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Mothers' Perceptions Of Stigma: Implications For Early Identification And Treatment For Children With A History Of Prenatal Opioid Exposure, Pamela Jane Holland Jan 2024

Mothers' Perceptions Of Stigma: Implications For Early Identification And Treatment For Children With A History Of Prenatal Opioid Exposure, Pamela Jane Holland

Theses, Dissertations and Capstones

There is a lack of research that specifies the long-term effects on a child’s language development when prenatally exposed to opioids (Fill et al.,2018; Rutherford et al., 2022). Despite this, children prenatally exposed to opioids are more likely to be referred for, qualify for, and receive therapy services secondary to developmental delays and speech/language deficits. (Kaltenbach et al., 2018). Stigma continues to be a barrier to the initiation of early intervention services for children prenatally exposed to opioids (Levickis et al., 2020; Livingston et al., 2011; Peacock-Chambers et al., 2020). This phenomenological study aims to understand the perceptions of the …


Graduate-Level Leadership Training For Speech-Language Pathologists: Perceptions, Attitudes, And Potential Effect On Career, Sandra Kemper Jan 2023

Graduate-Level Leadership Training For Speech-Language Pathologists: Perceptions, Attitudes, And Potential Effect On Career, Sandra Kemper

Theses, Dissertations and Capstones

The aim of this study is to determine how a perceived lack of leadership training at the graduate level contributes to inadequate preparedness for the clinical, professional, and supervisory leadership roles professionals hold within the field of speech-language pathology (Kummer, 2017). More specifically, this study will seek to identify current leadership concerns of practicing SLPs, exploring whether and/or how lack of leadership training has affected their professional growth or career. The information can serve to guide the development of leadership training opportunities in speech-language pathology graduate programs. This descriptive, non-experimental study utilized purposive sampling of speech-language pathologists licensed in the …


Perceptions Of Directors Of Dietetic Internships Concerning Challenges To Meet Accreditation Council For Education In Nutrition And Dietetics Core Competencies, Timothy David Bender Jan 2022

Perceptions Of Directors Of Dietetic Internships Concerning Challenges To Meet Accreditation Council For Education In Nutrition And Dietetics Core Competencies, Timothy David Bender

Theses, Dissertations and Capstones

Competency-based education is used in several healthcare profession educational programs. Competency-based education has been at the forefront of dietetics education for several years and continues to this day. It is used in the undergraduate programs as well as in dietetic internships. The mastery of these competencies reflects the skillset a student or intern has achieved to be ready to advance to the next level. For an undergraduate student, mastery of all undergraduate competencies would indicate the ability to graduate the program and be eligible to apply to a dietetic internship. For a dietetic intern, mastery of all competencies would indicate …


Experiences In Remote Learning: Perceptions Of West Virginia Educators During The Covid-19 Pandemic, Craig Edward Arch Jan 2022

Experiences In Remote Learning: Perceptions Of West Virginia Educators During The Covid-19 Pandemic, Craig Edward Arch

Theses, Dissertations and Capstones

In March 2020, the threat of illness caused by Covid-19 prompted West Virginia Governor Jim Justice to abruptly close public schools statewide. Instruction was delivered remotely for the remainder of the 2019 – 2020 school year and sporadically across the state during the 2020-2021 school year with educators holding class meetings and delivering instruction where technology and a reliable internet connection were available. Gaining understanding as it relates to a teacher’s remote learning experience may provide insight into how administrators can prepare for future interruptions in in-person instruction. Identifying specific areas teachers felt were challenging or stressful may provide a …


Perceived Stress And Burnout In Athletic Training Students, Desiree Nicole Daniels Jan 2021

Perceived Stress And Burnout In Athletic Training Students, Desiree Nicole Daniels

Theses, Dissertations and Capstones

Athletic training students can experience stress and symptoms of burnout and there is empirical support for a relationship between stress and burnout in health professions students in fields such as medicine and nursing. 1-3 However, prior research on the relationship between stress and burnout has been limited in athletic training students. The purpose of the present study was to examine the relationship between perceived stress and symptoms of burnout in athletic training students. Two hundred thirty athletic training students from 61 institutions completed an online questionnaire consisting of the Perceived Stress Scale (PSS), the Burnout Clinical Subtype Questionnaire - Student …


