Kinesiology Commons^™

Effects Of Different Percentages Of Blood Flow Restriction On Muscle Oxygen Saturation While Walking, Clayton Shriver, Yvette Figueroa, Jayson R. Gifford, Patrick Davis

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 411-428, 2023. The purpose of this investigation was to determine the effect of different relative pressures of blood flow restriction (BFR) on muscle oxygen saturation (SmO₂) while walking at 3.0 mph (4.83 kph). Fifteen physically active healthy adults performed seven 5-minute stages of walking at 3.0 mph with a blood flow restriction cuff applied to the proximal portion of the left or right leg while bilateral SmO₂ changes were measured using near infra-red spectroscopy (NIRS) on the medial head of the gastrocnemius (GM) and vastus lateralis (VL) muscles. Other measurements including …

Arch Stiffness Does Not Determine Running Economy In Recreational Runners, Ian Bradford, Padraig Kirkwood, Jared Eddy, Phillip Essenmacher, Jean L. Mccrory, Brian K. Leary

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 402-410, 2023. The primary purpose of this study was to determine the relationship between foot length, arch stiffness, and running economy in recreational runner at low running velocities. Sixteen trained endurance (age 20.5 ± 0.4 yrs, height 172 ± 1.8 cm, and mass 68.53 ± 2.40 kg) athletes had their foot anthropometrics and running economy measured. Foot anthropometrics including Foot Length (FL), Arch Stiffness Index (ASI), and Achilles Tendon Moment Arm Length (ATML) were assessed. Subjects then completed a maximal oxygen consumption (VO_2max) test and running economy (RE) assessment. RE was measured …

Training Status Impacts Metabolic Response To A High-Protein Weight Loss Diet In Recreationally Resistance-Trained Females., Alyssa A. Olenick, Regis C. Pearson, Nathan T. Jenkins

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 377-392, 2023. This study investigated the effects of a novel high-protein diet template on postprandial metabolism and body composition (e.g., waist and hip circumference, body fat (%), fat mass, fat-free mass) in recreationally resistance-trained females. Fifteen females adhered to an eight-week high-protein dietary intervention (~1.5-1.6 g·kg^-1·day^-1) administered via template format. Pre- and post-intervention visits included anthropometrics, measurement of body composition, and an acute high-fat meal challenge. The high-fat meal challenge (61% fat) consisted of fasting postprandial blood glucose, resting metabolic rate (RMR), fat and carbohydrate oxidation assessed at 60-, 120-, …

Anthropometric Predictors Of Conventional Deadlift Kinematics And Kinetics: A Preliminary Study, Dale S. Keith, Daniel Scherrer, Brandon Nunley, Jake R. Boykin, Jacob J. Green, Madelin R. Siedler, Christian Rodriguez, Patrick S. Harty, Matthew T. Stratton, John R. Harry, Grant M. Tinsley

International Journal of Exercise Science

International Journal of Exercise Science 16(1): 429-447, 2023. The purpose of this preliminary analysis was to determine if there are relationships between anthropometric characteristics (arm length, torso length, thigh length, and shank length) and conventional deadlift (CDL) kinematics and kinetics during a 5 sets of 5 repetitions (5 x 5) CDL routine in resistance-trained males. Eleven males who had experience with the deadlift exercise were included in this analysis (age: 21.5 ± 1.4 y; height: 180.7 ± 5.7 cm; body mass: 89.9 ± 16.0 kg). Anthropometrics were measured by a 3-dimensional optical scanner. The participants underwent a 5 x 5 …

The Top 50 Most Cited Articles On The Medial Patellofemoral Ligament (Mpfl): A Bibliometric Analysis, Varag Abed, Alex Duvall, Jonathan D. Rexroth, Alyssa Goodwin, Joseph Liu, Austin Stone

Medical Student Research Symposium

Objectives: To determine which original articles on the topic of the medial patellofemoral ligament (MPFL) have been cited the most in the literature utilizing a bibliometric approach. Secondarily, to determine temporal trends between article types.

