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Increasing Quality Of Life: Providing Education And Resources For Parents Of Children With Autism Spectrum Disorder, Jeanette Kymes Apr 2023

Increasing Quality Of Life: Providing Education And Resources For Parents Of Children With Autism Spectrum Disorder, Jeanette Kymes

Capstone Projects

This 14-week capstone project aimed to develop and implement meaningful modifications to an early intensive behavioral intervention center from an occupational therapy (OT) perspective. An evidence-based evaluation of the existing program was conducted, and it was identified that parents of children 18 months to 6 years old with autism lacked the awareness of available resources to support their overall quality of life. A new process was developed and implemented for parents to get connected with resources that met their current needs, resulting in a total of 18 different categories of resources. Parents also received education regarding caregiver burnout and developmental …


Features Of Optics And Mounts That Facilitate Participation In Birding For Power Wheelchair Users: An Exploratory Study, Alexander Field Apr 2023

Features Of Optics And Mounts That Facilitate Participation In Birding For Power Wheelchair Users: An Exploratory Study, Alexander Field

Capstone Projects

Birding as a leisure task may facilitate increased quality of life and regulate the nervous system through nature-based experiences; however, there are no prior published studies that examine adaptive birding equipment, making this research a crucial addition to the field of occupational therapy. Existing birding equipment is built very heavily, making it difficult for users to apply and reposition during the act of birding. This capstone project focused on adaptive birding equipment use by power wheelchair users to determine the supportive features that best facilitated participation in birding from their mobility devices. Researchers purchased lighter weight mounts and various optics …


Hope On The Slopes: Occupational Therapy's Role In Adaptive Ski Programming, Claire Hague Apr 2023

Hope On The Slopes: Occupational Therapy's Role In Adaptive Ski Programming, Claire Hague

Capstone Projects

Adaptive skiing and Occupational Therapy (OT) have potential to merge well together. They both aim to enable individuals, regardless of ability, to engage in a purposeful activity or occupation through providing the appropriate supports or interventions (Lundberg et al., 2021; AOTA, 2020). Although OT is acknowledged as a service delivered in community-based settings (AOTA, 2020), there is limited evidence to support a collaboration between OT and its involvement in community-based adaptive ski programing. The purpose of this Doctoral Capstone Experience (DCE) is to explore the role of OT in a community-based adaptive ski program, Challenge Mountain. Through serving alongside the …


Therashield, Llc A Company Designing Products To Increase Comfort And Maintain Skin Integrity, Alissa Remijan Apr 2023

Therashield, Llc A Company Designing Products To Increase Comfort And Maintain Skin Integrity, Alissa Remijan

Capstone Projects

TheraShield, LLC is a company producing products designed to increase comfort and maintain skin integrity while utilizing an unweighted harness system. TheraShield, LLC developed the product Harness Mates, which increase the surface area of contact points between the harness and skin reducing friction and shear, resulting in decreased risk of wounds and increased comfort for the client, as well as improved tolerance to time spent in the harness, allowing for an improved therapeutic response. Harness Mates come in 4 different sizes (long, wide, thick, narrow) to increase the versatility of usage. Harness Mates are designed to be impermeable, allowing to …


Creating Opportunity For The Homeless Population To Engage In Meaningful Occupations, Jada S. Toliver Apr 2023

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 …


Interdisciplinary Collaboration Between Occupational Therapy And Dentistry For Autistic Patients And Sensory Processing Differences, Mallory Fox Apr 2023

Interdisciplinary Collaboration Between Occupational Therapy And Dentistry For Autistic Patients And Sensory Processing Differences, Mallory Fox

Capstone Projects

Dental care is the most frequently cited unmet healthcare need for children with special needs (Cermak et al., 2015). Given the increased research linking oral health to overall health, it is important to ensure that dental care is accessible to all individuals. Oral hygiene and health management are both occupations included in the Occupational Therapy Practice Framework (4th ed). Combined with the unique training of an occupational therapist in sensory processing and environmental adaptations, the profession of occupational therapy has an important role in addressing the availability of dental care for those with disabilities.

