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Education

2023

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Full-Text Articles in Medicine and Health Sciences

Youth Shelter Bed Bugs & Lice Education, Madeline Mary Rettenmier, Elvina S. Kuzubov, Quoc H. Phan, Megan Myra Joseph, Allie Mechtel Nov 2023

Youth Shelter Bed Bugs & Lice Education, Madeline Mary Rettenmier, Elvina S. Kuzubov, Quoc H. Phan, Megan Myra Joseph, Allie Mechtel

Nursing Leadership in Community Engagement Projects

Youth Shelter Bed Bugs & Lice Education
Allie Mechtel, Maddy Rettenmier, Elvina Kuzubov, Megan Joseph, Kevin Phan
School of Health Sciences, Seattle Pacific University
NUR 4153: Nursing Leadership in Community Engagement
Leah Ngoche DNP, MPH, ARNP-BC
8 November 2023

Youth Shelter Bed Bugs & Lice Education

Introduction

Seattle Pacific University Nursing students were assigned a fifth quarter leadership project in the greater Seattle area. Our group was assigned to a youth shelter located in Belltown, Seattle Washington. It is a thirty-bed, animal friendly shelter for young individuals looking for a safe place to stay. They offer long-term housing for those …


Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr. Nov 2023

Graduate Medical Education In The Mountain West, Mohit Pande, Nicole Diaz Del Valle, Yashesvi Sharma, Caitlin J. Saladino, William E. Brown Jr.

Health

This fact sheet examines Graduate Medical Education (GME) metrics in the Mountain West (Arizona, Colorado, Nevada, New Mexico, and Utah). The original report from the Association of American Medical Colleges (AAMC) includes data from all 50 states and includes measures of graduate medical education and the facilities needed to conduct graduate medical education. This fact sheet builds upon data previously published in fact sheets on Nevada medical residencies for the 2021, 2022, and 2023 graduating classes of the Kirk Kerkorian School of Medicine at the University of Nevada, Las Vegas (UNLV) and the University of Nevada, Reno (UNR) School of …


Implicit Bias Mask 2023: Consider Past Experiences To Guide In Addressing Growth Mindset, Neha A. Iska, Amy Catherine Herrera, Eli Jarjous, Fatima Rizvi, Krishnan Shyamkumar, Preston Fong Nov 2023

Implicit Bias Mask 2023: Consider Past Experiences To Guide In Addressing Growth Mindset, Neha A. Iska, Amy Catherine Herrera, Eli Jarjous, Fatima Rizvi, Krishnan Shyamkumar, Preston Fong

Patient Education Projects

No abstract provided.


Implicit Bias Mask 2023: Look Inwards And Acknowledge Biases, Alexandra Marie Crawford, Heather Jingxin Sun, Hyeok Jun Lee, Kenneth Tyrone Jackson, Mannat Kaur Bedi, Kyle James Mastalerz Nov 2023

Implicit Bias Mask 2023: Look Inwards And Acknowledge Biases, Alexandra Marie Crawford, Heather Jingxin Sun, Hyeok Jun Lee, Kenneth Tyrone Jackson, Mannat Kaur Bedi, Kyle James Mastalerz

Patient Education Projects

No abstract provided.


Implicit Bias Mask 2023: What The Eyes Do See: Learning To Grow And Respond, Aminah Juma Bharadia, Beverly Fu, Emma Ho Harris, Gabriel Khazal Boudagh, Michael David Mello, Sriraj Atluri Nov 2023

Implicit Bias Mask 2023: What The Eyes Do See: Learning To Grow And Respond, Aminah Juma Bharadia, Beverly Fu, Emma Ho Harris, Gabriel Khazal Boudagh, Michael David Mello, Sriraj Atluri

Patient Education Projects

No abstract provided.