Methods: Articles on the topic of the MPFL were identified by utilizing the Web of Science Database. The search yielded 1,596 results and the top 50 cited original articles were collected for further analysis. The following information was gathered for all included articles: title, first author's name, journal name, year of publication, impact factor of the journal in 2021, total number of citations of the …

Human Spacesuit Interaction During Eva Of The Legs Using A Force Sensing System, Niraliben D. Patel

USF Tampa Graduate Theses and Dissertations

Astronauts perform a multitude of tasks in space, both in the spacecraft and outside of the spacecraft. Extravehicular Activity (EVA) refers to any activity that is completed outside of the spacecraft, whether it is work on the actual spacecraft, spacewalks, or conducting sample collections on other planets and moons. To do this safely, a pressurized Extravehicular Mobility Unit (EMU) or commonly known as the spacesuit is used. There have been multiple iterations of the United States EMU with advances to further optimize the astronaut safety and EVA tasks. However, there is still relatively little information on the movement of the …

Practices And Perceptions Of Family-Centered Care: A Cross-Sectional Survey Of Secondary School Athletic Trainers, Zachary K. Winkelmann, Nancy A. Uriegas, James M. Mensch, Conner E. Montgomery, Toni M. Torres-Mcgehee

Faculty Publications

Family-centered care (FCC) includes collaboration between families and healthcare providers, the creation of flexible policies, and the family taking an active role in the delivery of care. Secondary school athletic trainers provide care for underage patients in school-based health systems, making them responsible for maintaining communication with parents, guardians, and/or caregivers. This cross-sectional survey investigated the extent to which athletic trainers (n = 205) include aspects of FCC in their daily secondary school clinical practice (current practices = CP) and whether they believe that aspect of care is necessary for FCC to be provided in athletic training (perceived necessary = …

Muscular Strength Predicts Phase Angle In Breast Cancer Survivors, Trevor Short, Cheri Teranishi-Hashimoto, Paulette Yamada

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 4, 2023. Phase angle (PhA) has emerged as a prognostic indicator of survival and quality of life (QOL) in cancer patients. Identifying measures of physical fitness that correlate with PhA can provide guidance toward optimizing cancer rehabilitation programs and future research. The purpose was to examine the relationship between PhA and physical fitness in breast cancer survivors. Sixty-three breast cancer survivors (60 ± 9 years, PhA 4.59±0.52, mean±SD) completed assessments for muscular strength, muscular endurance, cardiorespiratory endurance, flexibility, and body composition. PhA and body composition were measured using bioimpedance …

Estimates Of Agreement Between Three Low-Cost And One High-Cost Bioelectrical Impedance Analyzers Using Classical And Contemporary Dancers., Roberto González Marenco, Martha Medina-Escobedo, Joaquín Blanco-Castillo, Jorge Euan-Zapata, Saile Chan-Kantún, José Sanguino-Pinzón José, Cinthia Gamboa-Pereyra

International Journal of Exercise Science

International Journal of Exercise Science 16(4): 353-363, 2023. The aim of this study was to determine the concordance between the estimates of three low-cost and one high-cost electrical bioimpedance equipment (BIA) in classical and contemporary dancers. Participation in the study included 28 subjects (15 men and 13 women) 18 to 35 years old, who perform classical and/or modern dance, thrice weekly, from 60 to 120 min per session, for 10 years or more. Those who presented any disease, consumed drugs, supplements or multivitamins; had prostheses, surgical metal parts or pacemakers, had problems maintaining the correct anatomical positions for taking measurements, …

Ua12/2/1 Fit, Wku Student Affairs

WKU Administration Documents

College Heights Herald magazine regarding fitness.

• Healthy Strawberry Lemonade Cocktail/Mocktail
• Why Nutrition Matters – Dining Services
• Dock, Emma. Like This? Try This!
• WKU Walking Routes
• Building & Maintaining Health Habits
• Sharp, Chloe. Quick Workouts to Do on a Busy Schedule
• Find Your Movement – Campus Recreation
• Wellness Navigators Help College of Health & Human Services Students Thrive
• Gym Necessities

The Pursuit Of Peak Athletic Performance, Trevor Short

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 4: Issue 1, Article 3, 2023. Achieving peak performance in sports is a multifactorial phenomenon that spans several scientific disciplines. The optimization of human performance requires a comprehensive and systematic assessment that identifies potential performance-inhibiting factors. The result of such analysis allows for more individualized and accurate evaluation, athlete monitoring, and training interventions. Thus, there is a need for a multidisciplinary model of peak performance to guide practitioners when conducting a comprehensive analysis. The purpose of this manuscript is to provide a brief but practical vade mecum for practitioners to consider in the …

