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Full-Text Articles in Education

Interdisciplinary Treatment Approach To Youth With Intellectual Or Developmental Disabilities And Co-Occurring Mental Health Conditions, Ashley Greenwald, Erika Ryst, Diane D. Thorkildson, Lauren Brown Apr 2024

Interdisciplinary Treatment Approach To Youth With Intellectual Or Developmental Disabilities And Co-Occurring Mental Health Conditions, Ashley Greenwald, Erika Ryst, Diane D. Thorkildson, Lauren Brown

Developmental Disabilities Network Journal

Many individuals with Intellectual and/or Developmental Disabilities (IDD) have co-occurring mental health needs, yet service delivery options often do not allow for the integrated delivery of mental health treatment and social behavioral support services. Siloed treatment approaches often result in lack of collaboration between providers, increasing the difficulty in accessing comprehensive and coordinated treatments and reducing treatment potential and effective outcomes. Additionally, many service providers in behavioral support services are not trained to address significant mental health needs; similarly, providers of mental health services lack experience in modifying practices for differing cognitive needs. The lack of cross-training and cross-collaboration makes …


Undergraduate Nursing Education Simulation Training Using Virtual Reality Goggles And Teamstepps Methodology, Jennifer Koalenz Mar 2024

Undergraduate Nursing Education Simulation Training Using Virtual Reality Goggles And Teamstepps Methodology, Jennifer Koalenz

SACAD: John Heinrichs Scholarly and Creative Activity Days

Abstract

Due to changes in educational processes during global pandemic restrictions and the rapid pace of innovation and developments in virtual reality technology, this modality of education is expected to become a common presence in healthcare education. Immersive simulation activities can be an effective way to facilitate collaboration and communication skills in a constructivist-based classroom. Evidence shows that virtual simulation improves critical thinking skills, psychomotor skills, and decision making (Padilha et al., 2019). In addition, the availability of an on-demand, customizable scenario is highly useful to supplement clinical learning when necessary. But many caution that virtual simulation, just like any …


Development Of Interprofessional Socialization In A Multifaceted Live Action Clinical Role-Play Simulation For Speech-Language Pathology And Social Work Students, Cody Marie Busch, Jennifer Anderson, Lynn Gilbertson, Sarah Hessenauer Feb 2024

Development Of Interprofessional Socialization In A Multifaceted Live Action Clinical Role-Play Simulation For Speech-Language Pathology And Social Work Students, Cody Marie Busch, Jennifer Anderson, Lynn Gilbertson, Sarah Hessenauer

Teaching and Learning in Communication Sciences & Disorders

Live action clinical role-plays are one of many types of simulated learning experiences that can be crafted for undergraduate and graduate students alike when learning to collaborate interprofessionally. This mixed methods exploratory research project partnered four academic instructors from the disciplines of speech-language pathology and social work, with several additional community members adding their expertise to enrich the experience of a live-action clinical role-play. Students (N = 32) participated in a two-part multifaceted interprofessional education (IPE) experience with the first part consisting of eight hours of online asynchronous training and the second part consisting of eight hours of a multifaceted …


Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti Jul 2023

Allied Health Faculty Members’ Perspective On Interprofessional Collaborative Practice: A Hermeneutic Phenomenological Study, Prajakta Khare-Ranade, Margaret Newsham Beckley, Mary Geders Falcetti

Dissertations

A framework for interprofessional collaborative practice (IPCP) was developed by the World Health Organization (WHO) (WHO, 2010) in response to the need to address the complicated conditions that exist in today’s health systems. Much of the focus of today’s health service delivery is predicated on the social determinants of health (Barzansky et al., 2019), which refer to the environmental conditions associated with where people are born, live, go to school, work, play, age, and worship that have an impact on health, function, quality of life, and risks (Healthy People 2030, n.d.). IPCP is thought to be the only approach effective …


Course Sharing: An Interprofessional Education (Ipe) Perspective, Anita Hazelwood, Jennifer B. Lemoine Mar 2023

Course Sharing: An Interprofessional Education (Ipe) Perspective, Anita Hazelwood, Jennifer B. Lemoine

Academic Chairpersons Conference Proceedings

This presentation will walk participants through the steps in developing interprofessional courses; identifying course offerings, exploring units interested in course sharing, soliciting administrative support, and balancing workloads for faculty. A case study describing the introduction of a legal and ethics course will be presented and results discussed.