Faculty Perceptions And Teaching Practices For Transformative Change: Culturally Responsive Teaching In Pharmacy Education, Nicole Rockich Winston Jan 2020

Faculty Perceptions And Teaching Practices For Transformative Change: Culturally Responsive Teaching In Pharmacy Education, Nicole Rockich Winston

Theses, Dissertations and Capstones

Cultural diversity training in pharmacy education has evolved from standalone lectures to longitudinal courses, service-learning initiatives, rotation experiences, and global health opportunities. This mixed methods study explored the perceptions, attitudes, and pedagogies of pharmacy educators who have incorporated culture diversity into their classrooms and clinic sites. First, 91 online surveys incorporating items from the Teaching Multicultural Attitudes Survey and the Multicultural Competency Teaching Scale were distributed to a random sample of pharmacy faculty who interface with cultural diversity. In total, 36 completed surveys were analyzed using descriptive statistics, Pearson correlations, and stepwise linear regressions. Following the survey, seven pharmacy faculty …


Examination Of Student Learning Outcomes During A Musculoskeletal Spine Assessment Course: Hybrid Blended Model Versus Traditional Classroom Delivery In A Doctor Of Physical Therapy Program, David J. Denton Jan 2020

Examination Of Student Learning Outcomes During A Musculoskeletal Spine Assessment Course: Hybrid Blended Model Versus Traditional Classroom Delivery In A Doctor Of Physical Therapy Program, David J. Denton

Theses, Dissertations and Capstones

This study explored content delivery comparisons concerning a hybrid blended model versus a traditional lecture model in a Doctor of Physical Therapy Program. There is a gap in the physical therapy literature describing the intricacies of distance, online, and hybrid models used in doctoral education. Thirty students were randomly selected out of a hat to be placed into one of two groups with an n=15. The course chosen in the study was a clinical decision-making segment based on assessment and examination of level of the spine. Group 1 was instructed only using traditional methods of live in person lecture and …


The Effectiveness Of Nutrition Education: Comparing Registered Dietitian Educators With Dietetic Interns, Amy Gannon Jan 2019

The Effectiveness Of Nutrition Education: Comparing Registered Dietitian Educators With Dietetic Interns, Amy Gannon

Theses, Dissertations and Capstones

The Department of Dietetics at Marshall University is a subcontracting agency with the West Virginia University Extension Service for the purposes of delivering nutrition education to children in low-income schools in a six-county radius in southwestern West Virginia through the Marshall University Nutrition Education Program (NEP). The method of lesson delivery includes an educational model that utilizes both registered dietitians (RD) and dietetic interns. The NEP is evaluated through several methods, including pre-/post-tests, teacher focus groups, and parental feedback surveys. To date, no evaluation has been completed to determine the effectiveness of dietetic interns’ delivery of nutrition education lessons compared …


Experiential Learning In Dietetics: Can Diabetes Camp Make A Difference?, Mallory Jean Mount Jan 2019

Experiential Learning In Dietetics: Can Diabetes Camp Make A Difference?, Mallory Jean Mount

Theses, Dissertations and Capstones

This longitudinal qualitative case study explored the knowledge, perceptions, confidence, and empathy gained by dietetics students during experiential learning at a residential diabetes camp. Qualitative research methods were used to explore and understand participants’ experience of hands-on involvement with type one diabetes, and what they learned at camp that cannot be learned in a classroom. Data were collected over two years at Camp Kno-Koma, the diabetes camp of West Virginia. This study suggests that experiential learning at diabetes camp can make an important contribution to the overall education of dietetics students. One year of experiential learning was beneficial to participating …


From Darkness To Light: An Exploration Of Self-Discovery And Healing Through Collaborative Recovery Expressive Writing, Leighann Justice Davidson Jan 2019

From Darkness To Light: An Exploration Of Self-Discovery And Healing Through Collaborative Recovery Expressive Writing, Leighann Justice Davidson

Theses, Dissertations and Capstones

This participatory action research project was developed to explore the participants’ experiences during a collaborative recovery expressive writing (CREW) workshop while in long-term treatment from substance use disorders (SUDs). This workshop featured the primary components of the James W. Pennebaker model, but adapted the technique to create a safe environment for the participants to share their writings. This qualitative study conducted at Recovery Point West Virginia began by exploring how ten women sharing their emotions within a supportive environment used collaborative writing to continue their recovery journey through self-discovery and healing. Following the CREW workshop, the project continued with focus …