Changes In Physical Activity During The Covid-19 Pandemic: A Mixed Methods Assessment, Andrew Corbett, Kathryn E. Wilson, Andrew Van Horn, Jessica D. Ayers, Hector Hurmuz, Athena Aktipis

International Journal of Exercise Science

International Journal of Exercise Science 16(5): 327-341, 2023. COVID-19 was declared a global pandemic in March 2020. Resulting containment protocols altered the day-to-day lives of people around the globe, impacting typical physical activity patterns. The purpose of this mixed-method study was to understand how physical activity changes occurred during the first few months of the COVID-19 pandemic. Participants (n = 271) completed a survey including a qualitative item asking for descriptions of how their physical activity had changed, as well as a categorical item asking whether they had become more active, stayed equally as active, or become less active …

The Effect Of A Division 1 Women’S Basketball Strength And Conditioning Protocol On Mental Toughness, Zach Olivan, Jeff Cherubini, Andreas Stamatis Dr.

International Journal of Exercise Science

International Journal of Exercise Science 16(5): 315-326, 2023. Mental toughness (MT) is a popularized term in sports since it has been found to be positively related to performance. Self-assessment is the most common method of MT data collection. In the strength and conditioning (S&C) context, MT research has focused on males with a notable lack of female participants. Division 1 NCAA strength and conditioning coaches (SCC) spend more hours with their athletes during offseason training than any other coach. The purpose of this study was to measure the perceived effectiveness of an off-season S&C training regimen on MT levels of …

Heart Rate Variability As A Neuroautonomic Marker To Assess The Impact Of Karate Training – An Observational Pediatric Study, Puneet Bhattacharya Ms, Sridip Chatterjee, Samiran Mondal, Dilip Roy

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 342-352, 2023. Habitual physical activity improves heart functions and parasympathetic tone; Karate training is considered as a moderate physical activity with rhythmical breathing patternology. Heart rate variability (HRV) is an electrophysiological tool which measures cardio autonomic homeostasis; is used in the present study as an indirect marker to measure neurocognitive development with karate training. The aim of the present study was to find out the impact of regular karate training on cardiac autonomic responses through Heart Rate Variability (HRV) between karate players and age-sex matched active controls. A total of 30 male school-going children …

Comparable Acute Metabolic Responses When Walking With Blood Flow Restriction And Walking With Load Carriage: Implication For Tactical Professionals, Nathan D. Dicks, Sean J. Mahoney, Allison M. Barry, Katie J. Lyman, Kyle J. Hackney

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 304-314, 2023. The current study aimed to investigate exercise with blood flow restriction (BFR) as a low-intensity conditioning strategy in tactical professionals with load carriage. During the low-intensity exercise, researchers examined the acute metabolic responses from low-intensity BFR walking, walking with load carriage, and walking with BFR and load carriage. Twelve healthy adult males (age = 21.8 ± 1.5 yrs, height = 181.3 ± 7.2 cm, body mass = 84.4 ± 11.1 kg and BMI = 25.6 ± 2.6 kg^.m²) completed five bouts of 3-min treadmill walking at 4.8 kmh …

International Society Of Sports Nutrition Position Stand: Nutritional Concerns Of The Female Athlete, Stacy T. Sims, Chad M. Kerksick, Abbie E. Smith-Ryan, Xanne A.K. Janse De Jonge, Katie R. Hirsch, Shawn M. Arent, Susan Joyce Hewlings, Susan M. Kleiner, Erik Bustillo, Jaime L. Tartar, Valerie G. Starratt, Richard B. Kreider, Casey Greenwalt, Liliana I. Renteria, Michael J. Ormsbee, Trisha A. Vandusseldorp, Bill I. Campbell, Douglas S. Kalman, Jose Antonio

