Digital Commons Network^™

Relationship Between Rurality And Access To Care For Families Of Hospitalized Children, Zoetta L. Mcloughlin Md

Research Days

Background: At Children’s Mercy Hospital, greater than 1 in 5 hospitalized children are from rural areas. Rural families often travel long distances for hospitalization at free-standing children’s hospitals, a median of 70 miles according to recent work. Rural families are more likely than non-rural families to experience financial insecurity, and these baseline hardships may be intensified during hospitalization due to out-of-pocket costs, lost work, inability to meet family needs, and removal from social support. However, little is known about the differences in healthcare access and resulting burdens between rural and non-rural families.

Objectives/Goal: To describe differences in demographics, health care …

Rural And Urban Caregiver Experiences Of Financial Strain And Food Insecurity During Pediatric Hospitalizations, Rachel E. Granberg

Research Days

Background: Stress is common among caregivers of hospitalized children. In addition to stress related to their child’s illness, caregivers experience stress related to financial strain and food insecurity during their child’s hospitalization. The burden of financial strain and food insecurity related to pediatric hospitalizations may vary between rural and urban populations.

Objectives/Goal: To identify financial strain and food insecurity experienced by caregivers of hospitalized children and to describe differences between rural and urban populations.

Methods/Design: A prospective cross-sectional survey enrolled a random sample of caregivers of hospitalized children between 8/31/2021 and 12/2/2022 at a single children’s hospital. Demographic information was …

Female Authorship Concordance In Academic Pediatrics, Roxana Guggenmous, Jessica L. Bettenhausen, Jessica L. Markham

Research Days

Background: Gender disparities are well described in medicine and academia. Despite a catalyzed movement towards gender equity, female physician-scientists remain at risk for experiencing biases in hiring practices, compensation, promotion, appointment to leadership positions, and achievement of extramural funding through the National Institutes of Health. In pediatrics, the female workforce has grown consistently over time, with female physicians comprising 72.3% of the workforce as of 2021, yet prior work suggests that this growth is not fully reflected in academic publications. Achieving gender parity in academic publication may help reduce gender-based disparities impacting career advancement. Therefore, we sought to describe the …

Pediatric Educational Outreach To A Community Based Emergency Department: Clinical Management Of The Febrile Infant, Jess Parker, Frances Turcotte Benedict, Emily Hillman, Ryan C. Jacobsen, Ashley K. Sherman, Arjun Sarin

Research Days

Background: Multiple studies have shown variability in the approach to treatment of febrile infants ≤ 60 days of age in community emergency departments (EDs), and the American Academy of Pediatrics (AAP) recently published new guidelines on management of febrile infants. Therefore, an opportunity exists to provide evidence-based recommendations for the care of this patient population to providers in community EDs.

Objectives/Goal: To assess 1) alignment of community ED provider practices with an AAPinformed Clinical practice guideline (CPG) for management of febrile infants ≤ 60 days of age. 2) change in comfort level and degree of alignment after targeted education.

Methods/Design: …

Socioeconomic Factors And Picu Interventions In High Mortality Risk Asthmatics, Hanh Ho, Paul N. Bauer, Jade B. Tam-Williams

Research Days

Background: Asthma mortality rates are overall lower in children, but studies estimate 5-10% of asthmatics have refractory mortality prone asthma. Asthmatics with repeat pediatric intensive care unit (PICU) admissions are believed to be at high mortality risk with increased health care utilization and socio-economic challenges.

Objectives/Goal: We aim to identify patients with repeat PICU admissions for status asthmaticus and characterize the levels of interventions and socio-economic status.

