Digital Commons Network^™

Driving Venture Success: A Collaborative Framework For The Consumer Goods Industry, Mohammad Alhusaeini Mohammad

Plymouth Business School Theses

This thesis addresses the persistent gap between the strategic promise of external corporate venturing (ECV) and its frequently disappointing outcomes in the global consumer goods industry, with a specific focus on the non-durable consumer goods sub‑sector. Despite ECV’s recognised importance for innovation—particularly in a sector characterised by rapid consumer preference shifts, tight margins, and complex supply chains—collaborations with external start-ups are often undermined by cultural misalignment, strategic ambiguity, and ineffective performance measurement. Through an abductive, mixed-methods research design within an interpretivist paradigm—integrating archival analysis, six in-depth corporate case studies (P&G, PepsiCo, Unilever, Danone, Henkel, and L’Oréal), and 32 interviews with …

Using Data To Identify Gaps And Improve Institutional Collecting In Public University Archives, Hannah Pryor

Faculty and Staff Scholarship

This article describes a project undertaken to assess the university records held by Archives & Special Collections at the University of Louisville. The intention was to identify potential gaps in permanent university records and other university records that fall under relevant collection policies, such as those documenting faculty, staff, and student life. This project included generating a report of accession records in ArchivesSpace, conducting data cleanup, coding qualitative data, creating visualizations, and analyzing findings, with the aim of prioritizing outreach to university units and assisting with future backlog processing and reappraisal. The findings identify ways to improve records management and …

Words That Heal Or Harm: A Narrative Review On Language Use In Nursing Care.", R. Sudha, A.S. Neya

Manipal Journal of Nursing and Health Sciences

No abstract provided.

Challenges In Implementing Digital Health Solutions For Pressure Ulcer Management: A Narrative Review, Shreenidhi Jogi, Elsa Sanatombi Devi, Vishal Shanbhag

Manipal Journal of Nursing and Health Sciences

Background: Digital pressure ulcer care solutions are both accurate and well-developed in terms of technology. However, a gap remains between available digital solutions and their use in everyday pressure ulcer care practices. This review aims to summarize the technical, human, and system-level challenges that restrict the effective application of digital health solutions in pressure ulcer management.

Methods: The search was conducted in CINAHL, PubMed, Scopus, Web of Science, and EMBASE. Studies that reported implementation challenges in their findings were included.

Results: Infrastructure barriers were about more than just having internet access. Issues such as inconsistent system performance and hardware malfunctions …

The Connectedness Between Awareness And Practice Of Waste Control And Recycling In Urban Villages: A Cross-Sectional Community-Based Study., Nelifer Shreya Ammanna, Jeenal Valine Mendonca, Chethan Kunder, Sushwetha Poojary, Swagath Nayak, Ansuya Ansuya, Mitchelle Shilpa Lewis

Manipal Journal of Nursing and Health Sciences

Introduction: Waste management is an increasing problem that occurs globally due to expanding population around the globe. Researchers worldwide are working towards ending this problem that impacts the environment and people's health. The knowledge of the wastes produced and how we manage them is vital for the population to understand; knowing about it and practicing the same will create a ripple effect on the waste generated by the people.

Objective: To determine the condition of the urban villages in terms of awareness and practice of waste management, and to know whether these are interrelated.

Methods: A quantitative approach with …

Knowledge Regarding Cervical Cancer Among Adults Studying In A Selected Institution In Mandya District, Karnataka: A Descriptive Study, Megha Maria Joy, Nikitha R, Anitha Victoria Noronha

Manipal Journal of Nursing and Health Sciences

Introduction: Cervical cancer remains a major public health concern, particularly in low- and middle-income countries. Adequate knowledge regarding cervical cancer, its etiology, prevention, and screening is essential for early detection and reduction of disease burden. Objectives: This study aimed to assess the knowledge regarding cervical cancer among adults studying in a selected institution in Mandya District, Karnataka, and to determine the association between knowledge levels and selected demographic variables. Methods: A descriptive cross-sectional design was adopted among 60 adults selected through simple random sampling. Data were collected using a validated structured knowledge questionnaire administered through Google Forms. …