Faculty Scholarship

Based on a comprehensive review and critical analysis of the literature regarding the nutritional concerns of female athletes, conducted by experts in the field and selected members of the International Society of Sports Nutrition (ISSN), the following conclusions represent the official Position of the Society: 1. Female athletes have unique and unpredictable hormone profiles, which influence their physiology and nutritional needs across their lifespan. To understand how perturbations in these hormones affect the individual, we recommend that female athletes of reproductive age should track their hormonal status (natural, hormone driven) against training and recovery to determine their individual patterns and …

International Society Of Sports Nutrition Position Stand: Energy Drinks And Energy Shots, Andrew R. Jagim, Patrick S. Harty, Grant M. Tinsley, Chad M. Kerksick, Adam M. Gonzalez, Richard B. Kreider, Shawn M. Arent, Ralf Jager, Abbie E. Smith-Ryan, Jeffrey R. Stout, Bill I. Campbell, Trisha Vandusseldorp, Jose Antonio

Faculty Scholarship

Position Statement: The International Society of Sports Nutrition (ISSN) bases the following position stand on a critical analysis of the literature regarding the effects of energy drink (ED) or energy shot (ES) consumption on acute exercise performance, metabolism, and cognition, along with synergistic exercise-related performance outcomes and training adaptations. The following 13 points constitute the consensus of the Society and have been approved by the Research Committee of the Society: Energy drinks (ED) commonly contain caffeine, taurine, ginseng, guarana, carnitine, choline, B vitamins (vitamins B1, B2, B3, B5, B6, B9, and B12), vitamin C, vitamin A (beta carotene), vitamin D, …

Hemodynamics And Arterial Stiffness In Response To Oral Glucose Loading In Individuals With Type Ii Diabetes And Controlled Hypertension, Yu Lun Tai, Smaran Marupudi, Gabriel A. Figueroa, Ryan D. Russell

Health & Human Performance Faculty Publications

Introduction: Type 2 diabetes (T2D), the fastest growing pandemic, is typically accompanied by vascular complications. A central hallmark of both T2D and vascular disease is insulin resistance which causes impaired glucose transport and vasoconstriction concomitantly. Those with cardiometabolic disease display greater variation in central hemodynamics and arterial elasticity, both potent predictors of cardiovascular morbidity and mortality, which may be exacerbated by concomitant hyperglycemia and hyperinsulinemia during glucose testing. Thus, elucidating central and arterial responses to glucose testing in those with T2D may identify acute vascular pathophysiologies triggered by oral glucose loading.

Aim: This study compared hemodynamics and arterial stiffness to …

Going Nuclear: Molecular Adaptations To Exercise Mediated By Myonuclei, Pieter J. Koopmans, Kevin A. Zwetsloot, Kevin A. Murach

Health, Human Performance and Recreation Faculty Publications and Presentations

Muscle fibers are multinucleated, and muscle fiber nuclei (myonuclei) are believed to be post-mitotic and are typically situated near the periphery of the myofiber. Due to the unique organization of muscle fibers and their nuclei, the cellular and molecular mechanisms regulating myofiber homeostasis in unstressed and stressed conditions (e.g., exercise) are unique. A key role myonuclei play in regulating muscle during exercise is gene transcription. Only recently have investigators had the capability to identify molecular changes at high resolution exclusively in myonuclei in response to perturbations in vivo. The purpose of this review is to describe how myonuclei modulate …

Examination Of The Cumulative Risk Assessment And Nutritional Profiles Among College Ballet Dancers, Kenya Moore, Nancy A. Uriegas, Jessica Pia, Dawn M. Emerson, Kelly Pritchett, Toni M. Torres-Mcgehee

Faculty Publications

This study examined female collegiate ballet dancers' ( = 28) Female Athlete Triad (Triad) risk via the Cumulative Risk Assessment (CRA) and nutritional profiles (macro- and micronutrients; = 26). The CRA identified Triad return to play criteria (RTP: Full Clearance, Provisional Clearance, or Restricted/Medical Disqualified) by assessing eating disorder risk, low energy availability, menstrual cycle dysfunction, and low bone mineral density. Seven-day dietary assessments identified any energy imbalances of macro- and micronutrients. Ballet dancers were identified as low, within normal, or high for each of the 19 nutrients assessed. Basic descriptive statistics assessed CRA risk classification and dietary macro- and …