Implicit Bias Mask 2023: Predicting Implicit Biases Fosters Growth Mindset, Alexander Patrick Hayes, Dominic Jude Sacca, Indrea L. Joplin, Kendyll Jill Gartrelle, Owen G. Stratton, Whitney Lynn Bowyer Nov 2023

Implicit Bias Mask 2023: Predicting Implicit Biases Fosters Growth Mindset, Alexander Patrick Hayes, Dominic Jude Sacca, Indrea L. Joplin, Kendyll Jill Gartrelle, Owen G. Stratton, Whitney Lynn Bowyer

Patient Education Projects

No abstract provided.


Implicit Bias Mask 2023: Perspectives And Beliefs Impact Growth Mindset, Avan B. Chu, Bassem Anwar Chamma, Katiya Ayad Barkho, Ryan Y. Li, Sabrina Maja Pakula, Zoe Moriah Raphael Nov 2023

Implicit Bias Mask 2023: Perspectives And Beliefs Impact Growth Mindset, Avan B. Chu, Bassem Anwar Chamma, Katiya Ayad Barkho, Ryan Y. Li, Sabrina Maja Pakula, Zoe Moriah Raphael

Patient Education Projects

No abstract provided.


Application Of A Model Of Family-Centered Harm Reduction In Community-Based Programming, Johnna Belkiewitz, Victoria G. Wilburn, Sydney Larson, Kate Schrader Oct 2023

Application Of A Model Of Family-Centered Harm Reduction In Community-Based Programming, Johnna Belkiewitz, Victoria G. Wilburn, Sydney Larson, Kate Schrader

The Open Journal of Occupational Therapy

Coupling high substance use disorder rates with the effects of the COVID-19 pandemic, our nation faces a growing mental health crisis and a shortage of adequately trained mental and behavioral health providers. As occupational therapists work toward recognition as qualified providers in this practice area, we must ensure that future therapists can meet client needs. Traditional mental and behavioral health educational practices in occupational therapy use a model of harm reduction that minimizes negative outcomes for a select subset of the population engaging in specific “high-risk” behaviors, such as individuals engaging in substance use and sexual activity. Expanding our understanding …


Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton Oct 2023

Predicting Physical Therapy Student Clinical Reasoning In Practice Using Aligned Assessments In A Curricular Domain, Joy L. Moulton

Doctor of Education (Ed.D)

Clinical reasoning (CR) is a difficult concept to assess and is a leading cause of failure for outpatient clinical experiences for physical therapy (PT) students (Silberman et al., 2018). The purpose of this study was to determine to what degree didactic assessments of CR could predict CR in clinical practice utilizing Miller’s (1990) pyramid as a conceptual framework. Using a retrospective quantitative exploratory observational design, archived data were collected for graduates in the classes of 2022 and 2023 (N = 84) from a hybrid Doctor of Physical Therapy program. Each assessment pertained to the musculoskeletal domain of PT practice and …


Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow Sep 2023

Revisiting The Master Food Volunteer Program: Examining How To Enhance Nutrition Education In The United States, Stacey Viera, Lindsey Haynes-Maslow

The Journal of Extension

America’s diet-related illness crisis intersects with a lack of nutrition literacy, nutrition security, and systemic inequities. The Cooperative Extension Service’s (CES) national infrastructure could potentially provide equitable access to quality nutrition education in the US utilizing a Master Food Volunteer (MFV) model. This research brief examined preliminary evidence for the MFV model as a support for CES agents and paraprofessionals, and results show a paucity of evidence. Further research and a pilot program with pre-established measures for health-related knowledge and behaviors could elucidate the model’s potential to increase equitable access to evidence-based programming, nutrition, and implementation guidance.