The aim of my doctoral capstone …


Outdoor Community Based Rehabilitation Program Development, Dylan Pritel Apr 2023

Outdoor Community Based Rehabilitation Program Development, Dylan Pritel

Capstone Projects

The purpose of this capstone paper is to promote Outdoor Community Based Rehabilitation (CBR) as an adjunctive therapeutic approach to traditional treatment for rehabilitation professionals working in outpatient settings. The primary objective of this project was to create a comprehensive program proposal for an Outdoor CBR program for patients receiving outpatient services at Oroville Hospital. It included creating program activities, a patient referral process, identifying possible community partners, locating applicable grants, determining program staffing, as well as creating a workable budget, which included overall activity costs, staffing costs, equipment costs and reimbursement procedures. (See appendix A and B) The program …


Advocating For Occupational Therapy At The Systemic Level, Alyssa Schwartz Apr 2023

Advocating For Occupational Therapy At The Systemic Level, Alyssa Schwartz

Capstone Projects

The future of occupational therapy, a commonly misunderstood and underutilized profession, is largely influenced by advocacy at the systemic level. The following capstone project was completed at the American Occupational Therapy Association with the federal advocacy department. The capstone site mentor, Abe Saffer, is a lobbyist who mainly works on workforce, mental health, and school-based occupational therapy issues. Throughout this project, the capstone student advocated for occupational therapy and those that occupational therapy serves through legislation, networking, and by facilitating the development of OTP advocates. Additionally, the student acquired skills to continue to advocate for herself, the clients she works …


Occupational Therapy In A Daytime Homeless Shelter Setting, Ruth Erin Garcia Apr 2023

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 …


Efficacy Of Using Virtual Reality To Reduce Perceived Exertion During Therapy When Compared To Traditional Ot Intervention, Luke Lee Apr 2023

Efficacy Of Using Virtual Reality To Reduce Perceived Exertion During Therapy When Compared To Traditional Ot Intervention, Luke Lee

Capstone Projects

This project looked at the differences in perceived and actual exertion in virtual reality therapy interventions and upper extremity ergometer. The goal of this project was to quantify the efficacy of virtual reality interventions as an alternative to more traditional upper extremity interventions. This project wanted to address the lack of research focused on perceived exertion in virtual reality interventions. The student objectives focused on conducting research, familiarizing oneself with the use of virtual reality in the in-patient setting, and dissemination of the results. This study found that there was no significant difference in perceived exertion scores, changes in heart …


Disability Advocates Of Kent County (Dakc) Consumer Follow-Up For Aging In Place, Bianca Cordova Apr 2023

Disability Advocates Of Kent County (Dakc) Consumer Follow-Up For Aging In Place, Bianca Cordova

Capstone Projects

Disability Advocates of Kent County (DAKC) is a non-profit organization with an occupational therapy (OT) department that aims to keep primarily community-dwelling, low-income, older adults safe and independent in their home. The organization provides home assessments which identifies the barriers and supports for daily activities within the home. After the home assessment evaluation, adaptive equipment and/or home modification recommendations are provided. Literature supports the restorative approach DAKC uses to facilitate aging in place. There was a lack of quantitative and qualitative evidence on how consumers were aging in place post-intervention. This capstone project focused on creating a pilot follow-up program …


Addressing Sensory Processing And Mental Health Needs In The Middle School Setting, Kate Bergsma Apr 2023

Addressing Sensory Processing And Mental Health Needs In The Middle School Setting, Kate Bergsma

Capstone Projects

Rooted in policy and program development, this occupational therapy doctoral capstone experience focused on addressing sensory processing and mental health needs at Grand Rapids Christian Middle School (GRCMS). With a significant proportion of students suffering from sensory processing difficulties and mental health concerns, the field of occupational therapy is distinctly equipped to address both needs within the context of school (Nielsen at al., 2021, Mental health for adolescents, n.d.). Occupational therapy’s background and expert training in both sensory processing as well as mental health needs proved vital the completion of this capstone. An intensive literature review was conducted to guide …


Therapeutic Gardening For Older Adults At A Community-Based Day Center: A Doctoral Capstone Experience, Anna Serbantez Apr 2023

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 Apr 2023

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 …


Occupational Therapy's Role In Increasing Client Engagement In Substance Use Disorder Treatment Programming With A Community-Based Interdisciplinary Team, Jennifer Tornga Apr 2023

Occupational Therapy's Role In Increasing Client Engagement In Substance Use Disorder Treatment Programming With A Community-Based Interdisciplinary Team, Jennifer Tornga

Capstone Projects

Substance Use Disorder (SUD) remains a prevalent problem in the United States despite consistent efforts by National, State, and local entities to improve access to treatment services. Even though attendance of treatment services is understood to be important for progress towards recovery goal attainment for those with SUD, limited study has been done to understand how SUD itself negatively impacts a person’s ability to engage in treatment meaningfully and consistently. This project was designed to explore and understand barriers to attendance of and engagement in SUD treatment stemming from executive functioning deficits commonly connected to SUD. An Occupation-based approach was …


A Formal Wound Care Plan For Homelessness Populations, Sophia C. Johnson Apr 2023