Examination Of The Cumulative Risk Assessment And Nutritional Profiles Among College Ballet Dancers, Kenya Moore, Nancy A. Uriegas, Jessica Pia, Dawn M. Emerson, Kelly Pritchett, Toni M. Torres-Mcgehee

All Faculty Scholarship for the College of Education and Professional Studies

This study examined female collegiate ballet dancers’ (n = 28) Female Athlete Triad (Triad) risk via the Cumulative Risk Assessment (CRA) and nutritional profiles (macro- and micronutrients; n = 26). The CRA identified Triad return to play criteria (RTP: Full Clearance, Provisional Clearance, or Restricted/Medical Disqualified) by assessing eating disorder risk, low energy availability, menstrual cycle dysfunction, and low bone mineral density. Seven-day dietary assessments identified any energy imbalances of macro- and micronutrients. Ballet dancers were identified as low, within normal, or high for each of the 19 nutrients assessed. Basic descriptive statistics assessed CRA risk classification and dietary macro- …

The Real-Time Classification Of Competency Swimming Activity Through Machine Learning, Larry Powell, Seth Polsley, Drew Casey, Tracy Hammond

International Journal of Aquatic Research and Education

Every year, an average of 3,536 people die from drowning in America. The significant factors that cause unintentional drowning are people’s lack of water safety awareness and swimming proficiency. Current industry and research trends regarding swimming activity recognition and commercial motion sensors focus more on lap swimming utilized by expert swimmers and do not account for freeform activities. Enhancing swimming education through wearable technology can aid people in learning efficient and effective swimming techniques and water safety. We developed a novel wearable system capable of storing and processing sensor data to categorize competitive and survival swimming activities on a mobile …

Holistic Framework To Contextualize Dietary Quality Assessment: A Critical Review, Jessica M. Phelan, Richard R. Rosenkranz, Connor J. Phelan, Sara K. Rosenkranz

Kinesiology and Nutrition Sciences Faculty Research

Numerous dietary quality indices exist to help quantify overall dietary intake and behaviors associated with positive health outcomes. Most indices focus solely on biomedical factors and nutrient or food intake, and exclude the influence of important social and environmental factors associated with dietary intake. Using the Diet Quality Index- International as one sample index to illustrate our proposed holistic conceptual framework, this critical review seeks to elucidate potential adaptations to dietary quality assessment by considering—in parallel—biomedical, environmental, and social factors. Considering these factors would add context to dietary quality assessment, influencing post-assessment recommendations for use across various populations and circumstances. …

The Heart Rates And Movement Speed Of Specialist Tactical Police During A Multistorey Active Shooter Training Scenario, Jeremy Robinson, Mihajlo Micovic, Ben Schram, Alexander Leroux, Robin Marc Orr

International Journal of Exercise Science

International Journal of Exercise Science 16(4): 281-292, 2023. Specialist police tactical groups (PTGs) are involved in situations that extend beyond the capability of general duties police and can include responding to active shooter incidents. Due to the nature of their tasks, these officers typically carry and wear additional equipment which can impart an increased physical cost, for which the officers must be prepared. The aim of this study was to examine the heart rate responses and movement speeds of specialist PTG officers during a multistorey active shooter scenario. Eight PTG officers completed an active shooter scenario within a multistorey office …

Neuromuscular Responses To Failure Vs Non-Failure During Blood Flow Restriction Training In Untrained Females, Christopher E. Proppe, Taylor M. Aldeghi, Paola Rivera, David H. Gonzalez-Rojas, Ethan C. Hill Phd

International Journal of Exercise Science

International Journal of Exercise Science 16(1): 293-303, 2023. Applying blood flow restriction (BFR) during resistance exercise is a potent stimulus of muscular adaption, but there is little direct comparison of its effect on neuromuscular function. The purpose of this investigation was to compare surface electromyography amplitude and frequency responses during a 75 (1 × 30, 3 × 15) repetition bout (BFR-75) of BFR to 4 sets to failure (BFR-F). Twelve women (mean ± SD age = 22 ± 4 years; body mass = 72 ± 14.4 kg; height = 162.1 ± 4.0 cm) volunteered for the investigation. One leg was …

