Digital Commons Network^™

Access To Veterinary Care: Barriers, Current Practices, And Public Policy, Access To Veterinary Care Coalition

Faculty Publications and Other Works -- Small Animal Clinical Sciences

Pets have become an integral part of our families with over 80% of pet owners reporting that they consider their pets to be a member of their family. An estimated 29 million dogs and cats live in families that participate in the Supplemental Nutrition Assistance Program. There are also middle-class families that live paycheck to paycheck, with limited funds for veterinary care. These families deserve the companionship of pets to enjoy the mental, physical, and emotional benefits that come from this human-animal bond.

Through a grant from Maddie’s Fund®, the Access to Veterinary Care Coalition (AVCC) commissioned a national …

Overcoming Barriers For The Implementation Of Evidence-Based Practice Through Journal Clubs, Regina Thomas

Doctor of Nursing Practice Projects

Many barriers exist at a 134-bed rural hospital in southern Illinois that hinder generation, evaluation, and implementation of evidence-based research into practice. This DNP project was completed through a phase approach utilizing a modified version of Kotter’s Model of Change, the RNcEBP Survey to self-rate individual confidence in the EBP process, and the Iowa Model of Evidence-Based Practice to facilitate implementation of journal clubs. The RNcEBP survey revealed that nurses were familiar with the concept of EBP, have positive attitudes, and are confident that EBP changes can improve patient outcomes, but lack experience in evaluating literature to support implementing evidence-based …

Screening, Brief Intervention, And Referral To Treatment (Sbirt) For Substance Use Disorders In Title X Facilities: Assessing Barriers, Change Of Provider Behavior, And Patient Outcomes, Christian Iversen, Ms, Holly Ireland, Lcsw-C, Dickie Lynn Gronseth, Mph

Phase 1

Introduction: Substance use disorders, specifically opioids, are an increasing problem in the US. Screening, brief intervention, and referral to treatment (SBIRT) is a method to identify and treat patients at risk, or currently using illicit substances. Integrating SBIRT into Title X facilities, which provide reproductive healthcare to lower income populations, may allow identification and treatment of individuals that do not seek healthcare elsewhere. Objective: We aim to assess the efficacy of a longitudinal training program in Title X facilities. The program provides a structured approach to implementing new protocols, including an educational session on SBIRT and motivational interviewing (MI).

Methods: …

Are Community College Students’ Transfer Choices Impacted By Their Perceptions?, Jean Hearn

Journal of Global Education and Research

This investigation examined the influence perceptions play in the transfer decisions of community college students. Studying this problem provided insight which facilitated the transition from two- to four-year university and helped retention efforts. A quantitative method was used, employing an anonymous Likert survey. Two hundred and eight Early Childhood Education students received an invitation to participate in the research project via a link to the anonymous survey. Thirty-two percent of the urban community college students invited to participate did so. A descriptive picture of the participant sample was painted using frequency tests. Analysis of the relationships between the dependent variable …

Law Library Blog (November 2018): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

Addressing Barriers To Medication Adherence: An Evidence-Based Screening Instrument Validation Study, Donna Jean Washburn

Doctoral Dissertations and Projects

Adherence to a prescribed medication regimen is often critical to successful disease management. Cancer diagnoses often further complicate control of the comorbid diseases. Older cancer patients with multiple comorbidities receiving chemotherapy treatment are at increased risk for adverse health outcomes from uncontrolled disease when nonadherent to their medication regimen. The intent of this pilot study was to test the validity of an evidence-based screening instrument designed to identify patients at risk for medication nonadherence and uncontrolled illness. The W-BMA (Washburn-Barrier to Medication Adherence) screening criteria were applied to retrospective data of cancer patients with multiple co-morbidities. SPSS was used to …

Girls Can Play: Analysis Of Racial And Economic Barriers Of Entry For Women Of Color In Sport, Quinn I. Igram

Student Publications

In order to understand the racial division of modern sport, it is essential to investigate the barriers to entry that occur for black youth at an institutional level. Inner-city and low-income youth are denied opportunities presented to predominately white middle and upper-class youth, who are awarded the opportunities to advance in the dimension of sport. Low-income children are being pushed out of sports, falling into a track that provides marginal community programming, while the economically advantaged are funneled into the other track of competitive private clubs. Race, economics, and social status become drivers for this segmentation in youth sport.