Methods: A retrospective chart review was done on patients with the following inclusion criteria: age 0- 18, PICU admission between January 2010 to December 2015, and a diagnosis of status asthmaticus on admission. …

Supporting Families Impacted By Adverse Childhood Experiences (Aces), Jennifer Paumen, Laura Plencner, Jacqueline Kitchen

Research Days

Background: Adverse childhood experiences (ACEs) impact a majority of individuals, with approximately two-thirds of adults having experienced 1 or more ACE.1 The health consequences of ACEs are significant, including cardiovascular disease, cancer, autoimmune diseases, and mental illnesses.1 These health impacts can even start as early as childhood, leading to an increased risk of learning and behavioral concerns.2,3 Recent evidence has also identified the impact that parental ACEs may have on parenting and child development,4,5,6 which in turn may lead to an intergenerational transmission of ACEs.4,7 As a nurturing caregiver relationship is key for buffering adversity,2,8 it is imperative to address …

Influencing Influenza Immunization: Qi Project In A Pediatric Resident Continuity Clinic, Brittany Moore

Research Days

Problem Statement/Question: There have been a multitude of approaches to vaccine hesitancy in regard to childhood vaccinations. In light of the COVID-19 pandemic there was a noticeable decline in influenza vaccination among children aged 6 months to 18 years. The influenza vaccination rate in the pediatric resident continuity clinic at Children’s Mercy Hospital was below the national average for pediatric patients.

Background/Project Intent (Aim Statement): The aim of this study is to increase the percentage of patients aged 6 month and older currently enrolled in ROYAL clinic receiving at least one influenza vaccine from 38.6% to 55% by January 1, …

Increasing Utilization Of Gestational Age Based Table For Initial Intubation In A Level Iv Neonatal Intensive Care Unit, Maribel Martinez, Dianne Lee, Christopher R. Nitkin

Research Days

Problem Statement/Question: Most providers in our unit are not using the NRP recommended method to determine the initial ETT insertion depth in neonates.

Background/Project Intent (Aim Statement): Endotracheal tube (ETT) depth in neonates is of critical importance due to significant adverse events when malpositioned. While randomized trials comparing different methods have not shown superiority of any particular method, the weight-based method (weight (kg) +6) has been found to be highly inaccurate in extremely low birth weight neonates. Furthermore, the Neonatal Resuscitation Program (NRP) recommends using gestational age (GA)-based table (Kempley ST, et al, Resuscitation 2008) or nasal-tragal length for initial …

Improving Frequency Of Peer Review Of Abnormal Genital Exam Findings In Patients Undergoing Sexual Abuse Evaluation, Lyndsey Hultman, Julia G. Harris, Terra N. Frazier, Jennifer B. Hansen

Research Days

Problem Statement/Question: Child Advocacy Centers (CACs) coordinate child abuse MDTs, and 2023 CAC accreditation standards require that “all medical professionals providing services to CAC clients must demonstrate that 100% of all findings deemed abnormal or “diagnostic” of trauma from sexual abuse have undergone expert review by an advanced medical consultant.” Scheduled Case Review occurs among Children’s Mercy child abuse pediatricians (CAPs), but current practice is to review cases only upon CAP request.

Background/Project Intent (Aim Statement): Appropriate interpretation of sexual abuse exam findings is crucial for accurate diagnosis and provision of medical information to multidisciplinary child protection teams (MDTs). Medical …

Unique Endoscopic Retrieval Of A Large Rectal Foreign Body, Laurie Mccann, Jose Cocjin

Research Days

Introduction: Large rectal foreign bodies are usually difficult to extract, usually requiring operative management.

Case: A 14-year-old male presented to the ER for a rectal foreign body. Earlier in the day, he had rectal itching and inflammation. He used a cylindrical reusable ice stick (for water bottles) for topical relief, which did not work, so he placed the tube in his rectum, then he was unable to retrieve it and sought medical help. Physical exam was significant for lower abdominal pain and palpable mass just below his umbilicus, which was painful to palpate. CT abdomen/pelvis showed a large foreign body …

Improving Fluid Management Of Extreme Premature Infants By Providing A Restrictive Fluid Management Algorithm In The Nicu, Jacob S. Ward, Dena Hubbard, Nicholas Clark

Research Days

Problem Statement/Question: At our institution we found wide variability in and a lack of an evidence-based standard for fluid management in premature infants.