Are Higher Education Institutions Addressing The Employment Needs Of Clinical Laboratories In Rural Areas?, Pamela Dawn Meadows Jan 2018

Are Higher Education Institutions Addressing The Employment Needs Of Clinical Laboratories In Rural Areas?, Pamela Dawn Meadows

Theses, Dissertations and Capstones

Clinical laboratories across the nation are faced with a shortage of qualified Medical Laboratory Technicians (MLTs) and Medical Laboratory Scientists (MLSs). As the clinical laboratory workforce continues to shrink, it is essential that higher education institutions acknowledge the employment needs of rural laboratories to ensure quality health care in underserved areas. An aging workforce, program closures, and a general increase in demand for laboratory testing have compounded the workforce shortage for rural clinical laboratories, which often face unique challenges. The purpose of this research study was to examine the perceptions of rural clinical laboratory managers toward higher education’s response to …


Preparedness Of School Psychologists To Provide Services For Students Diagnosed With Cancer, Lauren Mckenzie Blevins Jan 2018

Preparedness Of School Psychologists To Provide Services For Students Diagnosed With Cancer, Lauren Mckenzie Blevins

Theses, Dissertations and Capstones

Children who survive cancer face many challenges when reintegrating into the school system. School psychologists are among the school support professionals who may aid in providing support and identifying appropriate interventions and accommodations for the academic and mental health needs of these students. This study identifies whether school psychologists in West Virginia perceive themselves to be adequately prepared to assist students who have survived cancer upon returning to school. A survey containing fourteen questions regarding the individual’s experience, training, and knowledge was distributed to school psychologists in attendance at the Fall 2016 West Virginia School Psychologists’ Association conference. Of the …


Career Paths, Barriers, And Professional Experiences: A Comparison Study Of Physical Therapy Program Directors In The United States, Tamara Nancy Gravano Jan 2017

Career Paths, Barriers, And Professional Experiences: A Comparison Study Of Physical Therapy Program Directors In The United States, Tamara Nancy Gravano

Theses, Dissertations and Capstones

The entry-level degree for physical therapists today is a professional doctoral degree. It is similar to a medical degree program where the expected outcome of its graduates is clinical practice, and there is no formal training in academic teaching or administration. The purpose of this study was to determine the leadership characteristics, styles, and behaviors of accredited Doctor of Physical Therapy (DPT) program directors (PD) and to gain a better understanding of their preparation and path to program leadership. The survey instrument was sent electronically to all program directors of accredited DPT programs in the United States (N=233) and the …


Knowledge Of Health Literacy Among Athletic Trainers, Janet Marie Rorrer Jan 2015

Knowledge Of Health Literacy Among Athletic Trainers, Janet Marie Rorrer

Theses, Dissertations and Capstones

The purpose of this study was to evaluate athletic trainers’ current knowledge levels of health literacy and health literacy intervention techniques. This study was conducted using a mixed-method; non-experimental, descriptive research design which included a researcher-generated quantitative survey and 18 ethnographic interviews. Quantitative surveys were distributed electronically, via Survey Monkey, by the athletic training Board of Certification to 5453 certified athletic trainers from West Virginia, Kentucky, Maryland, Ohio, Pennsylvania, and Virginia. Also, interview participants (9 male; 9 female) were randomly selected and included three athletic trainers from each of the six states, three employment settings (Clinic, College, and High School), …


Paraprofessionals' Experiences And Understandings Of The Maternal Infant Health Outreach Worker Program (Mihow) In West Virginia, Amy Knell Carlson Jan 2015

Paraprofessionals' Experiences And Understandings Of The Maternal Infant Health Outreach Worker Program (Mihow) In West Virginia, Amy Knell Carlson

Theses, Dissertations and Capstones

MIHOW, the Maternal Infant Health Outreach Worker Program, is a parent-to-parent home visitation program that aims to enhance early childhood development and parent education in economically disadvantaged and geographically isolated families with children birth to three. This qualitative case study conducted in two rural Appalachian counties examined the perceptions and experiences of paraprofessionals who are trained and work as home visitors in the MIHOW Program. Findings were interpreted in relation to extant literature on the use of paraprofessionals in home visitation. Three themes emerged from the data. The first theme related to the use of a strength-based approach and how …