How Do Students Come Across Occupational Therapy And What Makes Them Want To Study Occupational Therapy? Implications For Recruitment, Mette Eg Bruun, Mette Krohn, Sofie Balle Riis, Lene Tanggaard, Tina Helle

Journal of Occupational Therapy Education

Recruitment challenges in occupational therapy education vary globally. To address workforce needs, it is necessary to examine the factors influencing students’ decisions to pursue occupational therapy. This study investigated how students discovered occupational therapy, what they found appealing about the profession, the influence of study location, and demographic differences between students enrolled in an urban university city and a rural district. Three focus group interviews with 15 occupational therapy students were conducted, supplemented by descriptive statistics comparing student characteristics across urban and rural programs. Qualitative analysis identified five categories: (1) discovering occupational therapy by chance, (2) the power of occupational …

Recalibrating Readiness: Pandemic Impact On Ot Admissions, Bridget J. Hahn, Kajol Patel, Jacquelyn A. Siegel, Jessica Rappaport, Michelle Mcfall-Johnsen, Kia A. Burks

Journal of Occupational Therapy Education

This study explored shifts in occupational therapy applicant characteristics across two distinct time periods: pre- and post-COVID-19, while also describing admissions policy changes implemented by an urban Midwestern Occupational Therapy Doctorate (OTD) program. Retrospective data from admissions records from 917 applicants (2017 – 2024) were grouped into pre-COVID (2017 – 2020) and post-COVID (2021 – 2024). Academic, pre-professional, interview, and underrepresented minority (URM) status was compared using independent t-tests and chi-square analyses. Cumulative grade point average (GPA) and research experience increased post-pandemic, while pre-professional experience and interview performance declined. The proportion of URM applicants rose significantly from 8.1% pre-COVID to …

Balancing Acts: Exploring Chronic Illness’ Impact On Achievement In Graduate Health Education, Olivia J. Fulton, Lizeth S. Iboy, Bonnie Decker

Journal of Occupational Therapy Education

Graduate students with chronic illness encounter barriers as they navigate graduate programs to achieve their personal goals. Chronic illnesses are often invisible, which makes it more challenging to navigate the educational system. This study aimed to understand participants’ ability to engage in their academic environment and how the severity of their symptoms related to their diagnosis impacted participation in lectures, laboratory activities, exams, and competencies. Nineteen participants completed the online survey with questions regarding demographics and perception of how their condition impacted their academic performance on their best days versus worst days. Three assessment tools were incorporated into the survey: …

A Rasch Analysis Of The Self-Assessment Scale Of Clinical Reasoning In Occupational Therapy (Sa-Crot) For Continuing Professional Development, Sho Maruyama, Reiko Miyamoto, Takuya Hirose, Takao Kaneko, Peter Bontje

Journal of Occupational Therapy Education

The purpose of this study was to establish structural validity, internal reliability, and concurrent validity of the Self-Assessment scale of Clinical Reasoning in Occupational Therapy (SA-CROT) when used in continuing professional development. We conducted a cross-sectional survey of 513 occupational therapists with ≤5 years of experience. Rasch analysis was applied to assess structural validity (rating scale functioning, monotonicity, dimensionality, item/person fit) and reliability (item/person reliability, strata). Additionally, concurrent validity was examined by Spearman’s correlation with clinical experience. The Rasch rating scale analysis supported the structural validity of the SA-CROT. Categories showed ordered thresholds with outfit mean-square (MnSq) values ranging from …

Perceived Impacts Of Confucianism On Placement Experiences Of Hong Kong Pre-Registration Occupational Therapy Students In The United Kingdom, Hin Yuet Li, Sarah Louise Mcginley, Rachel Dadswell, Rachel Houweling