Salivary Cortisol Analysis In Collegiate Female Lacrosse Athletes, Jenna L. Carter, Stephanie L. Mathews, Yvette L. Figueroa, Jennifer A. Bunn

International Journal of Exercise Science

International Journal of Exercise Science 16(6): 242-251, 2023. Cortisol is a hormone that corresponds to physiological and emotional stress. The purpose of this study was to 1) evaluate the changes in cortisol in female Division I collegiate lacrosse players (n = 15) throughout the competitive season, and 2) evaluate the correlation between cortisol and athlete wellness and workload. Salivary cortisol samples were collected weekly in the morning throughout the entirety of the 2021 competitive season (12 weeks). Subjective athlete total wellness scores and sub-scores (muscle soreness, sleep quality, fatigue, and stress) were taken on the same days. Objective total …

The Effects Of Carbohydrate Intake On Body Composition And Muscular Strength In Trained Men Undergoing A Progressive Resistance Training, Alex Silva Ribeiro, Kamila Quintilhano, Witalo Kassiano, João Pedro Nunes, Ademar Avelar, Michele C. Trindade, Andreo Aguiar, Brad Schoenfeld, Edilson Serpeloni Cyrino

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 267-280, 2023. This study's purpose was to compare the effects of different carbohydrate (CHO) intakes on body composition and muscular strength following eight weeks of resistance training (RT) in pre-conditioned men. In addition, we explored the individual responses to different CHO intakes. Twenty-nine young men volunteered to participate in this study. The participants were divided into two groups according to their relative CHO intake: lower (L-CHO; n = 14) and higher (H-CHO; n = 15). Participants performed a RT program four days a week for eight weeks. The lean soft tissue (LST) and fat …

Astaxanthin Reduces Heart Rate And Carbohydrate Oxidation Rates During Exercise In Overweight Individuals, Alissa Wika, Kyle W. Reason, Matt Green, Lauren Killen, Matthew J. Mcallister, Hunter Waldman

International Journal of Exercise Science

International Journal of Exercise Science 16(2): 252-266, 2023. Astaxanthin (AX) is an antioxidant which may spare endogenous carbohydrates and improve fat oxidation rates, thus improving metabolic flexibility. To date, no studies have attempted to examine the impact of AX in an overweight cohort, whom often suffer from metabolic inflexibility. Nineteen subjects (mean ± SD: age: 27.5 ± 6.3 years; height: 169.7 ± 9.0 cm; body mass: 96.4 ± 17.9 kg; BF%: 37.9 ± 7.0%; BMI: 33.4 ± 5.6 kg/m²; VO_2peak: 25.9 ± 6.7 ml·kg⁻¹·min⁻¹) were recruited and supplemented with either 12 mg …

Changes In Attitudes And Functional Performance After An Educational Intervention And Participation In The Dime In Cadets, Emily Gabriel, Cameron Powden

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

Introduction: Cadets frequently suffer from lower extremity injuries, but fail to participate in effective injury prevention programs (IPPs). The purpose of this study was to determine if an intervention focused on benefits and barriers of IPP with participation in an IPP would change attitudes towards participating in IPPs and functional performance. Methods: Thirty-four ROTC cadets (Male: n=28, Age: 19.67±1.45 years, Height: 175.57±8.30cm, Mass: 75.38±14.30kg) volunteered to participate in the study. Participants completed the Health Belief Model Scale (HBMS), Theory of Planned Behavior Scale (TPBS), Y-Balance test, Landing Error Scoring System, 2-mile run, push-up test, and sit-up test. During the Army …

The Theory Of Planned Behavior As A Framework To Identify Attitudes And Perceptions Of Athletic Trainers Towards Quality Improvement, Meredith Madden, Dominique M. Ross

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

Purpose: The BOC announced a concept for continuing professional certification for athletic trainers (ATs), including an optional quality improvement (QI) project to examine practice performance. The purpose of this study was to examine current attitudes, perceived control and subjective norms of ATs regarding QI. Method: Data was collected using a qualitative descriptive design. A web-based survey was distributed via email and social media. Open-ended questions were evaluated by two independent coders using a general inductive approach. Results: Three major themes emerged: reservations about QI, benefits of QI, and impacts on the profession. Conclusions: When integrated into the Theory of Planned …