An Analysis Of The Effects Of The 2003 And 2011 Acgme Work Hour Rules On Medical Resident Satisfaction At An Independent Academic Medical Center, Rachael E. Trout Jan 2014

An Analysis Of The Effects Of The 2003 And 2011 Acgme Work Hour Rules On Medical Resident Satisfaction At An Independent Academic Medical Center, Rachael E. Trout

Theses, Dissertations and Capstones

The purpose of this research was to determine what effects, if any, the 2003 and 2011 ACGME work hour rules had on medical resident satisfaction at an independent academic medical center in the United States. This research analyzed results of a survey administered by an independent academic medical center utilizing its own instrument of measure. Items reviewed to determine self-perceived satisfaction included questions related to program director effectiveness, resident input, quality of life, and satisfaction with program. Four comparisons were reviewed and analyzed for statistical significance utilizing the Mann-Whitney U non-parametric test for independent samples. The results indicated neither the …


Perceptions Of Nursing Education Administrators Regarding The Relationship Of Admission Criteria To Student Graduation, Joy F. Cline Jan 2013

Perceptions Of Nursing Education Administrators Regarding The Relationship Of Admission Criteria To Student Graduation, Joy F. Cline

Theses, Dissertations and Capstones

This research investigated admission criteria of baccalaureate nursing students related to their success in a multi-state sample of peer universities in the United States. The researcher used mixed methods to collect data that were analyzed using descriptive and phenomenological approaches. The sample of the study was chairpersons from peer institutions of nursing. Data were collected based on the lived experiences of the chairpersons. The purpose of the study was to identify admission criteria that the schools in the study were using and to identify the criteria that predicted success as defined by graduation. The premise of the study was that …


A Case Study Of Athletic Training Educators' Sports-Care Responsibilities, Service, And Professional Advancement In Athletic Training Education Programs, Rachael C. Alley Jan 2012

A Case Study Of Athletic Training Educators' Sports-Care Responsibilities, Service, And Professional Advancement In Athletic Training Education Programs, Rachael C. Alley

Theses, Dissertations and Capstones

The purpose of this study was to examine the (1) extent of athletic training faculty members, who bear additional duties for intercollegiate sports care, (2) the beliefs of the faculty members who have intercollegiate sports care responsibilities related to these duties being credited for professional advancement, (3) the beliefs of faculty members related to having sport care responsibilities as part of their employment, and (4) faculty perceptions of intercollegiate sports care responsibilities upon promotion, tenure and contract renewal.

A sample of 655 certified athletic trainers was identified by the Board of Certification with the primary occupation designation of educator from …


An Initial Investigation Of The Applicability Of The Dreyfus Skill Acquisition Model To The Professional Development Of Nurse Educators, Lisa Ramsburg Jan 2010

An Initial Investigation Of The Applicability Of The Dreyfus Skill Acquisition Model To The Professional Development Of Nurse Educators, Lisa Ramsburg

Theses, Dissertations and Capstones

Little is known about the skill and knowledge acquisition of nurses in the educator role. This investigation represents an attempt to design and validate a skill acquisition model for the nurse educator role. While nurse educators often have strong clinical backgrounds, they face a significant role transition as nurse educators. Dreyfus and Dreyfus provided a model for studying skill acquisition in several fields and Benner applied the model to clinical nursing. To investigate skill acquisition among nurse educators, the Dreyfus Model of Skill Acquisition along with the National League for Nursing (NLN) Nurse Educator Competencies provided a framework for the …


Nursing Faculty Shortage: Nurses' Perceptions As A Key To Administrative Solutions, Evelyn M. Klocke Jan 2009

Nursing Faculty Shortage: Nurses' Perceptions As A Key To Administrative Solutions, Evelyn M. Klocke