Developing Sustainable Snow Sports Education Programs For Adolescent Participation, Zhaofei Chen, Wei Zuo, Hongwei Guan Feb 2023

Developing Sustainable Snow Sports Education Programs For Adolescent Participation, Zhaofei Chen, Wei Zuo, Hongwei Guan

International Journal of Physical Activity and Health

Following Beijing’s winning bid to host the 2022 Winter Olympic Games, winter sports have ushered in a great development opportunity for adolescents in China. Beijing initiated the Ice and Snow Sports on Campus Program in 2016, however, one of the challenges is that the lack of quality snow sports instructors and access to ski resorts is limiting sustainable programs. Greek Peak Ski Resort, located in upstate NY, has a successful history of running snow sport educational programs that Beijing may be able to learn from. The purpose of this study was to assess and compare the Ice and Snow Sports …


Implicit Bias Mask: Pioneers And Physicians, Kassim Salami, Anastasia Goldbaum, Simran Brar, Austin Kim, Cole Sabinash, Gabrielle Cowen Jan 2023

Implicit Bias Mask: Pioneers And Physicians, Kassim Salami, Anastasia Goldbaum, Simran Brar, Austin Kim, Cole Sabinash, Gabrielle Cowen

Patient Education Projects

No abstract provided.


Implicit Bias Mask: Motivation, Sidney Caudell, Alyssa Fabrizio, Elnaz Guivatchian, Nikolas Minanov, Nico-Luis Ayala, Joshua Rayham Jan 2023

Implicit Bias Mask: Motivation, Sidney Caudell, Alyssa Fabrizio, Elnaz Guivatchian, Nikolas Minanov, Nico-Luis Ayala, Joshua Rayham

Patient Education Projects

No abstract provided.


Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci Jan 2023

Administrators’ Perceptions Of Alternative Service Delivery Models And The School-Based Occupational Therapists’ Role, Kimberly Saccucci

Occupational Therapy Doctorate Capstone Projects

School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation.

An anonymous electronic survey was distributed to public school administrators within Rhode …


Servant Leadership On Burnout Among Physicians In Residency Training, Karen Grant-Hewitt Jan 2022

Servant Leadership On Burnout Among Physicians In Residency Training, Karen Grant-Hewitt

Walden Dissertations and Doctoral Studies

Physicians in residency training (PIRTs) in the United States are facing extreme burnout. The prevalence of burnout among physicians in residency training may cause adverse consequences such as medical malfeasance, alcoholism, or suicide due to physical and mental exhaustion. The purpose of this study was to analyze the servant leadership style of physician trainers and burnout among PIRTs in academic medical centers in the United States to ultimately increase wellness and thereby mitigate burnout. Servant leadership was the theoretical foundation for this study. This research investigated whether servant leadership characteristics of physician trainers played a statistically significant role in burnout …


An Assessment Of Communication Between Speech-Language Pathologists And Intervention Specialists In Schools, Sarah Painter Apr 2021

An Assessment Of Communication Between Speech-Language Pathologists And Intervention Specialists In Schools, Sarah Painter

Honors Projects

The American Speech-Language Hearing Association states that Speech-Language Pathologists (SLPs) should collaborate with other professionals, including Intervention Specialists (ISs). In recent decades, there has been a shift from pull-out therapy, where students are removed from the classroom for services, to push-in therapy, which takes place within the classroom. This shift has resulted in greater overlap in SLP-IS caseloads. However, there is little known about the collaborative practices of these professionals. This study aimed to close the gap by using surveys to address two main research questions.