Although …

Sustaining Daily Management With Gemba Walks: A Scheduling Model, Suneela Nayak, Ruth Hanselman, Stephen Tyzik, Amy Sparks

Operations Transformation

SUSTAINING DAILY MANAGEMENT WITH GEMBA WALKS: A SCHEDULING MODEL

At an academic tertiary care medical center, there are 110 Operational Excellence teams across 4 campuses. Every weekday, 10 GEMBA walks occur with the 11^th on Wednesdays. The expanding program has made daily leadership visits to all KPIs challenging. As a result, consideration of reduced gemba walks to departments who have met specific maturity/performance criteria.

The scope of the eight-week pilot consisted of 13 pre-identified teams that have weekly workflows. The teams must have met a baseline level of performance. Performance was scored for 9 variables measuring engagement, PDSA, use …

The Nationwide Health Information Network: The Case Of The Expansion Of Health Information Exchanges In The United States, Morgan Ruley, Victoria Walker, Jana Studeny, Alberto Coustasse

Management Faculty Research

The Nationwide Health Information Network (NHIN) implemented secure exchange of health records through utilization of the Internet. NHIN has greatly assisted in achieving the goals of the HITECH Act by promoting the adoption of Meaningful Use. Epic introduced a Health Information Exchange (HIE) platform, Care Everywhere (CE), which has facilitated HIE availability. The purpose of this research was to determine the impact of NHIN and Epic Care’s CE on healthcare to determine whether their use in the ED has increased. The methodology for this study utilized a literature review. Twenty-nine sources were referenced for this study. With the NHIN implementation, …

The Barriers To Breastfeeding Among Women: A Single-Center Experience, Hala M. Shaheen, Nagwa N. Hegazy, Sara S.A Sakr

Menoufia Medical Journal

Objective To estimate the prevalence of exclusive breastfeeding (EBF) and to identify barriers to breastfeeding among the studied mothers in Berket El-Sabaa District, Menoufia Governorate, Egypt. Background Human breast milk is the ideal and unique food for infants. However, most infants today still do not receive the full benefits of breastfeeding. Low breastfeeding rates during the first 6 months imply that mothers are constantly faced with multiple barriers to continue breastfeeding. Patients and methods The study was a cross-sectional study. It was conducted on 370 mothers of infants aged 2–6 months. All participants were interviewed using a predesigned questionnaire included …

What You Should Know, Rosalinda V. Maury

Institute for Veterans and Military Families

This is a short infographic with data relating to veteran entrepreneurship and entrepreneurship ecosystems. Helpful for general awareness of entrepreneurship industry.

An Examination Of Career Experiences Of Black Senior Level Administrators In College Athletics, Russell Andrew Pointer Jr.

Masters Theses

The purpose of this study was to examine the career experiences of Black senior level administrators (SLAs) in college athletics using Critical Race Theory (CRT). Senior level administrators included the following: Athletic Directors (ADs), Deputy ADs, Executive ADs, and Senior-Associate ADs. Seven Black SLAs participated via phone interviews.Interviews were transcribed verbatim and three rounds of coding produced three primary themes and eight subthemes. The findings produced the following themes: having champions in one’s corner, navigating the system, and embracing individuality. The idea of having champions in one’s corner means creating and maintaining relationships that provide guidance, encouragement, and advocacy. Secondly, …

Increasing Use Of A Tobacco Cessation Quitline In A Rural Prenatal Population, Rachel T. Schleenbaker