Background/Project Intent (Aim Statement): Excessive fluid intake in premature infants during the first week of life increases the risk of adverse events and overall mortality. Fluid restriction is recommended to help decrease morbidity and mortality in this patient population. We aimed to improve the fluid management of premature infants born < 29 weeks gestation admitted to our intensive care nursery (ICN) by implementing a fluid restriction protocol with the goal of >70% compliance over a 16-month period.

Methods (include PDSA cycles): Institution of daily weights started at beginning of baseline period. In April of 2021, we implemented a …

A Brief Review Of Selected Research-Based Strategies For Helping Young Singers Match Pitch, Dirk Myers

Electronic Theses & Dissertations

The purpose of this review of literature was to identify ways to help varying levels of novice singers manage and improve their vocal pitch matching ability. The review identified the work of prominent pedagogues and researchers. The literature review revealed that techniques aiding the novice singer yield varying levels of success. Most of the research showed that remedial techniques work best in small groups, one-on-one settings, and solo singing. The research did not address the issue of effective teaching and its effect with regard to student achievement (e.g., classroom management and issues related to effective or ineffective teaching ability).

Examining The Effectiveness Of Using Video Modeling On Increasing Positive Social Interaction In Academic Settings In Students With Learning Disabilities In Saudi Arabia, Ayman Abdullah Alamri, Ayman Abdullah Alamri

Electronic Theses and Dissertations

Video Modeling (VM) is a widely used intervention strategy to promote academic learning and positive social interactions in children with disabilities by watching a video clip modeled by a peer (peers) demonstrating the desired behavior. Limited research has been conducted on this topic to examine VM’s effectiveness on promoting positive social interactions in academic settings involving children with learning disabilities (LD). This study employed a single subject research design, specifically, a multiple baseline across participant design, to fill the void in the literature. The researcher invited three elementary students between 4^th to 6^th grade who met the inclusion …

Investigating The Impact Of Student-Teacher Relationships On Teacher Retention And Recruitment, Kylie Scott

Honors Theses

This thesis investigates the impact of positive student teacher relationships on teacher retention and recruitment. The overarching research question this thesis project aims to address is how do teachers describe the impact of student-teacher relationships on their decisions to become a teacher and stay in teaching? Verbal data collected through semi-structured interviews with my former teachers have been analyzed and reviewed for common or emergent themes. These themes will be discussed along with other commentary from a literature review, results, and a conclusion.

Impact Of Students' Off-Task Technology Use During Instruction On Teachers, David Lancaster

Masters Theses & Specialist Projects

The increase of technology in educational classrooms has changed the way instruction is delivered and received, positively and negatively. When technology is used for off-task purposes, negative effects on student learning are well-documented. However, little research has been conducted on the effect of student off-task technology use on teachers. The purpose of this study was to examine the impact of off-task technology use during instruction on K-12 teachers, while including more modern devices. Two hundred sixty-two Kentucky K-12 teachers completed online surveys in which their perceptions of multitasking, views of the impact of off-task technology use on students, and on …

Project Cps: Curriculum Content + Creative Problem Solving = Successful Integration, Kathleen C. Frazier

Creativity and Change Leadership Graduate Student Master's Projects

The goal of my master’s project is to empower teachers to unlock the Creative Problem Solving potential in their students and open the door to a world of possibilities by providing strategies, resources, and support to integrate CPS into their teaching practice.

To achieve this, I have designed a book that presents an original and engaging

imaginative characters to foster an immersive and interactive learning experience that will capture the imagination of both students and teachers.

Meet the Spirit of Creativity, represented as E. Paul Torrance, along with four Creative Problem Solving Characters who will guide teachers and students through …

Meta-Analysis Of Therapeutic Interventions For The Treatment Of Test Anxiety., Thomas Reece

Electronic Theses and Dissertations

This systematic review and meta-analysis was designed to be a practitioner-focused review of the current research into interventions for the treatment of test anxiety. As testing continues to be a large part of students’ academic experiences and the stakes of that testing grow for students, teachers, and schools, there is a need for a synthesis of the literature to provide teachers and schools with some guidance on how best to help their students succeed. In this review, I describe the phenomenon of test anxiety and the current theoretical questions concerning the relationship between test anxiety and test performance. I also …

