The Pediatric Population: Evaluating The Effectiveness Of Staff Education, Brenda Awuah, Kansas S. Logan, Sally Humphrey Dnp, Aprn, Cpnp-Pc, Sharon Little Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Social Determinants of Health (SDOH) are conditions that influence health outcomes. SDOHs are screened and addressed in many clinics and hospitals to reduce patients' social needs. Research indicates how unaddressed SDOH can negatively impact chronic illness, along with the daily life of pediatric patients. SDOH's role in pediatric patients includes food security, housing stability, access to healthcare, caregiver education, and parental mental health. Previous research has addressed these factors; however, the lack of staff education prevents effective compliance and follow-up on SDOH screening. Challenges remain in implementing and integrating SDOH into routine well-child visits. This scoping review will evaluate and …

Impact Of Medication Opioid Use Disorder (Moud) Programs In Emergency Departments, Mechelle A. Zima

Nursing Capstones

The purpose of this paper is to provide a discussion of how a medication opioid use disorder (MOUD) programs integrated into the emergency department (ED) can improve patient’s outcomes compared to standard ED discharges. This study utilized a systematic literature review using PubMed, CINAHL and Google Scholar. The initial literature search identified 594 articles. After applying the predefined inclusion and exclusion criteria, 18 articles were selected. Inclusion criteria included peer reviewed articles that focused on opioid use disorder (OUD) patients treated in the ED with OUD medications while exclusion criteria involved articles with OUD patients treated in ED without OUD …

Use Of Interdisciplinary Rounds For The Identification Of Hospitalized Adults In Need Of Palliative Care, Brenda A. Blunt

Evidence-Based Practice Project Reports

Palliative care (PC) is specialized care that aims to provide relief from the stress and symptoms of living with a serious illness (Center to Advance Palliative Care, 2022). PC services are often underutilized in the hospital, leaving a significant number of patients with unmet needs (Haranis et al, 2023; Kawashima & Evans, 2023; Smith et al, 2019). The purpose of this evidence-based practice project was to improve processes for identifying hospitalized patients for referral to specialty inpatient PC. The intervention involved interdisciplinary rounds (IDR) for adult inpatients on two medical-surgical (MESG) units in an 84-bed community hospital in suburban Milwaukee, …

Assessing Healthcare Students’ Self-Efficacy In Disaster Response: A Cross-Sectional Analysis, Aydın Şenol, Abdülkerim Adıyaman, Canan Birimoglu Okuyan

Makara Journal of Health Research

Background: Assessing healthcare students’ self-efficacy in disaster response is crucial for preparing them to effectively manage real-world disaster situations. This study aimed to assess the self-efficacy status of healthcare students in disaster response.

Methods: The data for this cross-sectional analysis were gathered from 498 healthcare students between November 18, 2023, and February 14, 2024, using an individual diagnostic form and the disaster-response self-efficacy (DRSE) scale. This scale is used to assess an individual’s self-efficacy in responding effectively to disasters, including on-site rescue competency, disaster psychological nursing competency, disaster role quality, and adaptation competency.

Results: The mean age …

What Are The Minimum Dimensions In A Marketing Plan Required For Starting Or Improving Marketing In A Small, New Home Health Agency?, Patrick Baker

MUSC Theses and Dissertations

Objective: To fulfill an unmet need for practical, parsimonious assistance for examples of a practical marketing plan for new, small home health care agencies. The home health (HH) care industry needs customized marketing plans tailored to the unique requirements of small, emerging HH agencies. These plans are essential for navigating the competitive market driven by an aging population and technological advancements. However, the industry's emphasis on this specific aspect is significantly lacking.

Methodology: We reviewed the published literature, numerous books and websites and selected sources that provided practical, small-scale approaches to marketing for health care organizations. We identified specific marketing …

Compassion And Partnerships On An Interprofessional Team, Hannah E. Autenrieth

CAIEP Spring Showcase 2025

Person-Centered Care and Motivational Interviewing can enhance communication, collaboration, and acceptance when working on an Interprofessional Team. The Spirit of MI can help foster a nonjudgemental safe space for the consumer in healthcare and social services, and the team itself. MI can help meet the person where they are, and better recognize systems of power and oppression.