Journal of Occupational Therapy Education

This study explored the views of Hong Kong pre-registration occupational therapy (OT) students in the United Kingdom (UK) about how Chinese culture influenced their practice placement experiences. Students from diverse cultural backgrounds may encounter various challenges during OT placements, but little is known about how OT students from Hong Kong—where Confucianism traditionally shapes workplace expectations and the hierarchical teacher‑student relationship—experience placements in the UK. Two online focus groups to collect qualitative data were conducted in November 2022 with four participants who were UK-based OT students from Hong Kong (N=8 in total), two facilitators (OT students from Hong Kong, based in …

Effect Of Simulation On Occupational Therapy Students' Self-Efficacy When Preparing For Level Ii Fieldwork, Juliet Steffe, Karen Menard, Angela Gibson

Journal of Occupational Therapy Education

Occupational therapy academic programs provide students with knowledge and professional skills through coursework and clinical skills practice, enabling them to transition successfully into clinical placement. Despite completing multiple semesters of didactic work, students may experience high levels of anxiety and self-doubt when preparing for Level II fieldwork. The problem addressed in this study was the lack of perceived self-efficacy in clinical skills when preparing for Level II fieldwork, leading to the potential for difficulty transitioning from the classroom to the clinic among entry-level occupational therapy graduate students. A basic qualitative study was conducted using focus groups to explore how providing …

Examining The Relationship Between Musculoskeletal Knowledge And Fieldwork Performance Among Canadian Student Occupational Therapists, Madelyn Walther, Viansa Guiotto, Rhona Anderson, Emily S. Ho

Journal of Occupational Therapy Education

To evaluate the physical aspects of occupational performance, occupational therapists must understand the anatomical structure and function of the body. As such, occupational therapy academic programs must provide sufficient foundational musculoskeletal (MSK) education to prepare student occupational therapists for successful clinical practice. There is a paucity of research on MSK educational needs, and the relationship between student occupational therapists’ MSK academic outcomes and fieldwork performance. This study examined the relationship between MSK anatomy course academic grades and fieldwork performance indicators on the Competency-Based Fieldwork Evaluation for Occupational Therapists (CBFE-OT) of student occupational therapists. A mixed-methods sequential explanatory design was conducted …

Generative Artificial Intelligence Application In Occupational Therapy Education, James Wersal, Justin Mason, Mary Shotwell

Journal of Occupational Therapy Education

Generative artificial intelligence (GenAI) is a developing technology within Higher Education Institutions with substantial potential to transform teaching pedagogy, improve individualized learning experiences, and automate administrative functions. GenAI has the potential to bring significant enhancements by advancing adaptive learning interfaces, customized learning materials, and automate administrative support. Despite these benefits, ethical considerations, data privacy, and the risk of over-reliance should be considered prior to using GenAI. The authors highlight how GenAI is supported by adult learning theory and provide practical strategies for incorporating GenAI in the occupational therapy curricula and to support the faculty role. The impact of GenAI on …

Development Of A Comprehensive Practical Exam (Cope) Assessment Process For Occupational Therapy Doctoral Students, Robert E. Larson, Cynthia Tiongco, Sandra M. Whisner, Laurie D. Stelter, Laura Alexander, Megan R. Taylor, Molly Setliff, Paula Perkins, Belinda D. Alexander, James Matthew D. Geddie

Journal of Occupational Therapy Education

Measures are needed to ensure students are adequately prepared for clinical experiences. A Comprehensive Practical Exam (CoPE) was developed based on high fidelity simulation and an Observed Structured Clinical Examination format to assess readiness for Level II fieldwork. Teams of faculty developed multiple case simulations with consistent components across the cases for first- and second-year student cohorts. Rubrics were developed for grading student performance on the simulations with categories required for Level I fieldwork completion as well as other components required for success on Level II fieldwork. The CoPE included three components: chart review/preparation, client interaction, and documentation. The first-year …

Service-Learning Clinics: A Pathway To Improve Student Learning Outcomes, Ranelle M. Nissen, Whitney Lucas Molitor, Allison J. Naber

