Medicine and Health Sciences Commons^™

Coronavirus Update 5/7/2021: Additional Raffle Added, The Coronavirus Planning Team

University Briefings & Virtual Events

Undergraduates who have had two shots of the Pfizer or Moderna vaccine or one shot of the Johnson & Johnson vaccine will need to load their vaccination cards to their student health portal over this weekend to be eligible.

The Impact Of A Cultural Competence Assessment Tool On Teaching Strategies In The Dnp Curriculum At Southern Illinois University Of Edwardsville, Katarina Dobrosavljevic

Doctor of Nursing Practice Projects

Providing culturally competent and culturally congruent care to patients leads to better outcomes and reduction of poor outcomes due to health disparities. Providing care that is not culturally congruent can contribute to communication barriers, resulting in deficient diagnostic testing, miscommunication about etiologies, treatment plans that are not individualized, and discounting of patient's ideas. Individuals from diverse cultures face health disparities which contribute to inadequate care and poor outcomes. The purpose of this project was to survey former graduates of the Southern Illinois University of Edwardsville (SIUE) family nurse practitioner (FNP) program to assess their level of cultural competence and areas …

Continuing Education Preferences Amongst Crnas, Jamie Nichting

Doctor of Nursing Practice Projects

The Illinois Association of Nurse Anesthetists (IANA) is a professional organization representing Certified Registered Nurse Anesthetists (CRNAs). To ensure compliance with high standards of care in the profession, CRNAs are required to obtain continuing education units (CEUs) for each 4-year certification period. The IANA offers conferences in both fall and spring, however, a loss in attendance and revenue at state meetings concerns the board members as to how state members are complying with the educational requirements to remain certified. It was imperative that the IANA needed to implement new educational opportunities that actively engaged CRNAs resulting in an increase in …

Pharyngeal Constriction As A Cause For Late Acquisition And Speech Sound Disorders Of Rhotic Sounds In English, Spanish, And French, Connor Mahon

The Downtown Review: An Interdisciplinary Journal Written and Peer-Reviewed by Mandel Honors College Students at Cleveland State University

This paper attempts to explain why rhotic sounds are cross-linguistically late developing among the sound inventory of children. Included is a summary of the current literature regarding classification of rhotic sounds, an examination of the articulatory movement of the tongue root, and an overview of the clinical implications on the field of speech-language pathology. The evidence presented supports the hypothesis that pharyngeal constriction is characteristic of rhotic sounds in many languages, and that it is related to the relative late acquisition and higher rate of speech sound disorders, as seen in English, Spanish, and French.

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning : A Repeated Measures Design Study, Gordon B. Tsubira

Occupational Therapy Capstone Presentations

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level master of occupational therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses.

Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the semester), …

Correlation Between Servant Leadership And Organizational Commitment Within An Academic Health Center, Cheryl Bellamy

Servant Leadership: Theory & Practice

Correlation Between Servant Leadership and Organizational Commitment

Abstract

This paper presents an overview of a study of the relationship between servant leadership and organizational commitment. The study included a convenience sample of 84 full and part-time employees of a health professions education unit within an academic health center. Participants were surveyed using the Executive Servant Leadership Scale (ESLS) to assess servant leadership and the Klein Unidimensional Target-free (KUT) instrument to assess organizational commitment. Data analysis was conducted using Kendall’s tau-b and Spearman’s rho. Results showed that there is a significant positive relationship between servant leadership and organizational commitment.

Keywords: Servant …

Coronavirus Update 5-4-2021, The Coronavirus Planning Team

University Briefings & Virtual Events

We want to remind you to upload your vaccination card once you have been fully vaccinated.

Dnp Final Report: Reducing The Rate Of Falls With A Stuctured Fall Program, Elanda L. Douglas

DNP Final Reports

Background: Fall rates continue to be a significant problem in health care facilities despite all the research and tool kits created to prevent falls. Hospitals that have successfully reduced fall rates find it challenging to sustain a reduction in the fall rates. During hospitalizations, 3%-20% of patients fall, with 30%-50% resulting in injury (Joint Commission, [JC], 2015).

Internal Evidence: Despite Medical City Alliance (MCA) having an evidence-based fall program, the fall rate has not decreased. Falls are one of the quality measures identified at the division level that needs improvement.

PICOT: In adult patients in a progressive care unit (P), …

Early Intervention Service Delivery Models In Mississippi: A Cost-Effectiveness Analysis, Claire Harper

Honors Theses

Purpose: The purpose of the present study was to compare two models of service delivery for early intervention in Mississippi from a health care sector perspective: (1) face-to-face therapy in the home environment and (2) a hybrid model (i.e., telepractice and face-to-face therapy in the home environment), in order to compare costs and determine the most cost-effective service delivery of early intervention.