A Formal Wound Care Plan For Homelessness Populations, Sophia C. Johnson

Electronic Theses and Dissertations

The purpose of this project was to develop a formal care management program for homeless patients during transition into the rehabilitation setting. This DNP scholarly project worked with one specific rehabilitation center, which is most open to the care of homeless individuals needing wound care, on the creation of a postdischarge service. An interprofessional team worked together to create a plan for the creation, implementation, and evaluation of this innovative service based on the protocols derived from the CDC to facilitate a framework and practice for those suffering from open, chronic, and worsening wounds in an effort to prevent further …


Mechanisms Of The Age-Related Power Reduction In The Knee Extensor Muscles Of Men And Women, David Wrucke Apr 2023

Mechanisms Of The Age-Related Power Reduction In The Knee Extensor Muscles Of Men And Women, David Wrucke

Master's Theses (2009 -)

The mechanisms for the loss in limb muscle power output in old (60-79 years) and very old adults (≥80 years) and whether these mechanisms differ between older men and women are not well-understood. The aims of the thesis are to 1) compare peak power output of the knee extensor muscles between young, old, and very old adults and 2) determine the physiological mechanisms for the age-related loss of power in men compared with women. 31 young (22.9±3.0 years, 16 men), 83 old (70.4±4.9 years, 44 men), and 16 very old adults (85.8±4.2 years, 7 men) performed maximal isokinetic contractions at …


Es-03 The Effects Of A Warmup Protocol Involving The Nordic Hamstring Exercise On Vertical Squat Jump Performance And Peak Muscular Activation, Reagan Hunter, Jeff Barfield Mar 2023

Es-03 The Effects Of A Warmup Protocol Involving The Nordic Hamstring Exercise On Vertical Squat Jump Performance And Peak Muscular Activation, Reagan Hunter, Jeff Barfield

SC Upstate Research Symposium

Background: Vertical jumping is one of the most popular ways of assessing athleticism and power output of the lower body in both professional and recreational sport settings. Therefore, having access to an appropriate warmup protocol for enhancing this skill and the power output associated with it is essential for athletes whose success depends on the ability to perform it. Current literature demonstrates similar posterior kinetic chain muscle engagement during the vertical squat jump and during an exercise called the Nordic Hamstring Curl. The literature additionally demonstrates significant effects on strength and athleticism when the exercise is used in long-term training …


What's Going On In This Picture? Teaching Clinical Observation Skills With Visual Thinking Strategies, Susan Noyes Phd, Otr/L Mar 2023

What's Going On In This Picture? Teaching Clinical Observation Skills With Visual Thinking Strategies, Susan Noyes Phd, Otr/L

USM Research and Scholarship Symposium

No abstract provided.


Manual Therapy And Exercise For The Management Of Chronic Neck Pain With Multiple Neurovascular Comorbidities: A Case Report, Zach Mayo, Christopher Keating Mar 2023

Manual Therapy And Exercise For The Management Of Chronic Neck Pain With Multiple Neurovascular Comorbidities: A Case Report, Zach Mayo, Christopher Keating

Department of Physical Therapy Faculty Papers

This case describes the clinical decision-making behind the conservative clinical management of an individual presenting with chronic neck pain with myriad neuromuscular comorbidities. The focus of this case report is to support the safe utilization of manual therapy and describe the tolerable prescription of strength and endurance exercise in a patient with numerous complications to improve self-efficacy. A 22-year-old female college student presented with a chief complaint of chronic, non-specific neck pain with comorbid Chiari malformation, migraines, upper cervical spinal fusion, Ehlers-Danlos syndrome (EDS), and postural orthostatic tachycardia syndrome (POTS) to an outpatient physical therapy clinic for evaluation and treatment. …


Occupational Safety And Health Practices Among Physical Therapists In Metro Manila During The Covid-19 Pandemic: A Qualitative Study Protocol, Zyra Mae V. Sicat, Paulin Grace M. Espino, Kristina B. Devora, Richard Lemuel Q. Budomo, Jewel Jace M. Abella, Barbara Nicole Y. Angeles, Giancarlo Philip H. Benzonan, Coby Jaleeyah Y. Chan, Erika L. Ignacio, Peter Oliver G. Palacio Jr., Julia Erin G. Tan Mar 2023

Occupational Safety And Health Practices Among Physical Therapists In Metro Manila During The Covid-19 Pandemic: A Qualitative Study Protocol, Zyra Mae V. Sicat, Paulin Grace M. Espino, Kristina B. Devora, Richard Lemuel Q. Budomo, Jewel Jace M. Abella, Barbara Nicole Y. Angeles, Giancarlo Philip H. Benzonan, Coby Jaleeyah Y. Chan, Erika L. Ignacio, Peter Oliver G. Palacio Jr., Julia Erin G. Tan