Master's Projects

This paper addresses prenatal smoking rates within in a rural northern Michigan district health department (HD) through a Master of Science in Nursing (MSN) quality improvement project. The paper provides a detailed microsystem assessment of the Maternal Infant Health Program (MIHP) at the district HD describing the clinical problem and identifying a practice gap in care of prenatal smokers. The literature review describes the three most effective prenatal smoking cessation interventions: counseling, incentives, and feedback. The literature review also addresses the effectiveness of and barriers to smoking quitlines. The clinical protocol followed the Model for Improvement framework with the completion …

Screening Older Adults For Depression : The Relationship Among Clinical Discipline Training, Barriers, Attitudes, Norms, And Perceived Behavioral Control., Ronald W. Smith

Electronic Theses and Dissertations

Purpose of the Study: The purpose of this study is examine the influence of barriers on clinicians’ decisions to screen for depression in older adults or to refer to other health professionals. A second purpose is to explore how well the Theory of Planned Behavior is supported as a framework for understanding the likelihood of screening for depression and how the variables within the theory interact with barriers to affect clinician behavior. A final purpose is to explore characteristics of depression screening or referral of older adults by several clinical disciplines. Design and Methods: This study featured a …

Msu-M Social Work Students' Perceptions Of Sexual Assault Reporting, Elizabeth M. Guss

Journal of Undergraduate Research at Minnesota State University, Mankato

Prior research on sexual assault reporting has identified several barriers to reporting, such as rape myths, negative perceptions about how the report will be handled, and misinformation about reporting rights. Due to these barriers, many cases of sexual assault go unreported. By increasing education about sexual assault policies and access to resources, it is hoped that college campuses can become safer for all students. Data for this study was gathered through an online, anonymous survey which contained twelve questions- six about reporting perceptions and knowledge, and six about socio-demographic information. The survey was sent to an intro-level Social Work class …

Understanding Child And Parent Perceptions Of Barriers Influencing Children’S Active School Travel, Katherine Wilson, A. F. Clark, Jason A. Gilliland

Human Environments Analysis Lab (HEAL)

Background

Physical activity plays a fundamental role in the health and well-being of children. Walking is the most common form of physical activity and the journey to and from school provides an opportunity for children to be active every day. This study examines how child and parent perceptions of barriers to active school travel influences children’s behaviour.

Methods

Participants were recruited from 48 elementary schools in Southwestern Ontario, Canada. The study sample includes 1296 children (ages 9–14 years) who live within walking distance of their school, defined as 1.6 km network distance. Chi-square analysis examined differences between child and parent …

Knowledge, Attitude, And Barriers Of Nursing Research Among Bsc Nursing Students, In Selected Nursing College Of Malappuram District, Hanibernia S Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Nursing research is the systematic pursuit of knowledge involving the understanding and formulation of a problem, the collection of information through observation or any other method. This study aimed to assess the knowledge on nursing research and attitude towards it and also identify the barriers to conduct nursing research. Objectives: The objectives of the study were to assess the knowledge and attitude on nursing research among BSc nursing students, to find out the barrier of nursing research among BSc nursing students, and to find out the association between the knowledge and attitude score with selected demographic variables. Methods: A …

African American Perceptions And Experiences On Preventive Family Therapy And Help-Seeking Behaviors In The Inland Empire, Nathnael Estifanos, Brandon Daniel Farmer

Electronic Theses, Projects, and Dissertations

This study seeks to understand the perceptions of African American parents on preventive family therapy and their help-seeking behaviors. Specifically, this study aims to identify the factors that influence African American families in engaging in preventive family therapy and the barriers to accessing treatment. The data was collected through two group interviews that consisted of a total of 11 African American parents residing in Riverside County and San Bernardino County. The findings indicate that: (a) African American parents sought therapy primarily for crisis; (b) Alternatives to therapy were viewed as being just as effective; (c) Barriers to treatment include institutional …