Methods: Children (n = 10) were recruited and determined to qualify for early intervention services through the Mississippi First Steps Early Intervention program. One early intervention provider, a certified SLP, from the northern health region provided early intervention …

Electronic Document Exchange And Digitization Of The Attestation Process Related To Scientific Degrees, H. Zaynidinov, O.. Makhmanov, F. Latifov

Bulletin of TUIT: Management and Communication Technologies

The paper describes the development of the "Complex-analytical information system of scientific degrees" for electronic document exchange and digitization of the attestation process for scientific degrees in the field of attestation of highly qualified scientific and scientific-pedagogical personnel, modules that make up the system, their functions, also information security of the system, requirements for functions performed by the system, client-server architecture of data processing in information system.

Addressing Productivity For Physical Therapy At Fairfield Medical Center, Evan Urrutia

Masters Theses/Capstone Projects

Fairfield Medical Center is a vibrant healthcare organization focused on providing exceptional healthcare experiences to everyone it serves. Fairfield Medical Center encompasses Cancer care, diabetes managements, emergency care, Gastroenterology, Heartburn Care, Hospice Care, Infectious Disease, Maternity Care, Neurology, Obstetrics & Gynecology Care, and Orthopedic Care.

From a physical therapy standpoint, FMC operates two outpatient clinics, and one inpatient service at the hospital. There are over 40 therapists who will either stay primarily at outpatient and inpatient, and some float between the two depending on the volume of patients.

I had the pleasure of being welcomed with open arms by the …

Protecting The Nest: Contact Tracing And The Covid-19 Pandemic At Otterbein, Andrew Meyers

Masters Theses/Capstone Projects

My experience started initially by completing the COVID-19 Contact Tracing course offered through Johns Hopkins, which immersed me into the world of contact tracing which I had been completely unfamiliar with before. In the beginning of the fall semester in August 2019, the Otterbein Contact Tracing Program consisted of just Danielle Kilboy and myself, and we initially handled all COVID-19 cases among students on the Otterbein campus. Although we had both gone through the training program, there were many situations throughout the semester that we could not possibly prepare for and we would have to continue learning as we navigated …

Feeling Smarter: The Impact Of Emotional Intelligence And Situational Academic Stressors On Resilience, Coping, And Well-Being, Jenna Bohrer

Undergraduate Theses and Capstone Projects

Since its inception, Salovey and Mayer’s (1990) construct of emotional intelligence has been associated with positive outcomes from heightened academic performance to resilience (Connor & Slear, 2009; Costa & Faria, 2020). The present study focused on the impact of emotional intelligence and academic stress on coping, resilience, and psychological well-being within a college population. It was hypothesized that those high in emotional intelligence would employ more approach coping strategies and fewer avoidance coping strategies compared to those low in emotional intelligence, and that the higher stress scenario would result in more avoidance and less approach coping compared to the moderate …

An Examination Of The Impact Of Health Literacy Assessment On Incarcerated Individuals With A Diagnosis Of Type 2 Diabetes, Josi Rotunno

Doctor of Nursing Practice Scholarly Projects

Low health literacy levels limit healthcare outcomes in a variety of diagnoses. Having a low health literacy level can significantly impact an individual’s ability to manage their condition. Among these individuals are incarcerated individuals, who are especially vulnerable to low health literacy levels. Due to regulations of the correctional facility, along with the vulnerability of the population, it is often difficult to get approval for studies and to make changes within this setting[TMD1] . The stigma of incarceration, along with the difficulty in navigating the correctional setting regulations, often create barriers to making changes that could improve the health …

Women In The Outdoors: Navigating Fear And Creating Space For Spiritual Inspiration 2021, Morgan Costello

Master's Theses

The purpose of this study was to examine the relationship between fear and spiritual inspiration for women in the outdoors. Specifically, this study looked at participants from SUNY Cortland’s Outdoor Education Practicum, a core course in the Recreation, Parks, and Leisure Studies Department that culminates with a two-week outdoor experience, with the goals of teaching outdoor skills and building community. This was a mixed-method study, with quantitative data collected according to pre(mid)post design and qualitative data coming from journal entries over a 5-day period. Testing was conducted using the Outdoor Situational Fear Inventory to measure fear, and the Nature Relatedness …

Developing An Adaptive Rock Climbing Curriculum For Suny Cortland Outdoor Pursuits 2021, Rebekah Mills