1) What is the focus, modality, and frequency of collaboration between SLPs and ISs? …


Three's Company: Collaborative Instructional Design On A Librarian-Instructor Team, Brittany L. O'Neill, Allen Leblanc, Deirdre Larsen Mar 2021

Three's Company: Collaborative Instructional Design On A Librarian-Instructor Team, Brittany L. O'Neill, Allen Leblanc, Deirdre Larsen

Georgia International Conference on Information Literacy

This session will describe a unique collaboration that resulted in development of a strategic research assignment design supported by relevant information literacy sessions. This effort stems from an existing relationship between research librarians and an instructor who was previously a graduate assistant in Research & Instruction Services and became an instructor of a general education course in Communication Sciences and Disorders. Through this collective, a synergistic arrangement developed where librarians contribute to research assignment design and the instructor contributes to developing the information literacy sessions to prepare students for finding, evaluating, and understanding relevant scholarly articles early in their college …


Get The Wiggles Out: Sensory Paths A Motor-Based Intervention To Decrease Out-Of-Seat Events In Preschool Children With Special Needs., Teresa Ludwig Jan 2021

Get The Wiggles Out: Sensory Paths A Motor-Based Intervention To Decrease Out-Of-Seat Events In Preschool Children With Special Needs., Teresa Ludwig

Occupational Therapy Doctorate Capstone Projects

Sensory Paths are sensory motor-based interventions that will provide opportunities for teachers to incorporate structured movement into the natural classroom routine, such as before circle time, to help the children in their classes be ready for learning by increasing attention and decreasing out of seat events.

This single subject A-B-A design project, rooted in the Ecology of Human Performance framework, explored providing structured sensory motor-based opportunities prior to circle time throughout the classroom day to decrease interfering behaviors in the classroom, such as out of seat behaviors and improve attention during circle time.

The results indicate that the Sensory Paths …


Nursing, Physical Therapy, And Cytotechnology Graduate And Undergraduate Students' Attitudes Toward Teamwork Before And After Participation In An Interprofessional Education Experience, Shelley C. Mishoe, Muge Akpinar Elci, Rebecca Poston, Kimberly Adams Tufts, Beth Thompson Jan 2021

Nursing, Physical Therapy, And Cytotechnology Graduate And Undergraduate Students' Attitudes Toward Teamwork Before And After Participation In An Interprofessional Education Experience, Shelley C. Mishoe, Muge Akpinar Elci, Rebecca Poston, Kimberly Adams Tufts, Beth Thompson

Community & Environmental Health Faculty Publications

BACKGROUND Educating health professional (HP) students in environments wherein they can learn about, from, and with each other can prepare them for interprofessional collaborative practice (IPCP), which may positively impact patient safety and satisfaction (Brashers et al., 2015; Health Professions Accreditors Collaborative [HPAC], 2019). IPCP is characterized by effective communication, shared values, respect for diverse disciplines and teamwork among health professionals (IOM, 2015). However, professional silos in practice can foster competition rather than collaboration. Knowledge of HP roles and responsibilities is a primary tenet of IPCP (Interprofessional Educational Collaborative [IPEC], 2011).

PURPOSE An interprofessional education (IPE) approach that combined book …


Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker Jan 2021

Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker

Electronic Theses and Dissertations

Abstract

The failure of educators to meet the needs of elementary students who require separated, differentiated, and intensive reading interventions (Tier 3) has been attributed to the scarcity of administrative resources and a lack of effective collaboration between reading specialists and classroom teachers. Experts opine that common barriers to effective collegial collaboration between institutional reading specialists, who are employed by the school, and classroom teachers include: an unsupportive school culture, the classroom teachers’ fear of losing pedagogical autonomy, the absence of mutual trust and interdependence between the reading specialists and their students’ classroom teachers, and the inability of reading specialists …


A Community Academic Partnership Approach To Addressing Health Needs Of The Local Refugees: Participants’ Perspectives And Recommendations For Developing New Partnerships, Melissa D. Warne-Griggs, Nicolin Thaler, Kristin Koehn, Kristin Sohl Nov 2020

A Community Academic Partnership Approach To Addressing Health Needs Of The Local Refugees: Participants’ Perspectives And Recommendations For Developing New Partnerships, Melissa D. Warne-Griggs, Nicolin Thaler, Kristin Koehn, Kristin Sohl