The Use Of Dynamic 3d Printed Cervical Spine Models In A Musculoskeletal Physical Therapy Course, Cassandra I. Ciorciari, Dallas A. Rynda, Christina L. Fojas Sep 2023

The Use Of Dynamic 3d Printed Cervical Spine Models In A Musculoskeletal Physical Therapy Course, Cassandra I. Ciorciari, Dallas A. Rynda, Christina L. Fojas

Internet Journal of Allied Health Sciences and Practice

Purpose: While mass-produced anatomical models are commercially available, many models are inflexible and static, and may not meet the needs of health professions students. Advances in three-dimensional (3D) printing have demonstrated tremendous potential for enhancing student learning. This study uses 3D printed cervical spine models to explore whether use of dynamic, flexible models improve student learning in a cohort of physical therapy students. Methods: 3D printed models of the cervical spine and occiput were printed using a fused deposition modeling 3D printer and polylactic acid filament, and augmented with hook and loop fasteners, foam sheets, and cords to simulate structures …


Neurodiagnostic Program Director Perceptions On Low Enrollments, Daniella Krantz Aug 2023

Neurodiagnostic Program Director Perceptions On Low Enrollments, Daniella Krantz

Student Dissertations

Higher education enrollments have trended downward over the last several years and fallen further due to the impact of the COVID-19 pandemic. The problem addressed in this study was low student enrollment in neurodiagnostic programs in the United States, resulting in an increasing shortage of neurodiagnostic professionals working in the field. The purpose of this descriptive qualitative study was to explore the perceptions of neurodiagnostic program directors and their views on the low enrollments in neurodiagnostic programs in the United States. A descriptive qualitative design was used to understand the perspectives of these program directors. Human capital theory, the theory …


Determining The Relationship Between First Time Therapist Multiple Choice Exam High Cut And Clinical Simulation Exam Pass Rates Of Recent Respiratory Therapy Graduates From An Ohio University And Their Well-Being And Persistence, Rebecca Elizabeth Fox Jul 2023

Determining The Relationship Between First Time Therapist Multiple Choice Exam High Cut And Clinical Simulation Exam Pass Rates Of Recent Respiratory Therapy Graduates From An Ohio University And Their Well-Being And Persistence, Rebecca Elizabeth Fox

Doctoral Dissertations and Projects

A recent trend in health care education, especially in respiratory therapy (RT), is the decline of applications to undergraduate programs. With the aging population and projected increase in health care costs, the future RT workforce will need to be strong and increase by 23% in the next 10 years. With applications to RT programs down 42%, recruitment has become an issue of utmost importance. The purpose of this research is to determine the relationship between first time Therapist Multiple Choice (TMC) exam high cut and Clinical Simulation Exam (CSE) pass rates of recent respiratory therapy graduates from an Ohio university …


Occupational Therapy Curricula Patterns For Acquired Brain Injury-Related Vision Disorders For Entry-Level Programs: A Survey, Laura Schmeiser, Alicia Reiser, Caitlyn Foy Jul 2023

Occupational Therapy Curricula Patterns For Acquired Brain Injury-Related Vision Disorders For Entry-Level Programs: A Survey, Laura Schmeiser, Alicia Reiser, Caitlyn Foy

The Open Journal of Occupational Therapy

Occupational therapists are among the first providers to encounter individuals after an acquired brain injury (ABI). Evidence suggests that most occupational therapists learn about ABI-related vision disorders from continuing education and on-the-job training. A better understanding of entry-level curricula patterns for ABI-related vision disorders is important because of their high prevalence and impact on occupational performance. A descriptive online survey was administered to occupational therapy educators at ACOTE-accredited entry-level programs to explore curricula patterns for ABI-related vision disorders. Of 1,391 occupational therapy educators invited to participate, 71 (5%) began the survey, and 66 met the inclusion criteria. Vision screening methods …


Deaf Adults’ View Of Having Speech Language Therapy In Early Schooling, Ashley Greene, Diane Clark, G. Marissa Ramos, Caroline K. Koo, Megan B. Wimberly, Danielle Goyette Jun 2023

Deaf Adults’ View Of Having Speech Language Therapy In Early Schooling, Ashley Greene, Diane Clark, G. Marissa Ramos, Caroline K. Koo, Megan B. Wimberly, Danielle Goyette