Journal of Occupational Therapy Education

This article examines the innovative approach of the Community Integrated Learning (CIL) program, with a particular focus on its application within a rural context. Unlike traditional student-run clinics, the CIL focuses on student learning through hands-on experiences with community volunteers rather than providing direct rehabilitative care. The program, linked to adult and pediatric assessment courses, allows second-year doctoral students to develop and implement intervention plans tailored to the needs and interests of community volunteers. This model addresses the challenges of limited resources and client recruitment in rural areas by emphasizing student professional development and clinical reasoning skills. Data collected from …

Attribution Theory In Occupational Therapy Clinical Education: A Scoping Review, Julia Shin, Anna Domina, Ashley Fecht, Lisa Bagby, Raigan Borsh

Journal of Occupational Therapy Education

Intrapersonal and interpersonal skills are essential for occupational therapy students’ professional development and fieldwork success. Despite their importance, these competencies are often ambiguously defined, inconsistently assessed, and underemphasized in curricula. Attribution theory, a well-established framework from social psychology, provides a valuable lens for examining how students’ causal attributions influence their motivation, behavior, and professional growth. This scoping review aimed to synthesize the application of attribution theory in health professions education by characterizing attribution-focused interventions, assessments, and student outcomes. Following Arksey and O’Malley’s (2005) five-stage framework and PRISMA-ScR guidelines, we conducted systematic searches across Academic Premier, CINAHL, ERIC, OTSeeker, and PubMed …

Effective Teaching Behaviors Of Adjunct Faculty In Occupational Therapy Education: Perspectives Of Students, Adjuncts, And Core Faculty, Kayla Collins, Marian Gillard, Christine Davis, Kirsten Davin, Barbara M. Doucet, Bridget Scheidler

Journal of Occupational Therapy Education

Adjunct faculty constitute nearly half of the higher education workforce in the United States, yet they often receive limited preparation and institutional support for their teaching responsibilities. In occupational therapy education, where rapid program expansion has heightened reliance on adjunct instructors, understanding which teaching behaviors are most valued is critical to ensuring instructional quality, student success, and professional readiness. This study examined perceptions of effective adjunct teaching behaviors in a doctoral occupational therapy program using the Teaching Behavior Checklist (TBC), a validated 28-item measure of teaching effectiveness. Participants included students (n = 33), adjunct faculty (n = 19), and core …

A Scholarly Exploration Of Teaching Strategies For Learning About Pediatric Sleep, Laura J. Carpenter, Amanda M. Buono

Journal of Occupational Therapy Education

The occupation of sleep is an area of occupational therapy practice for which many practitioners report a lack of confidence and/or knowledge to properly address. The current study addresses this concern by studying the effects of a learning module on students’ confidence and knowledge to address pediatric sleep. The study used a pre-test, post-test non-experimental design and collected survey responses from 48 entry-level occupational therapy students in three different programs. The lecture portion of the module included content about both assessing and intervening, while the case study emphasized intervention-planning only. Results indicated significant gains in knowledge overall (z = …

Simulation In Occupational Therapy Graduate Programs, Donna Walls, Lillie Thomas, Melinda A. Underwood, Kendall Davis

Journal of Occupational Therapy Education

The purpose of this study was to identify the use of simulation in occupational therapy graduate programs. A national survey was analyzed from participants who were faculty members of graduate programs in the United States. The survey questions focused on the characteristics of the simulated experiences, student skills addressed, faculty collaboration efforts, and the debriefing process. Over 1,750 emails were sent to faculty of accredited graduate occupational therapy programs and yielded a response rate of approximately 9.5% from faculty of 80+ programs in 31 states that were included in the responses. Survey data were analyzed with cross-tabulation and statistical analyses, …

Equity-Oriented Mentoring For Occupational Therapy Students In Canada: A Narrative Assessment, Kaarina Valavaara, Tara Pride, Chris Mcwilliam, Jaime Blenus, Stephanie R. Bizzeth, Brenda Beagan