Journal of Refugee & Global Health

Community-academic partnerships have demonstrated how collaboration can provide academic healthcare workers and non-medical community providers such as educators and social services with a comprehensive view of issues affecting refugee populations. The ICIH (Interagency Council on Immigrant Health) is a physician-community partnership consisting of healthcare professionals, non-medical educators, social workers, early childhood services and other community agencies. It was formed to address the well-being of a local immigrant population, strengthen bonds between the community and healthcare system, and educate and empower pediatricians to provide culturally aware services. The collaboration has been very successful as demonstrated by the production of multiple collaborative …


Demystifying Sensory Processing To Promote Effective Interprofessional And Caregiver Collaboration, Janis Leinfuss, Erin O'Hara Sep 2020

Demystifying Sensory Processing To Promote Effective Interprofessional And Caregiver Collaboration, Janis Leinfuss, Erin O'Hara

Student Journal of Occupational Therapy

Research shows collaboration and coaching with caregivers and educators positively impacts growth in occupational performance. Better understanding of this additional role that occupational therapy practitioners play; when working with children with sensory processing challenges, is vital to properly advocate for strategies and resources to help them reach their personal trajectory.

This article offers insight into the importance of removing professional jargon to facilitate effective interprofessional collaboration. Specific strategies for making coaching and training sessions for sensory processing content relatable and meaningful to educators and caregivers are also provided.


Students' Perspectives Following Involvement In A Constraint Induced Aphasia Therapy Research Project, Bridget R. Dincher, Melissa Mcgrath, Julie Griffith Jul 2020

Students' Perspectives Following Involvement In A Constraint Induced Aphasia Therapy Research Project, Bridget R. Dincher, Melissa Mcgrath, Julie Griffith

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to provide a reflection on four students’ collaborative research experience implementing Constraint-Induced Aphasia Therapy and highlight the importance of student involvement in research opportunities. Guided reflections were completed and analyzed through a collaborative model to generate common themes of: 1) increased confidence in cuing and 2) adapting individualized treatment. Student engagement in clinical research enhances the quality of their educational experience by fostering clinical competence and confidence.


Ehdi System Effectiveness: The Impact Of Community Collaboration, Kristina M. Blaiser, Gabriel Anne Bargen May 2020

Ehdi System Effectiveness: The Impact Of Community Collaboration, Kristina M. Blaiser, Gabriel Anne Bargen

Journal of Early Hearing Detection and Intervention

Early Hearing Detection and Intervention systems rely on collaborative, coordinated systems, yet, in actuality, collaboration is often reduced to periodic communication related to processes. This can be even more important in a state like Idaho where access to providers and resources are limited in rural and remote areas. Researchers at Idaho State University were awarded a grant to bring together key community stakeholders with the goal of evaluating and improving families’ journeys from newborn hearing screening to enrollment in Part B educational services. This paper will outline the process and information that was collected as part of the Idaho Community …


Facilitating Communication With Diverse Teams, Maryjane Lewitt Apr 2020

Facilitating Communication With Diverse Teams, Maryjane Lewitt

Academic Chairpersons Conference Proceedings

Non- hierarchical communication structures are associated with greater clarity across all levels. These structures can be implemented in a variety of ways under different circumstances. A variety of communication processes should be implemented to improve communication with individualizing the technique to the type of information being communicated.


Using Accreditation To Build Teamwork In A Department, David A. Line Apr 2020

Using Accreditation To Build Teamwork In A Department, David A. Line

Academic Chairpersons Conference Proceedings

The additional demands of the accreditation process provide a unique opportunity for program chairs to develop positive relationships between administration, staff, and faculty. This best practice presentation will look at the accreditation process from the perspective of the support staff and utilizing the accreditation process as a team building exercise.