Healing That Leads To Action : Restorative Justice, School Leadership, And Institutional Change, Jose B. Celis

Theses, Dissertations and Culminating Projects

When immigrant youth are harmed by institutional policies and practices that reinforce idealized notions of nationalism and assimilation through subtractive and coercive strategies, school leaders can turn to restorative justice as a technology of resistance. This participatory action research study, with the author as a participant, captures four school leaders from Colorado, New York, and New Jersey, who interrogated institutional policies and practices and promoted authentic inclusion and equity for immigrant youth through restorative justice. As we participated in a process of collective restorative contemplation, we engaged in a form of personal healing that guided intentional and thoughtful action to …

Opportunities For Reflective Practice In Early Childhood Apprenticeships, Emily Sharrock, Courtney Parkerson

Bank Street Education Center

This resource offers insights about the components, purpose, costs and related implementation considerations needed to design a system of high-quality job-embedded support in residency or apprenticeship programs. It is intended for early childhood leaders to facilitate the design or enhancement of this critical investment for our early childhood workforce.

When The Odds Are Against You: A Critical Literature Review Of The Pedagogical Implications Of Adverse Childhood Experiences, Cynthia Ochoa

Open Access Theses & Dissertations

Exceling in formal education is one way to improve a personâ??s social mobility and life chances (McMahaon & Oketch, 2013). However, there is a long line of educational inequity in the United States from the founding of the nation to the present. People of color and minorities have fought long and hard for educational equity, with the most effective approaches being grassroots mobilization and court battles (Lopez & Burciaga, 2014). This includes examples such as California schools denying entrance to Chinese American children to enter schools based on their ancestry in the 1800s; the arrest of Margaret Douglass for teaching …

Heart-Stopping Rollercoasters: Restorative Practices, Motivation, And The Formation Of A Science Identity, Zachary Schafer

Department of Teaching, Learning, and Teacher Education: Theses and Other Student Research

This paper explores the crossroads between restorative practices and science education. In this crossroads, a case study between teacher and learner is explored to reveal the implications the tandem between restorative practices and education has for motivation and identity formation. The paper ends with practical suggestions for the teacher in the classroom.

Satisfaction Assessment Of Pre-Service Technology Education Programs, Austin P. Dodge

Career & Technical Education Theses

Teacher preparation programs are critical to the success and survival of Technology Education. In New York State, technology education, as a course of study, is required to be taught at the middle school level, and is continued to be taught at the high school level. Although Technology Education is a required course of study, there is a shortage of qualified Technology Education teachers. In Western New York, there is a perception that teachers obtaining a New York State Education Department (NYSED) teaching certification were not satisfied with their teacher preparation program. This thesis investigates the validity of this perception. Interviews …

Educator Professional Development In Universal Design For Learning And Social-Emotional Learning: A Collective Case Study, Sara Morgan

Education (PhD) Dissertations

Carefully constructed professional development supports learning. Integration of Universal Design for Learning and Social-Emotional Learning into professional development supports comprehension and encourages generalization. This study sought to understand educators’ perceptions following a five-part webinar series on the connections between Universal Design for Learning and Social-Emotional Learning. Using the constructivist paradigm and a theoretical framework of collective case study, various aspects of professional development experiences were explored. Webinar design features, relevant content, significant take aways, and future training were all discussed. Review of post session survey comments and participant interviews were analyzed to reveal the findings. Slide decks from each session …

Black Fatherhood: A Critical Component For Urban African American Student Success, Cameron Steel

Honor’s College Freeman Research Journal

A multitude of studies express that father involvement has an impact on student achievement and learning outcomes for urban African American students (Palm & Fagan, 2008). Although biological fathers are extremely vital to our community, a biological connection between a parental figure and their student is not essential to these correlational outcomes. The absence of fathers in the urban African American community has had a negative impact on students' self-esteem, academic efficacy, and general livelihood. Realistically, it is not a viable solution to place fathers in homes or force them to stay and remain active participants in their child's K-12 …

Building Anger Management Skills In Preschoolers, Manuelita Valdez Aceves

Capstone Projects and Master's Theses

Many young kids have not yet developed social-emotional skills, which prevents them from controlling their feelings and emotions. When children do not learn to regulate their emotions, anger, frustration, and aggression issues are more likely to arise. However, when they do develop these skills, children can build self-awareness and confidence, increase empathy for others, and build positive relationships. Therefore, to support young children in developing self-regulation skills and dealing with feelings, I created a three-day lesson for teaching anger management skills to preschool children at Migrant Seasonal Head Start in Gonzales, California.