Gender Inequalities And Childbearing: A Qualitative Study Of Two Maternity Units In Nepal, Lesley Milne, Jillian C M Ireland Ms, Edwin Van Teijlingen, Vanora Hundley, Padam P. Simkhada

Journal of Asian Midwives (JAM)

The role and status of women in South Asian countries like Nepal are widely recognised to be lower than that of men. This gender inequality can be found throughout all levels of society. Our study is about the influence of gender on pregnancy and childbirth, which are very much in the female domain in South Asia, both at home and in health facilities.
A mixed-method, qualitative research study was undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff. Thematic analysis identified seven subthemes related to gender, namely: …

Barriers To Dental Care For Children With Autism Spectrum Disorders, Nidhi Taneja

Master's Theses

Aims: To investigate barriers to dental care for children with autism spectrum disorder (ASD) from dentists’ and caregivers’ perspective.

Methods: This paper documents two cross sectional surveys of barriers to treating children with ASD. 109 general dentists were surveyed at a national conference in study 1, of whom about 74% reported treating children with ASD. In study 2, 83 caregivers were surveyed in hospital clinics, 46 of whom had a child with ASD, and 37 had children without ASD, and acted as a control group. Results: The most commonly endorsed barriers perceived by general dentists were: lack of guidelines …

Reducing Inter-Unit Patient Report Delays And Transfer Times, Natalya Marinov

Master's Projects and Capstones

Inter-unit coordination is essential in preventing a bottleneck in patient flow and its resultant stresses to staff, hindering quality patient care, and wasting time. The Medical-Surgical Unit (MSU) and Post Anesthesia Care Unit (PACU) struggle to establish efficient patient report times and transfers. Preliminary data demonstrated report delays attributed to an arduous workload and overburdened MSU nursing staff. The project’s objective focuses on reducing nurse-related report time delays by 10%, increasing understanding and teamwork, promoting proactive thinking to manage workflow efficiently, improving patient flow, and improving the inter-unit relationship between MSU and PACU. Increasing awareness and reducing transfer times are …

The Perception Of The Athletic Training Profession In The High School Setting, Brandin Williams-Johnson, Jennifer Walker, Erika Smith-Goodwin

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

In volume 4, Issue 1 of the JSMAHS you will find Professional Research Abstracts, as well as Bachelor Student Research Abstracts and Case Reports.

Thank you for viewing this 4^th Annual OATA Special Edition

An Investigation Of The Barriers That Influence Extension Employees' Attitudes Toward Social Media Use At Mississippi State University, Jamal Mohammed Alotaibi

Theses and Dissertations

Many Extension organizations in the United States utilize social media to communicate with clients and deliver Extension educational programs. The purpose of this study was to investigate what social media platform Extension employees were using as a communication tool to deliver educational programs, and to examine factors influencing Extension employees’ attitude toward using social media with Mississippi State University Extension. The study followed a descriptive correlational design, using a researcher- developed questionnaire. Data were collected via Qualtrics. A total of 170 Extension faculty and agents responded to the questionnaire. Most of respondents were Extension agents, white, with an equal percentage …

Factors Influencing Physical Activity Among Immigrants From South India: A Qualitative Descriptive Study, Jaya Abraham

Dissertations & Theses (Open Access)

Background: In the United States (U.S), the percentage of diabetes and coronary artery diseases is higher among Asian Indian immigrants compared to other ethnic groups. Although research has been useful in describing patterns of physical activity among South Asian groups, very little is known about the factors influencing physical activity among Asian South Indian (ASI) immigrants. There is very limited research performed on the individual, social, cultural and environmental factors influencing physical activity among ASI immigrants.