Theses, Dissertations and Capstones

The nursing faculty shortage is well documented. Higher education administrators turn away qualified student applicants because of the lack of qualified nursing faculty. Furthermore, they find recruitment and retention of qualified nursing faculty a challenge. The purpose of this study was to explore perceptions of the nursing faculty role, causes of the faculty shortage, and solutions to the shortage as perceived by: 1) nurses currently in a faculty role and 2) nurses with a master’s degree who were not employed in a full-time faculty position. A qualitative study using the phenomenological method was undertaken. Two groups of nurses were interviewed. …


The Effect Of High-Fidelity Manikin-Based Human Patient Simulation On Educational Outcomes In Advanced Cardiovascular Life Support Courses, David L. Rodgers Jan 2007

The Effect Of High-Fidelity Manikin-Based Human Patient Simulation On Educational Outcomes In Advanced Cardiovascular Life Support Courses, David L. Rodgers

Theses, Dissertations and Capstones

The use of high-fidelity manikin-based simulation has been studied in many healthcare education areas. However, the use of this education technology in the American Heart Association Advanced Cardiovascular Life Support (ACLS) course has not been well examined in the literature, despite this education program being one of the most widely taught standardized medical courses in the United States. This study examined high fidelity manikin-based simulation versus low-fidelity manikin-based simulation in the context of an actual ACLS course. Four outcomes were measured: learning outcomes as judged by an expert rater panel reviewing videos of subjects performing a simulated cardiac arrest event …


Risk Management Practices Of Collegiate Athletic Trainers: An Examination Of Policies And Procedures, Ericka Point Zimmerman Jan 2007

Risk Management Practices Of Collegiate Athletic Trainers: An Examination Of Policies And Procedures, Ericka Point Zimmerman

Theses, Dissertations and Capstones

The purpose of this study was to identify and describe (a) risk management practices of collegiate athletic trainers, (b) perceived risk management practices important to the collegiate athletic trainer, (c) risk management responsibilities of the head athletic trainer, and (d) resources utilized by collegiate athletic trainers in the development of a risk management plan. Risk management practices were divided into 13 categories: (a) periodic review, (b) consultation, (c) periodic in-services of policies, (d) periodic inservices for personnel, (e) methods for insuring against loss, (f) participation and consent of athletes, (g) emergencies, (h) care and treatment of injuries and conditions, (i) …


The Relationship Between Leadership Styles And Organizational Culture Withinschools Of Nursing, Debra K. Vankovich Mullins Jan 2007

The Relationship Between Leadership Styles And Organizational Culture Withinschools Of Nursing, Debra K. Vankovich Mullins

Theses, Dissertations and Capstones

The purpose of this study was to investigate the relationship between leadership styles and organizational culture within schools of nursing. A non-probability convenience sample (N=149) of subjects was obtained from BSN schools of nursing within the Southern Regional Education Board geographical area. Three data collection tools were utilized including a demographic questionnaire; the Multi-factor Leadership Questionnaire (Bass & Avolio) which measures transformational, transactional, and laissez-faire leadership styles; and the Organizational Culture Assessment Inventory (Cameron & Quinn) which measures four culture types including clan, market, adhocracy and hierarchy cultures. A descriptive – correlational design was used. Inferential statistics utilized included multiple …


Perceptions Of Preceptor Training In The Dietetic Supervised Practice Experience, Mary Kathryn Gould Jan 2007

Perceptions Of Preceptor Training In The Dietetic Supervised Practice Experience, Mary Kathryn Gould

Theses, Dissertations and Capstones

Preceptors are critical in the education of dietetic students and over the years, interest in preceptor training has grown. As a result, the American Dietetic Association recently established a task force to develop and implement a Preceptor Training Certificate Program. There is, however, limited information with regard to formal preceptor training currently being offered by dietetic internships and the affect it may have on programs. Because of the lack of knowledge concerning this topic, a qualitative collective case study was conducted at three university-based dietetic internships with the intent of adding to the body of knowledge regarding formal preceptor training …


The Effects Of Static Stretching On Vertical Jump Performance, Tom Evans Jan 2006

The Effects Of Static Stretching On Vertical Jump Performance, Tom Evans

Theses, Dissertations and Capstones

The vertical jump can play a significant role for many athletes in various competitive sports. The purpose of this study was to determine the effect that passive static stretching has on various athletes from various sports. The athletes were asked to perform a certain amount of jumps with no stretching routine and a set of jumps with a stretching routine. The results calculated for this study did show to have a statistically significant difference between jumping with stretching and jumping without stretching.