JADARA

Speech therapy and interactions with Speech Language Pathologists (SLPs) during early adolescence is a common experience of many Deaf individuals. The decision to attend speech therapy is typically made by their hearing parents in conjunction with medical and educational professionals who hold the view that deaf children need to fit into the hearing world (Harmon, 2013). With the American Speech-Language-Hearing Association (ASHA) showing that the majority of currently licensed SLPs work in school settings (ASHA, 2018) coupled with the fact that the majority of deaf children receive some speech therapy in their early schooling years, the team wanted to know …


Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger May 2023

Wound Care For Unhoused Youth, Diana Altman, Monse Villasenor, Grace Fry, Maddy Johnson, Matthew Messenger

Nursing Leadership in Community Engagement Projects

Wound Care For Unhoused Youth

Introduction

We partnered with a non-profit organization designed to serve the unhoused youth, ages 18-25, who have a day program as well as an overnight shelter. They have 30 beds and reserve 20 of those beds for individuals who are “residents,” who commit to staying for several nights and work towards finding more permanent options. The other 10 beds are for individuals to use for a single night, but these are not always guaranteed, you must sign up to save a spot. The day program has various activities ranging from painting to resume workshops and …


A Pilot Project For Tuberculosis Education In College Students, Sarah Williams May 2023

A Pilot Project For Tuberculosis Education In College Students, Sarah Williams

Doctor of Nursing Practice Final Manuscripts

Background: San Diego’s Tuberculosis (TB) incidence is more than double the national rate. The majority of cases of active TB are due to the progression of latent TB infection (LTBI).

Objectives: This evidence-based practice (EBP) project aimed to increase knowledge, awareness, and improve attitudes and practices regarding TB among college students.

Participants: Twenty Community College Students in San Diego participated in the project.

Methods: Students attended an in-person educational session. A pre-post knowledge, attitudes and practices (KAP) questionnaire measured the impact.

Results: The intervention improved knowledge and attitudes. The average post-intervention TB knowledge score was 95.8% compared to 57% …


Reducing 30-Day Heart Failure Hospital Readmissions Through The Implementation Of A Telehealth Education And Screening Program, Madison Geib, Jo Loomis, Maria (Dupi) Gomez Cogan May 2023

Reducing 30-Day Heart Failure Hospital Readmissions Through The Implementation Of A Telehealth Education And Screening Program, Madison Geib, Jo Loomis, Maria (Dupi) Gomez Cogan

Doctor of Nursing Practice (DNP) Projects

Heart Failure (HF) is a difficult disease to manage. It requires knowledge on weight monitoring, diet, exercise, medications, and symptom management. With this difficulty, there is a high incidence of HF patient readmissions into the hospital, especially in the first 30-days after discharge, showing that patients are not well equipped to manage their HF on their own at home. A review of the available literature found that some of the most common reasons for readmission include poor discharge planning, a lack of continuation of care, as well as a lack of education and adherence to their medications (Mathew & Thukha, …


Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis Bundle Elements, Christopher N. Guinto May 2023

Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis Bundle Elements, Christopher N. Guinto

Master's Projects and Capstones

Problem: Results from a voluntarily anonymous pre-survey about sepsis revealed that a majority of the seventeen nurses assessed themselves below an "expert knowledge '' level. The survey results present an opportunity to improve the nurses’ knowledge and confidence in nursing response and improve patient outcomes with sepsis.

Context: The quality improvement (QI) project was conducted on a medical-surgical unit in a large Northern California hospital.

Intervention: A QI team initiated evidenced-based practice research and created an educational sepsis handout for nurses to increase sepsis knowledge and confidence.