Journal of Occupational Therapy Education

In the health professions, mentoring has emerged as a key strategy for reducing the isolation and exclusion of students from equity-denied groups – including students who identify as Indigenous, racialized, disabled and/or queer. Mentoring often focuses on academic and professional skills, which implies students from these groups are somehow lacking. In contrast, ‘equity-oriented’ mentoring focuses on learning in the context of on-going, everyday isolation, exclusion, discrimination and even hostility. Mentors from the profession, who are also members of the same equity-denied groups, provide role models for thriving in the face of oppression. They may provide psychosocial support while helping students …

Assessing Supports And Barriers To Equitable Participation In Occupational Therapy Fieldwork For Students From Minoritized Backgrounds: A Mixed Methods Analysis, Kristin M. Nxumalo, Coalition Of Occupational Therapy Advocates For Diversity Cotad, Alexia Rebne, Janis Yue, Ryan Thomure, Ricardo D. Ramirez

Journal of Occupational Therapy Education

Fieldwork experiences in occupational therapy (OT) and occupational therapy assistant (OTA) education introduce students to novel environments that they must successfully navigate. When examining the experiences of OT and OTA students from minoritized backgrounds, it is critical to understand their fieldwork experiences so that fieldwork educators and partners can create inclusive, supportive environments that promote success for all students. Within this study, a needs assessment was conducted to explore factors that impacted the OT and OTA fieldwork experiences of students from minoritized backgrounds. Using a mixed methods design, a cross-sectional survey was completed by non-faculty OT practitioners (n=48), Academic Fieldwork …

The Influence Of Level I International Fieldwork Experiences On Subsequent Level Ii Fieldwork Performance, Brittany N. Saviers, Deborah Gangluff

Journal of Occupational Therapy Education

This retrospective cohort study examined whether participation in a Level I international fieldwork placement was associated with differences in student performance during subsequent Level II fieldwork, as measured by the American Occupational Therapy Association’s Fieldwork Performance Evaluation (FWPE). A total of 136 entry-level occupational therapy doctoral students from a single U.S. university were included, with 46 students completing at least one international fieldwork placement in Costa Rica or Tanzania and 90 completing only domestic placements for Level I fieldwork. All students completed three Level I fieldwork experiences, with international placements representing one component of this sequence when applicable. Independent samples …

Scholarship Of Knowledge Discovery In Occupational Therapy Practice Model (Spot-M), Nicole R. Quint, Penelope Cleveland

Journal of Occupational Therapy Education

The Scholarship of Knowledge Discovery in Occupational Therapy Practice model guides occupational therapists, especially those with professional doctorates, in conducting practice scholarship and informing capstone projects. This model shifts the capstone from an academic experience to meaningful practice scholarship, like the dissertation’s role in scientific inquiry. The model highlights collaboration across research, practice, and education, while describing the practice scholars’ unique contributions. As evidence-based practice, implementation science, and healthcare complexity evolve, the importance of practice scholars has grown. The expertise of occupational therapists as practice scholars is pivotal for translating research findings into real-world, often unpredictable contexts; and practice scholarship …

Breathe Before The Exam: A Single-Session Yoga Intervention For Anxiety Reduction In Doctoral Ot Students, Bridget Hahn, Lamis Alnatafgi, Amanda Barbour, Samantha Benak, Leah Downey, Emily Servin

Journal of Occupational Therapy Education

First-year occupational therapy doctoral (OTD) students face significant academic stress, yet accessible, evidence-based wellness interventions remain underutilized in graduate occupational therapy education. This study examined the effects of a single pre-exam yoga session on state anxiety and exam performance among first-year OTD students at a Midwestern university. Using the State-Trait Anxiety Inventory, Form Y-1 (STAI-Y1), anxiety was assessed before and after a 60-minute yoga session held immediately prior to a first-term midterm exam. Midterm exam scores were compared to those of a historical control cohort from the preceding academic year; final exam scores were also compared to assess baseline cohort …