Graduate Occupational Therapy Students & Information Literacy: Does A Research Consultation Increase Information Literacy Skills While Lowering Library Anxiety?, Mary C. Rickelman, Christine Moghimi Mar 2020

Graduate Occupational Therapy Students & Information Literacy: Does A Research Consultation Increase Information Literacy Skills While Lowering Library Anxiety?, Mary C. Rickelman, Christine Moghimi

Transforming Libraries for Graduate Students

In today’s academic environment, students equipped with self-regulated learning and information literacy skills have an excellent opportunity for professional success, given our current information-based practices in health care. Information literacy instruction provided to students early in their coursework will aide them in acquiring competency for the remainder of their studies, especially scholarly projects. Along with information literacy issues, library anxiety has been identified in the literature as a contributing factor to poor academic performance in students. The purpose of this study was to explore components of library anxiety, if present, as well as to help students become more comfortable and …


Help! No Time For Library Instruction, Not Even A One-Shot, Sheri A. Brown, Dianne M. Fair Ph.D. Feb 2020

Help! No Time For Library Instruction, Not Even A One-Shot, Sheri A. Brown, Dianne M. Fair Ph.D.

Georgia International Conference on Information Literacy

Throughout the semester librarians hear from faculty that there is no time for library instruction. This is especially true for science courses where lab work is required. The Biomedical Sciences program at Florida State College at Jacksonville (FSCJ) is a rigorous, hands-on laboratory-based curriculum with course work covering physics, chemistry, biology, microbiology, molecular biology, and genetics. Students are required to complete IDS4936 – Biomedical Degree Capstone which requires a “multidisciplinary approach of learning science by analyzing social, economic, ethical, scientific, and professional aspects of their chosen topic.” (FSCJ College Catalog 2019-19)

It became apparent students did not have the necessary …


We’Re Both Your Librarian: A Course Collaboration Between An Academic Library And A Health Sciences Library, Stephanie Evers Ard Feb 2020

We’Re Both Your Librarian: A Course Collaboration Between An Academic Library And A Health Sciences Library, Stephanie Evers Ard

Georgia International Conference on Information Literacy

The University of South Alabama is in the process of merging its academic library and health sciences library, which have previously functioned as essentially separate entities. This ongoing process requires many changes, from budget and staff considerations, to revisiting the roles the librarians play in their respective academic communities. This last concern led to a collaboration between two librarians--the Assistant Director for Strategic Initiatives at the health sciences library and the Social Sciences and Student Engagement Librarian at the academic library--in response to a faculty request for an embedded librarian to support a fully-online graduate nursing class in scholarly writing. …


Designing Interprofessional Education Curriculum To Maximize Collaborative Competency, Whitney Lucas Molitor, Allison Naber Jan 2020

Designing Interprofessional Education Curriculum To Maximize Collaborative Competency, Whitney Lucas Molitor, Allison Naber

Journal of Occupational Therapy Education

Interprofessional collaboration improves health outcomes through enhanced efficiency and communication among team members. Professional educational standards call for interprofessional education (IPE) to develop the collaborative competencies necessary for transition from didactic learning to clinical practice. Variability exists regarding methods of IPE implementation, so efficacy of curricula needs to be described in a manner which allows for replication and utilization of these methods with occupational therapy students. A pre/post design with convenience sampling of students from occupational therapy, physical therapy, and physician assistant programs was completed to determine the effectiveness of an IPE module and to discover if differences in IPE …


Intensive Care To Intermediate Care Bridge Program, Natasha Bartlett, Sally Langerak, Lindsey Lucas, Jonathan Archibald, Tayla Robbins, Miranda Thompson, Patrice Tetu, Calla Hastings, Megan Garland, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks Jul 2019

Intensive Care To Intermediate Care Bridge Program, Natasha Bartlett, Sally Langerak, Lindsey Lucas, Jonathan Archibald, Tayla Robbins, Miranda Thompson, Patrice Tetu, Calla Hastings, Megan Garland, Suneela Nayak, Stephen Tyzik, Ruth Hanselman, Amy Sparks

Operational Transformation

To deliver the highest quality of care across the continuum, a large academic tertiary medical center envisioned a project that would provide an internal source of cross trained nurses for their medical intensive care unit (SCU2) and their medical intermediate care unit (R4/IMC/AVU). The hope for this program was to improve communication and collaboration between nurses and enhance the care that they provide to patients and their families.