Solution-Focused Brief Group Counseling As An Effort To Reduce Phubbing Behavior Among High School Students, Awalya Siska Pratiwi, Arbin Janu Setiyowati, Im Hambali, Siti Syazwani Zulkuple

Jurnal Kajian Bimbingan dan Konseling

The act of phubbing has been observed to disengage from their surroundings, often finding greater comfort in solitude with their mobile phones. The research objective was to ascertain the efficacy of solution-focused brief group counseling to reduce phubbing behavior in high school students. This study employed a quasi-experimental quantitative research methodology with a pretest-posttest control group design. A total of 10 students, exhibiting a high level of phubbing behavior, were divided into two groups: the experimental group and the control group. The results of the Two-Independent-Sample Test-Mann-Whitney U test are presented in the Asymp .sig column, with a value of …

Medication Card Implementation In Public Health Clinics To Increase Health Literacy Within Older Adults In Rural Communities, Abigail Mulcahy, Audrey Ehling, Cecelia Braun, Janae Salvetti, Jocelyn Liddell, Joshua Boen, Madison Henneman, Zoe Dreckmann

Research & Creative Achievement Day

Health literacy in older adults living in a rural community continues to be a barrier to care. Improving health literacy though enhancing communication between patients and healthcare providers is essential in improving health literacy in the community.

Breaking Down Mental Health Barriers And Overcoming Generational Stigma In Black America, Ayana White

2025 Student Academic Showcase

Cultural beliefs, historical trauma, and societal pressures shape the stigma surrounding mental health in African American communities. Mental health struggles are often seen as a sign of weakness, deepened by mistrust of medical professionals due to past abuses, such as the Tuskegee Syphilis Study and the exploitation of Henrietta Lacks. This mistrust, combined with societal expectations and stereotypes, discourages open conversations about mental health. African Americans are less likely to seek professional help, with studies showing only 25% of Black individuals pursue mental health treatment compared to 40% of their Caucasian counterparts. Some of these barriers include the criminalization of …

2025 Acssc Program, Acssc Planning Committee

Annual Celebration for Student Scholarship and Creativity

No abstract provided.

Developing Independent Living Skills In People With Intellectual Or Developmental Disabilities: A Guide For Direct Support Professionals, Nigel Yeo Mr.

Student Capstone Papers

Over one percent of the world has intellectual or developmental disabilities (IDD). Many of these people lack the living skills needed to live independently. Direct support professionals (DSPs) are people who provide daily assistance, care, and support to improve the wellbeing and quality of life among people with IDD. DSPs often have minimal training to perform their role, especially in support of the development of independent living skills. Independent living skills are adaptive behavioral competencies related to self-sufficiency, with focus on conceptual skills such as language abilities, social skills including interpersonal and social problem-solving, and practical skills that relate to …

Students In Healthcare Professions: Their Knowledge Of Speech-Language Pathology, Savannah Hicks

Student Theses and Dissertations

This research provides insight into interprofessional collaboration between healthcare students and advocates for speech-language pathology (SLP) by highlighting the necessity to increase the awareness of SLPs’ responsibilities and interprofessional education across all disciplines throughout college education. Specifically, healthcare professionals need to have a complete understanding of what type of care patients are receiving or who they may need to be referred to. In this research study, healthcare students completed a survey to determine their knowledge of speech-language pathology and the amount of collaboration with SLPs. The qualitative results were analyzed with coding, which created a thematic analysis. The results revealed …

Ua12/2/1 College Heights Herald, Vol. 100, No. 3, Wku Student Affairs

WKU Administration Documents

Magazine edition of the College Heights Herald for the period February 17 - April 20, 2025.

• Wilborn, Price. You Matter & You Are Not Alone
• Smith, Kane. Peggy Crowe Reflects on Counseling Center in Face of Staff Shortages
• Stafford, Hallie. Help with Horses – New Beginnings Therapeutic Horse Riding
• Hawkins, Kaylee. How a WKU Professor Helps Improve Student Mental Health – Jay Gabbard, National Alliance on Mental Illness Recovery Support Group
• McMahon, Jake. More Than a Coach – Brent Chumbley, Track & Field
• Simpson, Libby. WKU’s American Foundation for Suicide Prevention Brings Mental Health Into the Light
• Hardesty, Emma. Trans …

The Renal Social Workers' Perspective: Attitude, Behaviors, And Barriers To Sexual Health Inclusion, Sapphira L. Blount Murray