Integrating Service-Learning And Student-Led Research: Exploring Its Impact On Occupational Therapy Doctorate Students, Laura Bray, Camille Skubik-Peplaski, Shirley P. O'Brien

Journal of Occupational Therapy Education

The ability to communicate, critically think, and build confidence in delivering occupational therapy services is essential for occupational therapy students. Service-learning has been found to assist with translating abstract concepts to concrete interactions with real-life situations. A mixed-method pedagogical study was conducted to examine the student experience of leading a research project using service-learning pedagogy and changes in student confidence in their use of occupation. Qualitative themes of Confidence in Occupation; Communication to Build a Partnership; Thinking on Your Feet; and Service-Learning Promotes Growth were revealed. Additionally, student confidence pre-/post-ratings indicated a statistically significant increase in confidence, further supporting qualitative …

Development Of Soft Skills In Occupational Therapy Education: A Faculty Perspective, John Adkins, Alysha Skuthan

Journal of Occupational Therapy Education

Soft skills, such as communication, emotional intelligence, and response to feedback, are critical for the success of occupational therapy students but are often underemphasized in educational standards and curricula. This qualitative study examined how faculty perceived, defined, and facilitated the development of soft skills during the didactic phase of occupational therapy education. Using a phenomenological design, 12 faculty members from accredited occupational therapy programs participated in semi-structured interviews. Thematic analysis revealed six themes: Hidden Skills, Incorrect Assumptions, and What’s Trending addressed faculty perceptions, while What’s Developing, What’s On Us, and Why Does It Matter described faculty responsibilities and strategies to …

Using Video Analysis To Support Development Of Therapeutic Use Of Self In Occupational Therapy Education, Cynthia L. Selim, Katharine A. Ricks

Journal of Occupational Therapy Education

Despite recognition of the importance of therapeutic use of self, there remains limited research on effective, evidence-informed approaches within occupational therapy education. Video analysis has emerged as a method to enhance students’ critical thinking, interpersonal communication, and observation skills, however, its direct impact on therapeutic use of self has not been examined. This study evaluated the effectiveness of structured video analysis assignments in improving occupational therapy students’ self‑efficacy for therapeutic use of self and explored student perceptions of the learning experience. Two cohorts of first-year occupational therapy students (n=62) participated in a 10-week course based on the Intentional Relationship Model …

Enhancing Occupational Therapy Students' Knowledge Of Menstrual Health: A Quantitative Pilot Study, Glynnis Jones, Skylar Edwards, Allison Bressette, Emilie Wright, Michelle Hiller

Journal of Occupational Therapy Education

This study examined preliminary effects of a targeted learning module on occupational therapy students’ knowledge and perceived understanding of the profession’s role in menstrual health. Although menstrual health is a universal biological process, it remains underrepresented in occupational therapy curricula. Guided by occupational justice theory, this project aimed to enhance awareness within professional education to promote equity. A quasi-experimental, pre-posttest design assessed changes following completion of a self-paced online module. Fourteen second-year students from accredited occupational therapy programs participated. Subjects completed pre- and post-intervention knowledge assessments and the Menstrual Health Understanding Questionnaire (MHUQ), a 5-point Likert scale measuring perceived understanding …

Primitive Reflex Integration Training For Occupational Therapy Students In India, Nalini Sripall, Samuel K. Durairaj, Arun Kumar, Suja A. Chandrasekaran

Journal of Occupational Therapy Education

Primitive Reflex Integration (PRI) is an important intervention for occupational therapists for the treatment of neurological, motor, and sensory processing issues in children. The topic is clinically relevant, yet there is scarce formal education available on the subject for occupational therapists in India. A needs assessment survey was developed and implemented to better understand the knowledge related to PRI of 40 postgraduate occupational therapy students in India. The needs assessment showed that most of the students were aware of PRI but were not consistently using PRI techniques to treat retained primitive reflexes. The participants also noted barriers, such as a …