Master's Theses

SUNY Cortland Outdoor Pursuits opened in August of 2015 with the completion of the newly constructed Student Life Center. Outdoor Pursuits is a smaller department within the Recreational Sports Department. Outdoor Pursuits offers rock climbing services at its facility located in the Student Life Center. Currently, Outdoor Pursuits offers Bouldering and Top Roping services only when the Student Life Center is open, these hours are typically 3-10 pm. Monday-Friday and Saturday-Sunday 2-8 pm. These services are only provided to eligible SUNY Cortland faculty, staff, students, alumni, and other affiliated members. As the facility has grown in popularity during its operation, …

Athletic Training In The Classroom, Megan Imwalle

Masters Theses/Capstone Projects

The purpose of this practicum experience was for a practicing athletic trainer to immerse themselves into a CAATE accredited athletic training education program classroom setting. The athlete trainer was responsible for creating and delivering lecture presentations and lab activities, utilizing research for class discussion and assignments, and acting as a mentor for athletic training students.

The athletic training worked in collaboration with a professor to gain an understanding for how to deliver classroom materials and how to manage a classroom in-person and virtually. The main goal for this practicum experience was to gain confidence in a classroom setting and provide …

Administrator Training At The Laurels Of Mount Vernon Skilled Nursing Facility, Lance Stambaugh

Masters Theses/Capstone Projects

The job duties of a Licensed Nursing Home Administrator exist in a great multitude, and require those aspiring to obtain the position to complete training in all areas of focus. The focus of this practicum is to gain exposure to the job duties of a Licensed Nursing Home Administrator, while also gaining experience in a multitude of departments that function within a skilled nursing facility. This practicum was completed amidst the COVID-19 pandemic, and therefore emphasis was placed on infection control and procedures that allow for a safe environment for those residing in this nursing facility. This increased emphasis is …

Nationwide Children's Hospital Sports Performance, Mackenzie Meyers

Masters Theses/Capstone Projects

During the Advanced Clinical Practicum experience, the student will be exposed to a variety of clinical experiences. The sports performance interns will have the opportunity to work with high school, collegiate and private sector athletes (ranging from 6 to 22 years of age) and also be involved in leading small group sessions and coaching large group sessions. Administratively, the intern will have the opportunity to participate in several teaching/learning sessions per week and be involved in research, data collection and program design.

Preserving Safety While Upholding The Integrity Of Medical Education And Practical Skills: The Impact Of Covid-19 On Teaching Human Anatomy, Anna Cowan

Undergraduate Honors Theses

The global pandemic caused by COVID-19 placed constraints on several aspects of normal life, especially those of higher level education. While many programs moved to teaching in a strictly online format, there are some courses in which this structure was not appropriate. This study observed the outcome of the adapted course structure employed at Quillen College of Medicine during their Gross Human Anatomy course. Through a voluntary survey and multiple independent t-tests, it was demonstrated that the students who took the adapted course performed, on average, 2 points lower on each exam than previous classes. Also, this study showed that …

Mamba Mentality: A Blueprint For Success, Josiah Payne

Goal 2: Life Skills Narrative

Purpose:

The purpose of this program is to help students develop a mindset and habits that will facilitate success in pursuing their interests.

School Reopenings, Mobility, And Covid-19 Spread: Evidence From Texas, Charles J. Courtemanche, Anh Le, Aaron Yelowitz, Ron Zimmer

Institute for the Study of Free Enterprise Working Papers

This paper examines the effect of fall 2020 school reopenings in Texas on county-level COVID19 cases and fatalities. Previous evidence suggests that schools can be reopened safely if community spread is low and public health guidelines are followed. However, in Texas, reopenings often occurred alongside high community spread and at near capacity, likely making it difficult to meet social distancing recommendations. Using event-study models and hand-collected instruction modality and start dates for all school districts, we find robust evidence that reopening Texas schools gradually but substantially accelerated the community spread of COVID-19. Results from our preferred specification imply that school …

Content Validity Of Aba Language Assessments In The Totality Of Skinner's Verbal Operant Theory, Taylor Marie Lauer

Graduate Theses/Dissertations

Content validity describes the degree of which a measure represents all the components of the overall construct being measured. Behavior analytic language assessments are largely based on Skinner’s verbal operant theory (1957). Three behavior analytic language assessments were utilized to measure the coverage of Skinner’s verbal behavior theory: the VB-MAPP, ABLLS-R, and PEAK. The purpose of the current study was to examine the content validity of each of these assessments coverage on the totality of Skinner’s verbal operant theory. Expressive items on each of the three assessments were compared to definitions of Skinner’s verbal operants and were coded as the …