Measures: The self-assessment pre-survey would be compared to the responses from the post-survey. …


How To Be An Anti-Racist Educator: A Book Review Through An Educational Perspective, Maria Cristina F. Soares, Melanie Morales May 2023

How To Be An Anti-Racist Educator: A Book Review Through An Educational Perspective, Maria Cristina F. Soares, Melanie Morales

Journal of Multicultural Affairs

The authors reviewed the book How to be an Antiracist by Ibram X. Kendi (2019) while reflecting on how Kendi’s brilliant dismantlement of racism and discrimination would help educators become conscious of how racism operates in our society, their schools, and their communities. Kendi’s book could motivate teachers to self-reflect on intrinsic feelings and misconceptions about race and culture built over time, allowing them to adopt new attitudes towards their students and school community. The authors considered the need to reevaluate systemic racism in schools as research has, for instance, found evidence of discriminatory practices towards African American boys (Gregory …


Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento May 2023

Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study explored the ways in which education policy and practices within public schools are addressing the needs of minoritized populations with a particular focus on LGBTQIA+ students. This study first employed a document analysis to investigate the federal, state, and district-level equity practices that are mandated or elective in addressing the needs of marginalized populations and LGBTQIA+ students. Secondly, a critical discourse analysis was conducted to examine the specific language, word choices, and symbols found within the public documents that signify equitable practices pertaining to minoritized student populations and the LGBTQIA+ community. Ultimately, the goal of this study …


Expansion Of Heart Failure Education From Hospital To Clinic, Abigail M. Fischer May 2023

Expansion Of Heart Failure Education From Hospital To Clinic, Abigail M. Fischer

Doctor of Nursing Practice Projects

Heart failure education is vital to the long-term management of this condition. Education recommendations for heart failure are given by the American Heart Association (AHA) and the American College of Cardiology (ACC). Recommendations include verbal instruction and written materials regarding the patient’s medication plan, recognition of symptoms, what to do when symptoms occur, and the importance of daily weights.

This project aimed to provide outpatient clinic providers and staff with resources and education necessary to educate heart failure patients. The project expanded use of an inpatient heart failure education packet for outpatient use. This was accomplished by conducting educational sessions …


Black Male Educator Shortage In The Mississippi Public School System: Impact, Challenges, And Intervention Strategies, Jilkiah Bryant May 2023

Black Male Educator Shortage In The Mississippi Public School System: Impact, Challenges, And Intervention Strategies, Jilkiah Bryant

Honors Theses

The shortage of Black male educators in Mississippi's public school systems is a critical issue with far-reaching implications for the state's education system. Despite the state's sizable Black population, the percentage of Black male teachers remains disproportionately low, and there is little evidence of progress being made to address this issue. This paper examines the impact of the Black male educator shortage on Mississippi's education system, the challenges faced by Black male educators, and related intervention strategies to increase the number of Black male teachers in Mississippi's public school systems. Through a comprehensive literature review and interviews with Black male …


Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin May 2023

Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin

Honors Theses

Oral health is important to one’s overall health and quality of life as it can lead to chronic illnesses such as cardiovascular disease, stroke, and neurodegenerative disorders (Haumschild et al. 2021). In long-term care facilities, it is important that dependent older adults are provided mouth care to maintain their oral health and decrease their chances of developing a chronic illness; however, there are barriers affecting the level, quality, and quantity of mouth care being provided in these facilities. A survey was developed to look at the education, beliefs, and health literacy of care providers on providing mouth care in hopes …


Uplifting An Invisible Population: How We Can Combine Psychology And Policy To Improve The Educational And Mental Health Outcomes Of Homeless Youth, Melissa Hamilton May 2023

Uplifting An Invisible Population: How We Can Combine Psychology And Policy To Improve The Educational And Mental Health Outcomes Of Homeless Youth, Melissa Hamilton

Washington Semester Program

The goal of this thesis is to a) explain why homeless youth are frequently linked to poor mental health and education outcomes, and b) offer evidence-based suggestions that ought to be considered when developing any intervention aiming to improve the education and mental health of homeless youth. To accomplish this, prominent theories in both the psychology (ex: Maslow’s Hierarchy of Needs) and political science (ex: failed implementation of the McKinney-Vento Act) fields that pertain to student homelessness were reviewed, and a comparative analysis of existing intervention models was conducted. Three key trends were identified across successful homeless youth intervention models …