Philippine Journal of Physical Therapy

Introduction: The purpose of Occupational Safety and Health (OSH) is to protect and prevent workers from being exposed to risks and hazards that are detrimental to their health and safety. For the past two years, the coronavirus disease 2019 (COVID-19) is one of the most significant occupational health outcomes to physical therapists (PTs) due to the nature of their work. However, minimal studies have been conducted about the experiences and OSH practices of PTs during the pandemic. This study aims to understand the experiences of clinical PTs in Metro Manila, Philippines during the pandemic. The study also seeks to explore …


The Use Of Artificial Intelligence (Ai)-Assisted Technologies In Scientific Discourse, Arvie Vitente, Rolando Lazaro, Catherine Joy Escuadra, Jocel Regino, Esmerita Rotor Mar 2023

The Use Of Artificial Intelligence (Ai)-Assisted Technologies In Scientific Discourse, Arvie Vitente, Rolando Lazaro, Catherine Joy Escuadra, Jocel Regino, Esmerita Rotor

Philippine Journal of Physical Therapy

No abstract provided.


Effectiveness Of Vacuotherapy And Dry Needling As Adjunct Treatment For Musculoskeletal Cases: A Cohort In A Pt Clinic., Adnan N. Balisi, Vince Paul Lobaton, Dane Debulgado, Jhonas Jegira, Mae Adrinne Tumonong, Christian James Brillas, Ritchie Belle Gelito, Mychelle Rae Marasigan Mar 2023

Effectiveness Of Vacuotherapy And Dry Needling As Adjunct Treatment For Musculoskeletal Cases: A Cohort In A Pt Clinic., Adnan N. Balisi, Vince Paul Lobaton, Dane Debulgado, Jhonas Jegira, Mae Adrinne Tumonong, Christian James Brillas, Ritchie Belle Gelito, Mychelle Rae Marasigan

Philippine Journal of Physical Therapy

Introduction: Usage of vacuum therapy and dry needling in physical therapy management of musculoskeletal cases have gained increasing usage but the literature regarding their effects is limited. This study determines the effect size of the interventions, which are vacuotherapy and dry needling as adjunct treatments to exercises, performed in a local PT clinic to musculoskeletal cases in three different treatment sessions with a week gap in between.

Methods: The study is a retrospective cohort where sampling was purposive in gathering historical patient charts. The numerical pain rating scales and relevant range of motion (ROM) in the musculoskeletal cases …


Experiences And Perspectives Of Filipino Patients With Stroke On Physical Therapy Telerehabilitation: A Phenomenological Study Protocol, Christopher G. Cruz, Donald S. Lipardo, Nicole Trizia S. Esplana, Beatrice Ann Q. Loa, Micah L. Dismaya, Janelle Meara Y. Lau, Mirzi Chelsea R. Quizzagan, Arianne B. Cardenas, Adellene Therese S. Celso, Hanz Lauren A. Taguinod, Kristian Joseph C. Martin, Leonardo S. Uy Iii Mar 2023

Experiences And Perspectives Of Filipino Patients With Stroke On Physical Therapy Telerehabilitation: A Phenomenological Study Protocol, Christopher G. Cruz, Donald S. Lipardo, Nicole Trizia S. Esplana, Beatrice Ann Q. Loa, Micah L. Dismaya, Janelle Meara Y. Lau, Mirzi Chelsea R. Quizzagan, Arianne B. Cardenas, Adellene Therese S. Celso, Hanz Lauren A. Taguinod, Kristian Joseph C. Martin, Leonardo S. Uy Iii

Philippine Journal of Physical Therapy

Introduction: Stroke is the third leading cause of death in the Philippines, so these patients must continuously undergo rehabilitation for faster recovery. With the rise of COVID-19, physical therapy (PT) telerehabilitation (TR) has emerged, where services are provided outside the usual rehabilitation setting for patients with stroke to continue their treatment while reducing the risk of acquiring COVID-19. However, it is a relatively new service in the country; hence, further research is needed to identify the factors and needs of these patients during TR, which may help improve PT TR services.

Objective: This study aims to explore the experiences …


Conference Proceedings - Philippine Physical Therapy Association Convention 2022 Conference Abstracts Mar 2023

Conference Proceedings - Philippine Physical Therapy Association Convention 2022 Conference Abstracts

Philippine Journal of Physical Therapy

No abstract provided.