Doctoral Dissertations and Projects

Sexual health, an important factor of perceived wellness and quality of life, is adversely impacted by renal disease and treatment. The social worker is uniquely positioned on the renal clinical care team to address sexual health. There is a dearth of literature on renal care and sexual health, and no national study on whether or how sexual health is being addressed in renal care planning by the social worker. This qualitative case study was aimed at exploring the attitudes, behaviors, and perceived barriers based on the lived experiences of renal social workers in incorporating sexual health assessments into routine renal …

Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano

Psychology Division Scholarship

Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …

Analysis Of The Tennessee Covenant Marriage, Lucy C. Spivey

SPARK Symposium Presentations

Most recent data from the World Population Review suggests that Tennessee’s divorce rate (3.3% per 1,000 people) is among the highest divorce rates in the country (2024). Although the country and state average rate has decreased in the past five years, many Tennesseans are concerned at the number of failed marriages. House Bill 0315, introduced by Republican Representative Gino Bulso, is a result of this growing concern. House Bill 0315, better known as the “Tennessee Covenant Marriage Act,” aims to strengthen Tennessee marriages by limiting divorce options for couples and requiring a premarital counseling course (Jenkins, 2025). Proponents of this …

Assessment Of Interprofessional Education Competencies: Evaluation Of A New Tool To Assess Sensitivity To Changes Across Training, Anthony J. Goreczny Ph.D., Jodi Schreiber, Melissa L. Bednarek, Mary Dee Fisher, Susan Hawkins, Susan Sterrett, Mark Hertweck

Internet Journal of Allied Health Sciences and Practice

Purpose: The Interprofessional Education Collaborative introduced specific competencies for interprofessional education to meet the growing need for interprofessional care. These four competencies include teams and teamwork, communication, roles and responsibilities, and values and ethics. With this introduction, a need has emerged for the development of a tool to assess interprofessional proficiency among students in health professions training programs and to evaluate whether such a tool is sensitive to changes in competency as students participate in specific training initiatives. Method: A tool was developed (Interprofessional Education Competency Scale - IPECS) based on the Interprofessional Education Collaborative Competencies and administered to students …

Early Childhood Educator Preparation, Exposure, And Perspectives Of Autism Spectrum Disorder In Preschool Hispanic Populations, Karla C. Vidaurri, Ruth Crutchfield, Jessica R. Stewart

Internet Journal of Allied Health Sciences and Practice

Purpose

With an increase in prevalence of autism spectrum disorder (ASD) and the Hispanic population, there is a crucial demand for early identification and servicing of individuals with ASD. Early childhood educators are one profession in the position to identify and provide services to individuals with ASD at an early age. The aim of this study was to explore early educators’ preparation, exposure, and perspectives of ASD specific to preschool Hispanic populations.

Method

A survey methodology was implemented to explore early childhood educators’ preparation, exposure, and perspectives of ASD. The anonymous survey consisted of 23 questions and statements that explored …

A Survey-Based Quantification Of Imposter Phenomenon In Occupational Therapy, Dina Prisco, Siobhan Walsh

The Open Journal of Occupational Therapy

Background: Imposter phenomenon is a professional issue that negatively affects health professionals’ performance and well-being. This study examined imposter phenomenon’s prevalence in occupational therapy (OT). Researchers hypothesized that imposter phenomenon is prevalent in OT, more so in underrepresented groups. The rate of imposter phenomenon throughout OT was quantified and rates between demographic groups compared.

Method: This study used an exploratory, survey-based research design. Survey sections included informed consent, demographics, and the Clance Imposter Phenomenon Scale (CIPS). The CIPS measured rates of imposterism. Analyses of variances and independent group t-tests were performed to identify significant differences between groups. Inclusion criteria …

Themes Of Moral Injury In The Field Of Asl Interpreting, Samantha Michaelson

Undergraduate University Honors Capstones

This research project explores connections between a moral injury framework and the recognition and mitigation of ethical stress and trauma experienced by ASL-English interpreters. I have employed strategies such as thick description, textual analysis, and a narrative synthesis of existing literature on moral injury and ethical stress in interpreting to arrive at my findings. The study explains Demand Control Schema (DCS) and the Code of Professional Conduct (CPC) as valuable tools for interpreters to discuss and address ethical stresses that arise in their work. Additionally, I examine the concept of role space and its relevance to the experience of ethical/moral …