Using Citizen Science To Determine The Age Of Alewife Fish, Rodchill-Paul Jules

Honors Scholar Theses

Aging scales of economically important fish like the Alewife (Alosa pseudoharengus) is a critical task in the fisheries industry, which can benefit from the help that citizen science offers. In order for those benefits to take effect, common people should be comfortable and fairly knowledgeable about what is expected of them in the study. Then, results can be generated in a way that gives all types of citizens a good opportunity to participate and produces reliable data that can be used for scientific purposes. This experiment studied the effects of simple word instructions versus diagramed instructions on the …

Getting The Price Tag Of The Covid Crisis: Measuring Health Expenditures In A Pandemic Based On The System Of Health Accounts Framework, John Lourenze Poquiz, Maegan S. Saroca

Angelo King Institute for Economic and Business Studies (AKI)

The COVID-19 pandemic forced many (if not all) countries to resort to extreme interventions to manage the spread of the Corona virus. However, most of these spending are not explicitly considered as health expenditures in typical National Health Accounts (NHA) estimates. As such, estimating health spending by employing the conventional expenditure items recorded in NHAs may not reflect the overall financial impact of the COVID-19 pandemic on the healthcare system. We argue that an expanded measure of health spending might be needed to capture the overall impact of the pandemic on the health expenditures. We find at least nine COVID-related …

Language Abilities Of Children Who Qualify For Both Speech And Language Therapy And Play Therapy, Rylee Atkins

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Play is an essential role in the development of children’s language and social-emotional well-being. Intervention methods with the use of play are used by both registered play therapist and speech-language pathologists. This study aims to explore if students who have met the eligibility requirements for speech-language therapy services are also eligible for child-centered play therapy services, as well as examine if students who qualify for both services have common characteristics. Findings demonstrated that students who qualified for CCPT and had individualized education plans (IEPs) for speech-language services had significantly lower poor peer social skills, as determined by teacher’s rating scores, …

An Adventure Therapy Mountain Bike Program For Middle School Students: A Pilot Study, Cian L. Brown

Graduate Theses and Dissertations

Adolescence is a time of significant physical, mental, emotional, and social development marked by numerous transitions and challenges. Middle school is one of the earliest and perhaps first times of significant social and physical transition that impacts early adolescent development. As a result, schools are becoming a primary care setting for children and families to identify and address mental health needs. However, only 2% of school mental health services are provided by licensed professionals. Therefore, schools and service providers continue to seek out comprehensive modalities that can efficiently provide preventative and responsive interventions to students beyond individual and school counseling …

I Matter: Understanding The Self-Care Practices Of School Counselors During The Covid-19 Pandemic And How Internal And External Factors Create Barriers, Alisha Rene Marie Jones

Graduate Theses and Dissertations

Diminished self-care practices and heightened stress of school counselors is a continuing problem in education. With role ambiguity, high student-to-counselor ratios, emotional exhaustion, and others adding pressure to the roles and responsibilities of school counselors, this study investigated the self-care practices of Missouri school counselors and the internal and external factors which influence them, specifically within the context COVID-19. Clayton Alderfer’s (1972) Existence, Relatedness, and Growth theory was used as a theoretical framework for chosen self-care practices represented in this study and was supported by Robert Kegan’s and Lisa Lahey’s (2009) Immunity to Change theory to understand the competing commitments …

The Impact Of Virtual Radiographic Positioning Simulation On 1St Year Radiography Students’ Clinical Preparedness Through The Lens Of Activity Theory: A Mixed Method Approach, Christopher Ira Wertz

Boise State University Theses and Dissertations

Radiography education programs are designed to prepare students to perform radiographic examinations and acquire diagnostic medical images of real patients in the clinical setting. Radiographic Science (RS) education, like all healthcare education, is uniquely different from education in other professional fields. Students must not only acquire the technical, cognitive learning required, but they must also master the psychomotor skills necessary to apply didactic knowledge to patients in a clinical setting. In medical imaging, when students are hesitant or lack knowledge and skills they are prone to produce images with decreased quality or expose patients to unnecessarily high amounts of radiation. …

Implementation Of A Protocol In The Freestanding Emergency Department To Screen For And Identify Possible Victims Of Human Trafficking, Joe Alvarado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human trafficking (HT) victims often seek medical care in the emergency room setting. In a recent study among HT survivors, 88% attested to receiving medical care while in captivity, with 63% treated in the emergency care setting. Freestanding emergency departments typically have lower acuity and lower patient volumes than hospital-based emergency departments. This setting creates shorter wait times and minimizes the length of stay at every point during the emergency room experience. For traffickers, this is an ideal situation if their victim needs medical attention, and they want to get in and get out of the emergency room with less …