Purpose: The study purpose was to explore the factors influencing physical activity with the following primary and secondary aims: The primary aim …

Barriers To Local Food Producers In Arkansas, Courtney Cooper, Zola Moon

Horticulture Undergraduate Honors Theses

The purpose of this study is to identify and describe the barriers that prevent local food producers from selling their food in a mainstream market. This study utilized both qualitative and quantitative analysis through a mixed-methods survey. Information collected through the study had a two-fold focus: barriers that producers face (or that they are providing assistance for) and what are consumers looking for in products that these producers are supplying. The major barriers found for local food producers in Arkansas were lack of capital and obtaining infrastructure for packaging, processing, and storing products. Qualitative analysis of textual interviews was done …

Jumping Over The Hurdle : Examining And Overcoming The Barriers For Women In Intercollegiate Athletics Through Mentorship., Emma Mary Cohen

Electronic Theses and Dissertations

Given the evident underrepresentation of females working intercollegiate athletics at all levels, there is a growing need to understand the types of barriers that limit women and cause these disproportionate representation(Acosta & Carpenter, 2014; Staurowsky & Smith, 2016). There is also a need to explore the impact of meaningful mentorship to combat these apparent obstacles. The purpose of this study was to investigate the barriers women currently face as they enter the intercollegiate athletics workplace in entry-level positions and explore the role of mentors in their career success. Entry-level sport administrators are a demographic of the industry that has not …

An Exploration Of Barriers To Health Care Access Among Uninsured Patients: Using The Moderating Effect Of Patients’ Enablement, Enedelia L. Jessup

Electronic Theses and Dissertations

ABSTRACT On March 23, 2010, Congress passed the Patient Protection and Affordable Care Act (ACA) to increase value of care, improve clinical outcomes, decrease health care costs, and increase affordability in health care access. The purpose of the study attempts to examine the moderating effects of patient enablement impacting barriers, low socio economic status, and unmet basic needs, toward health care access in uninsured populations post ACA. Only certain aspects of patient enablement in self-management of an individual’s health care goals have been conducted with uninsured populations with barriers toward health care access. The research design was a quantitative, exploratory, …

Barriers To Identifying Eating Disorders In Pregnancy And In The Postnatal Period: A Qualitative Approach., Amanda Bye, Jill Shawe, Debra Bick, Abigail Easter, Megan Kash-Macdonald, Nadia Micali

School of Nursing and Midwifery

BACKGROUND: Eating Disorders (ED) are mental health disorders that typically effect women of childbearing age and are associated with adverse maternal and infant outcomes. UK healthcare guidance recommends routine enquiry for current and past mental illness in antenatal and postnatal care for all women, and that pregnant women with a known ED are offered enhanced monitoring and support. Midwives and health visitors are ideally placed to identify and support women with ED as they are often the primary point of contact during the antenatal and postnatal periods. However, research on the barriers to identifying ED in the perinatal period is …

Global Jays: Student Perceptions Of The Study Abroad Program At Elizabethtown College, Alyssa Vielee

Sociology-Anthropology: Student Scholarship & Creative Works

Studying abroad is considered a cross-cultural experience at Elizabethtown College. The experience counts for one of two required Signature Learning Experiences (SLE) students must complete in order to graduate. However, the number of students studying abroad in traditional semester-long programs while at Elizabethtown College has declined in recent years. In addition, the cross-cultural SLE is one of the less frequently chosen options. Compared to other baccalaureate institutions of similar size, Elizabethtown College is sending a fraction of students abroad. With only 10 percent of U.S. graduates going abroad, studying abroad is a valuable experience to include on a resume or …

School Nurses’ Experience Of Barriers To Care In Children With Type 1 Diabetes, Eden Joseph Donahue

Doctoral Projects

Purpose: The purpose of the study was to gather data on the lived-experience of providing and coordinating type 1 diabetes care in the school setting from school nurses who practice in California. Methodology: A descriptive phenomenological qualitative study design was used to collect data through structured interviews with 13 school nurses. Descriptive coding was used to analyze the interview data. Findings: School nurses face multiple barriers to care when providing type 1 diabetes care in the school setting. The three major themes school nurses encountered were difficulty with care coordination, communication, and parents.