Orienting Patients To Their Own Care: Implementing Goals And Progress On Whiteboards, Grace Beer, Leah Mcgough Mar 2023

Orienting Patients To Their Own Care: Implementing Goals And Progress On Whiteboards, Grace Beer, Leah Mcgough

Scholars Week

Introduction: Goal-setting within the hospital setting can be a useful tool for health care professionals. By using a white board in a patient’s room, nurses can work with patients to create goals in their plan of care. Implementing daily goals on these boards can improve patient satisfaction, increase nurse-patient communication, and provide a sense of accomplishment.

Methods: We researched scholarly articles that discuss the use of goal-setting in clinical practice. These articles engage in the idea that patients visually seeing their goals helps them stay focused and motivated in their health care. The researchers used methods such as interviews, focus …


Perceptual And Acoustical Assessment Of Voice In Children With Cleft Lip And Palate, Indu Thammaiah, Meenakshi S, Raghunath N, Ramith Ramu Mar 2023

Perceptual And Acoustical Assessment Of Voice In Children With Cleft Lip And Palate, Indu Thammaiah, Meenakshi S, Raghunath N, Ramith Ramu

International Journal of Health and Allied Sciences

BACKGROUND: The speech of individuals with cleft lip and palate is primarily characterized by nasality of oral speech because of cleft and or velopharyngeal dysfunction. OBJECTIVES: The aim of the present study is to investigate the acoustical assessment and perceptual rating measurements in cleft lip and palate children. METHODS: The study participants included 30 children with cleft lip and palate in the age range of 4 to 12 years. Prior parental consent was obtained for the inclusion of their children in the study. Speech samples of all the l the participants were recorded. Prerecorded speech samples of the individuals of …


The Effect Of High Fraction Of Inspired Oxygen On Human Motor Learning Processes, Zheng Wang Mar 2023

The Effect Of High Fraction Of Inspired Oxygen On Human Motor Learning Processes, Zheng Wang

LSU Doctoral Dissertations

Human motor learning processes are fundamental for our daily activities and can be adversely affected by neurologic conditions. Motor learning largely depends on successfully integrating cognitive and motor-related sensory information. A simple, easily accessible treatment that could enhance these learning processes would be exciting and clinically impactful. In this dissertation, we explore the effect of normobaric 100% oxygen treatment (NbOxTr) during different motor learning tasks and investigate the brain oxygenation changes during the process. In the visuomotor adaptation task (VMA), when participants adapted to a visual distortion between visual feedback and hand movements, participants with NbOxTr exhibited better movement planning …


Physical Activity Among Adults With Psychiatric Illness In Karachi, Pakistan: A Survey Based Research, Aneeta Jevtani, Erum Perveen, Mustafa Uroosa, Nazia Zeya, Farkhanda Emad, Fareeha Kanwal, Mahum Azhaar, Faisal Yamin Mar 2023

Physical Activity Among Adults With Psychiatric Illness In Karachi, Pakistan: A Survey Based Research, Aneeta Jevtani, Erum Perveen, Mustafa Uroosa, Nazia Zeya, Farkhanda Emad, Fareeha Kanwal, Mahum Azhaar, Faisal Yamin

Baltic Journal of Health and Physical Activity

Introduction: In Pakistan, psychological wellbeing is still considered a stigma and has limited resources to provide maximum care. Individuals with mental illness struggle with maintaining their sedentary behaviors and have poor wellbeing. The aim of the study is to investigate the physical activity among individuals with a psychiatric illness. Materials and Methods: A sample data of 144 outpatients, diagnosed with a psychiatric illness were collected from the Outpatient Department (OPD) of a public sector psychiatric set-up in Karachi, Pakistan. The participants were assessed with the International Physical Activity Questionnaire (IPAQ). Results: Females with a psychiatric illness were found to be …


Factors That May Affect Job Satisfaction And Commitment To The Career Within The Profession Of Athletic Training., Michael Hill Jr. Mar 2023

Factors That May Affect Job Satisfaction And Commitment To The Career Within The Profession Of Athletic Training., Michael Hill Jr.

Graduate Research Showcase

The primary goal of this study was to analyze factors that may affect the

longevity and commitment of a career within the profession of athletic

training. Aspects that were assessed include salary, perceived value,

scheduling, hours worked, work demands, available leisure time,

parenting, and family responsibilities.1 Previous research focused heavily

on work life balance in the athletic training profession. More specifically,

what challenges certified athletic trainers (ATs) face within their

workplace that may cause conflict in establishing as well as maintaining

work life balance and its impact on retention of ATs in the profession.

Literature supports many ATs experienced burnout …