The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer May 2023

The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer

International and Global Studies Undergraduate Honors Theses

The Kingdom of Eswatini, also known as Swaziland, has one of the youngest populations in the world with over 70% of citizens being under the age of 18 years old. This creates a substantial opportunity for economic, social, and educational growth in a country previously plagued with diseases such as HIV/AIDS, poor health care infrastructure cutting off thousands from basic care, and an educational system with a very low attendance rate and an even lower graduation rate. By evaluating the root causes of such issues dating back to the colonial era there is an opportunity to reprioritize health care and …


Investigating Students’ Lived Experience With Prebriefing Structure And Elements In Nursing Simulation Education, Meghan Liebzeit May 2023

Investigating Students’ Lived Experience With Prebriefing Structure And Elements In Nursing Simulation Education, Meghan Liebzeit

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prebriefing is a growing body of knowledge in nursing simulation education. It is recognized as an important factor in the simulation experience, however the practice of prebriefing varies widely making it difficult to understand what methods best prepare students for the simulation scenario. While research over the last decade has identified prebriefing increases confidence, skills, and clinical judgment, what content is important to include in prebriefing, or how it promotes the achievement of outcomes is under recognized.Implementing an intervention based on a pedagogically sound eight-week simulation clinical course, developed with the theoretical underpinnings of Vygotsky’s Zone of Proximal Development, Kolb’s …


Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois Apr 2023

Occupational Therapists’ Role In Educating Caregivers On Pediatric Sensory Interventions Guided By Neurodiversity Principles, Deanna Bourgeois

Student Capstone Papers

Background: Neurodivergent children often experience differences in sensory processing and self-regulation. Traditional sensory-based interventions are frequently used by occupational therapy practitioners (OTP) and caregivers to address dysregulation. However, sensory-based interventions, while often strengths-based, are not always neurodiversity-affirming.

Problem: There are minimal educational resources available to both OTP and caregivers that promote neurodiversity-affirming sensory interventions to support neurodivergent children.

Methods: The purpose of this project was to create self-paced educational modules to teach neurodiversity-affirming sensory interventions that promote children's self-regulation. To achieve this goal, the student investigator developed virtual educational modules and piloted them with OTP, occupational therapy …


Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams Mar 2023

Inclusion Of Sexual Orientation And Gender Identity (Sogi) Cultural Competence In Higher Education Healthcare Programs: A Scoping Review, Kristin Willey, Jennifer K. Fortuna, Jessica Guerra, Amanda Gross, Samantha Turner, Tara Grant, Betsy Williams

Internet Journal of Allied Health Sciences and Practice

Purpose: Lack of sexual orientation and gender identity (SOGI) cultural competence in healthcare providers contributes to poor health outcomes in individuals who are lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more (LGBTQIA+). However, SOGI is often overlooked in healthcare education. Existing research shows educational programs in the nursing, medical, and pharmacy professions are incorporating cultural competence training into the curricula. Few studies have explored how SOGI cultural competence is incorporated into occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) curricula. Clear guidelines for training on SOGI cultural competence are lacking in these professions. It is …


Multilingual Zambia - Language Issues In Primary/Secondary Schools Of The Eastern/Southern Provinces, Kenzie Steiner Mar 2023

Multilingual Zambia - Language Issues In Primary/Secondary Schools Of The Eastern/Southern Provinces, Kenzie Steiner

NUTR/GLST 498b: Global Research Experiences in Nutrition and Health

Introduction: Zambia is a multilingual country that uses 8 different languages for instruction including English and 7 other indigenous languages.

Methods: Survey research conducted between May-June 2022 on 6-7th graders within 9 Zambian schools. Classroom observations made and teachers interviewed.

Results: In Eastern and Southern Provinces, Zambian teachers speak an average of 5 languages while students speak an average of 2. Both teachers and students say English remains the most important language followed by first languages.

Conclusion: Continued research on language-in-education policies and impacts on student performance must be conducted if “One Zambia, One Nation” is meant to promote all …