Faculty And Program Predictors Of Pass Rates Of Graduates Of Nursing Programs In West Virginia On The National Council Licensure Examination For Registered Nurses 1991 To 2000, Lynda F. Skinner Turner Jan 2005

Faculty And Program Predictors Of Pass Rates Of Graduates Of Nursing Programs In West Virginia On The National Council Licensure Examination For Registered Nurses 1991 To 2000, Lynda F. Skinner Turner

Theses, Dissertations and Capstones

The purpose of this study was to investigate the relationship between mean student program scores on standardized pre-graduation nursing tests, program attendance policies, grading scales, policies on repeating nursing courses, faculty turnover, degree, teaching experience, clinical nursing experience, part-time faculty, national certification, and NCLEX-RN success in West Virginia nursing programs from 1991-2000. A causal comparative and correlational design was used to investigate the relationship between the dependent variable of NCLEX-RN pass rates and the independent variables. The population of this study consisted of 19 undergraduate nursing programs preparing graduates for entry into practice as registered nurses. Data collection tools utilized …


A Historical Review Of Secondary School Athletic Training Coverage In West Virginia, Brian W. Potter Jan 2005

A Historical Review Of Secondary School Athletic Training Coverage In West Virginia, Brian W. Potter

Theses, Dissertations and Capstones

The purpose of this research is to review the history of athletic training in the secondary schools of West Virginia, as well as to determine how appropriate the current level of athletic healthcare is for West Virginia’s secondary school athletes. Participation surveys from the WVSSAC, membership statistics from the NATA, Friday night football game reports, and documents from the WVDE were used to gather data. Since 1988 the total number of high schools with football and number of football athletes has decreased, while the total number of certified athletic trainers (ATCs) in West Virginia has increased. The number of ATCs …


The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn Jan 2004

The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn

Theses, Dissertations and Capstones

Technological changes, interpersonal relationships, and scarce resources have created a complex environment for health professionals. Nurses, as the largest group of health care providers, are confronted with moral issues when dealing with managed care policies, end-of-life care and workplace or institutional issues. Moral issues are expressed as moral distress, which has been linked to decreased satisfaction, termination of employment and leaving the profession of nursing altogether. Moral distress, therefore, decreases the number of nurses and contributes to the critical nursing shortage. The purpose of this study was to examine the relationships, if any, among the types, frequency and resolution of …


Correlation Between Time To Peak Torque And Peak Torque To Vertical Jump In College Age Athletes, Craig Adam Kowalski Jan 2003

Correlation Between Time To Peak Torque And Peak Torque To Vertical Jump In College Age Athletes, Craig Adam Kowalski

Theses, Dissertations and Capstones

The vertical jump is an essential part of athletics to gain an advantage over the opponent. Isokinetic testing provides quantitative data to determine power and how fast power or peak torque is achieved. In this study, after 20 NCAA Div. II athletes were measured for three trials of maximal vertical jump, they completed an isokinetic test of knee extension at speeds of 60, 180, and 300°/sec. The results showed a significant correlation (p<0.05) between peak torque at a speed of 300°/sec and vertical jump p<=0.019. As a result of this study it was found that the vertical jump test is a test of muscle power generated by the quadriceps muscle group, and relates to peak torque values documented by isokinetic testing at 300°/sec of knee extension.


Utilization Of Emergency Policies And Procedures By Division I-A And Division I-Aa Intercollegiate Athletic Programs, Brandy A. Petty Jan 2003

Utilization Of Emergency Policies And Procedures By Division I-A And Division I-Aa Intercollegiate Athletic Programs, Brandy A. Petty

Theses, Dissertations and Capstones

The need for an established emergency policy and procedures plan in the college and university setting has been confirmed by various organizations such as: National Safety Council (NSC), Federal Emergency Management Agency (FEMA), National Emergency Management Association (NEMA), National Athletic Trainers’ Association (NATA), National Collegiate Athletic Association (NCAA), and the American College of Sports Medicine (ACSM). The duty of these emergency policies and procedures is twofold. The first is to provide immediate care to student-athletes in an emergency situation. The second purpose is to avoid liability issues that may arise following an emergency situation. The premise behind the establishment and …