Exploring Teacher Perceptions About Cultural Practices During Transitions, Katherine Lee Haberstroh

Electronic Theses, Projects, and Dissertations

This dissertation explores teacher perceptions of cultural practices and language that teachers use during transitional times between class-to-class and assignment-to-assignment. The purpose of this study is to investigate whether there is more to cultural practices than what current literature defines for critical life events and transitions. Artifact analysis from 18 school mission statements, semi structured interviews with eight participants, and rich observations were conducted. The content analysis defined, reviewed, and analyzed teacher perceptions of cultural practices and the language which they produced during their practices. From the exploration of the class-to-class and assignment-to-assignment, specific examples of cultural practices and language …

Transforming Black Students’ Higher Education Experiences And Lives: A Proposal For The Csu, Don Lundy

Electronic Theses, Projects, and Dissertations

For decades, a racial “achievement gap” has persisted in U.S. higher education. Specifically, White students have outperformed Black students on a number of indicators, including college admissions, standardized test scores, and graduation rates. This graduate project considers several explanations for this persistent inequity. The root of the problem, it argues, is U.S. higher education’s history of racism and exclusion and the oversaturation of whiteness in these institutions. In other words, U.S. higher education was built for and continues to serve White students at the expense of Black students. Historically Black Colleges and Universities (HBCUs) show us that when whiteness is …

Xinachtli: Exploring The Experiences Of Young Resilient Latinas In A Rural And Under-Resourced Community, Deborah Hernandez

Electronic Theses, Projects, and Dissertations

This interpretive phenomenology study aimed to explore the lived experiences of young Latinas in a rural and under-resourced community. The analysis of the messages received by young women in educational institutions, at home, and in science and math classes was necessary due to the underrepresentation of Latinas in STEM fields. Using an interpretive phenomenology lens, the researcher collected journals from seven participants. Additionally, semi-structured interviews were conducted with all seven participants every week for 16 weeks by the Xinachtli facilitator. The data collected from the journals were transcribed in a line-by-line analysis and affirmed using qualitative analysis. The codes were …

Impact Of Personalized Interactive Storytelling On Suspension Of Disbelief In Clinical Simulation, Audra Renee-Smith Xenakis

Electronic Theses and Dissertations

The literature review found suspension of disbelief (SOD) in clinical simulation heavily weighted on educators alone within high-fidelity environments. The project examined a co-created narrative background story applied to a simulated patient’s clinical profile to determine achieving an improved connectedness toward the simulated patient leading to enhanced SOD and enhanced levels of learning and reaction. The studied population was third-semester associate degree nursing students over 18 years of age with prior clinical simulation experience who were not repeating the semester. The research methodology used a quantitative experimental design with cluster sampling, randomization, and post-Likert-scored questionnaires. The intervention group co-created personalized …

Reflections On Pre-Kindergarten Pedagogical Practices For Latine Preschoolers: An Autoethnography, Cynthia Chavez

Open Access Theses & Dissertations

This personal reflexive account of my experiences as a Latine Pre-K teacher and Instructional Coach represents the adversities that many early childhood education public school teachers face within marginalized public-school campuses. Using myself as the subject and researcher within the context of area public school districts provided the drive to seek social justice for disadvantaged Latine preschoolers in their quest for an equitable footing in public school offerings. Through the participant's lens, I chronicle my experiences as a prekindergarten public-school teacher and later as a multi-district instructional coach using the qualitative methodology of both emotive and analytical/interpretive viewpoints. This genre …