A highly qualified team of nurses was established to create a performance improvement project. The overall goal of this endeavor was to build a more collaborative relationship between the units and ultimately …


Health Literacy Challenges And Opportunities: Bringing Children’S Mercy And Kansas City Together, Jennifer A. Lyon, Angie Knackstedt, Barbra Rudder, Mamta Reddy Md, Courtney R. Butler May 2019

Health Literacy Challenges And Opportunities: Bringing Children’S Mercy And Kansas City Together, Jennifer A. Lyon, Angie Knackstedt, Barbra Rudder, Mamta Reddy Md, Courtney R. Butler

Posters

BACKGROUND: A multidisciplinary group at Children's Mercy Kansas City applied for and received the NNLM MCR's Immersive Workshop Grant in December, 2017, and used the funding to organize and host a two-day immersive, interprofessional workshop in April, 2018, that 1) brought together health literacy-invested groups and individuals within the Kansas City community to learn about health literacy including cultural, language, numeracy and digital inclusion factors; and 2) provided specialized training to targeted CM participants to improve the provision of bedside health information to patients and caregivers. Objectives included: increasing community-wide collaboration, sharing resources, encouraging participants to become change agents, and …


School Psychologists’ Current Practice, Training, And Interest In The Integration Of Substance Abuse Training As Part Of The Mental Health Profession, Margaret Dassira May 2019

School Psychologists’ Current Practice, Training, And Interest In The Integration Of Substance Abuse Training As Part Of The Mental Health Profession, Margaret Dassira

Educational Specialist, 2009-2019

Adolescents’ suffering from substance abuse may also be experiencing academic, social, emotional, and behavioral difficulties. Substance abuse problems are difficult to address in schools due to barriers related to confidentiality, implementation, and resources. School personnel may also lack necessary experience or training to adequately provide these services to students’ suffering from substance abuse. School-based intervention programs have shown to be effective in helping to identify and support students with substance abuse issues (Mitchell et al., 2012; Winters et al., 2012). With both evidence-based intervention practices and competent mental health professionals, students experiencing substance abuse problems may receive needed services and …


Enhancing Collaborative Practices With Preprofessional Occupational Therapists And Early Childhood Special Education Student Teachers: A Pilot Study, Kathleen M. Farrand, Megan Troxel Deeg, Oaklee Rogers, Allison M. Mullady, Stephanie S. Williams, Bjorg T. Lesueur Jan 2019

Enhancing Collaborative Practices With Preprofessional Occupational Therapists And Early Childhood Special Education Student Teachers: A Pilot Study, Kathleen M. Farrand, Megan Troxel Deeg, Oaklee Rogers, Allison M. Mullady, Stephanie S. Williams, Bjorg T. Lesueur

The Open Journal of Occupational Therapy

This article presents the Collaborative Design Model as a tool for developing collaboration and self-efficacy for preprofessional educators and service providers. As student populations continue to become more diverse, preprofessionals entering the classroom must be prepared to collaborate with colleagues effectively and efficiently to address the variety of needs presented in the classroom. Little research exists on the collaboration among preprofessional teachers and preprofessional occupational therapists. The proposed model provides a method for supporting preprofessionals in collaborating to meet the needs of students at risk for or with disabilities. Initial pilot findings suggest the Collaborative Design Model could potentially increase …


Family Volunteers As Alternative Future Resources: School Leaders' Beliefs And Practices, Hazar Hekmat Malluhi, Nayel Musa Alomran Jan 2019

Family Volunteers As Alternative Future Resources: School Leaders' Beliefs And Practices, Hazar Hekmat Malluhi, Nayel Musa Alomran

All Works

© 2019, Kassel University Press GmbH. Schools and community engagement are seen as effective factors for making schools a thoughtful place. This case- study employed mixed methodology to explore the phenomena of parent involvement and to know the exact characteristics of the leadership style in the school. This case study examined and described school leaders' perspectives, attitudes and practices towards parents' involvement in an Abu Dhabi primary school using a variety of data sources including, interviews, open-ended teachers' questionnaires, school selfassessment surveys and mothers' council self-assessment surveys. The findings revealed that the school leaders effectively employ multiple collaborative, shared and …