Update On Cancer And Central Nervous System Tumor Surveillance In Pediatric Nf2-, Smarcb1-, And Lztr1-Related Schwannomatosis, Melissa R Perrino, Marjolijn C J Jongmans, Gail E Tomlinson, Mary-Louise C Greer, Sarah R Scollon, Sarah G Mitchell, Jordan R Hansford, Kris Ann P Schultz, Wendy K Kohlmann, Jennifer M Kalish, Suzanne P Macfarland, Anirban Das, Kara N Maxwell, Stefan M Pfister, Rosanna Weksberg, Orli Michaeli, Uri Tabori, Gina M Ney, Philip J Lupo, Jack J Brzezinski, Douglas R Stewart, Emma R Woodward, Christian P Kratz

Faculty, Staff and Students Publications

Schwannomatosis (SWN) is a distinct cancer predisposition syndrome caused by germline pathogenic variants in the genes NF2, SMARCB1, or LZTR1. There is a significant clinical overlap between these syndromes with the hallmark of increased risk for cranial, spinal, and peripheral schwannomas. Neurofibromatosis type 2 was recently renamed as NF2-related SWN and is the most common SWN syndrome, with increased risk for bilateral vestibular schwannomas, intradermal schwannomas, meningiomas, and less commonly, ependymoma. SMARCB1-related SWN is a familial SWN syndrome associated with peripheral and spinal schwannomas and an increased risk for meningiomas and malignant peripheral nerve sheath tumors, even in the absence …

Supporting Elementary Educators Through A Nervous System Regulation And Social-Emotional Learning Skills Workshop Intervention: An Musc Capstone Project, Lily Morgan

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Teachers have a great influence on developing children’s emotional intelligence, regulatory capacity, and occupational engagement. These professionals also happen to report some of the highest rates of stress, mental health challenges (Agyapong, B. et al, 2022), and burnout (Xie, M., et al, 2022). Providing teachers with education and support on nervous system regulation, social-emotional learning skills, and related topics can improve their ability to manage job stress, enhance modeling and interactions with students, and improve their quality of life. This project aimed to enhance knowledge, provide access to resources, and serve to support elementary educators at an inner-city school in …

Life Course Analysis: How Social Needs And Family Dynamics Impact Clinical Decision-Making, Vito Agrusa, Laila N. Abdallah, Bryen Turco

Clinical Research in Practice: The Journal of Team Hippocrates

The authors explore Life Course Analysis and how social needs (including pet care), changing demographics, and loneliness affect inpatient hospitalization and clinical decision making.

Advancing Peripartum And Pelvic Health Rehabilitation At Tristar Centennial: Empowering Recovery Through Occupational Therapy, Lilly Martin

OTD Capstone Projects

This capstone project, Advancing Peripartum and Pelvic Health Rehabilitation, was completed through the Peripartum Inpatient Program and Pelvic Health Outpatient Program at TriStar Centennial Medical and focused on empowering recovery through occupational therapy (OT). It addressed needs by revising educational materials, developing videos for at-home recovery, defining OT’s role alongside physical therapy and social work, and improving the OT presentation and packet for peripartum rehabilitation. Deliverables included educational materials, videos, and graphics to boost patient engagement, alongside an OT presentation clarifying interdisciplinary collaboration. Materials were prepared for dissemination to interdisciplinary teams, patients, and families, ensuring alignment with OT’s scope and …

A Training Toolkit For Introducing Stem Cell Transplantation To The Inpatient Oncology Nurse, Susan G. Berg Bsn, Rn, Cmsrn, Ocn, Jenna Ruggiero Bsn, Rn, Jordan Mellinger Kish Msn, Rn, Lisa Russo Msn, Rn, Gavin Bauer Bsn, Rn, Tammy Selby Rn

Hematology-Medical Oncology Division

No abstract provided.

Co-Designing A Web-Based And Tablet App To Evaluate Clinical Outcomes Of Early Psychosis Service Users In A Learning Health Care Network: User-Centered Design Workshop And Pilot Study, Kathleen E Burch, Adam B Wilcox, Et Al.

2020-Current year OA Pubs

BACKGROUND: The Early Psychosis Intervention Network of California project, a learning health care network of California early psychosis intervention (EPI) programs, prioritized incorporation of community partner feedback while designing its eHealth app, Beehive. Though eHealth apps can support learning health care network data collection aims, low user acceptance or adoption can pose barriers to successful implementation. Adopting user-centered design (UCD) approaches, such as incorporation of user feedback, prototyping, iterative design, and continuous evaluation, can mitigate these potential barriers.

OBJECTIVE: We aimed to use UCD during development of a data collection and data visualization web-based and tablet app, Beehive, to promote …