Medicine and Health Sciences Commons^™

Staff Education And Depression Screening In Pulmonology And Sleep Medicine, Christina Boyle

Walden Dissertations and Doctoral Studies

AbstractDespite recommendations that all adults be screened for depression, providers at the project site struggled to consistently assess for depression. Identification of depression is an essential step in depression management, which is a concern for patients with sleep disorders and other pulmonary disease served at the site. The purpose of this project was to develop an education training program for clinicians regarding depression screening. The theory of cognitive development using the Iowa model of evidence-based practice (EBP) guided the project, which sought to determine if an EBP education program regarding depression screening would be an effective means for staff education, …

Influence Of Questioning On Development Of Clinical Reasoning In Prelicensure Nursing, Teresa Maria Brown

Walden Dissertations and Doctoral Studies

Clinical reasoning is the basis for every clinical decision a nurse makes; however, only 23% of newly graduated nurses are safely able to recognize urgent clinical patient problems and demonstrate appropriate management of those problems. Furthermore, new nurses make 50% of medical errors. This leaves nurse educators looking for evidenced-based teaching/learning strategies to help their students develop clinical reasoning skills. The purpose of this study was to investigate the influence of questioning as a problem-based teaching/learning strategy on clinical reasoning in undergraduate nursing students. The theoretical framework used to guide this study was Tanner’s clinical judgment model. Using Lasater’s clinical …

Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi

Walden Dissertations and Doctoral Studies

Osteoarthritis (OA) pain is a major social problem for older adults and has psychological and physical implications. In the clinic where the project was implemented, the family nurse practitioners (FNPs) are not addressing the OA pain of the older adult patients according to the evidence-based practice (EBP) guidelines. The purpose of this project was to educate FNPs on EBP guidelines regarding nonpharmacological intervention for chronic pain in OA patients. Knowles’ adult learning theory guided the development of the education program specific to the unique learning style of the FNPs. Fourteen FNPs who treat patients with OA in 3 clinic settings …

Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana

Walden Dissertations and Doctoral Studies

Adults who are unsuccessful in completing their educational program will not receive the needed certification or diploma to be competitive in a global economy and job market. The completion percentage of adult basic education learners remains low at an adult basic education site in a Western state. The purpose of this study was to better understand the various experiences of the successful adult learner and the different ways they used goal setting strategies to complete their programs. This basic qualitative study was guided by Knowles’ theory of andragogy. The guiding research questions asked adult learners what learning experiences and goal …

Nursing Majors’ Attitudes Toward Suicide And Mental Health Training, Beverly Arleen Burton

Walden Dissertations and Doctoral Studies

AbstractThe mental health training of nursing majors may play a role in their levels of confidence in attending to suicide patients as working professionals. The purpose of this quantitative study was to explore what impact, if any, attitudes toward suicide had on nursing majors’ levels of confidence in their mental health training. Pender’s health promotion theory was the theoretical framework. A descriptive correlational survey was used to explore individuals majoring in nursing confidence and perceived skills in mental health training. The 4 research questions asked the relationship between the level of confidence in helping someone with a mental health problem …

Professional Values Of Corporate Nurses, Kasey Jeanne Sands

Walden Dissertations and Doctoral Studies

Healthcare is comprised of providers, who offer patient services, and payors, who manage the financial reimbursement of providers. Not much is known about registered nurses (RNs) in the corporate payor industry due to a lack of research. Strong professional values (PVs) are expected of all RNs, but research has shown this to vary across the field, meaning that RNs may require support in this area. As little is known about RNs in the payor industry, how these nurses sustain their PVs within the industry has not been evaluated, recognized, or supported. Therefore, the aims of this quantitative, descriptive, and correlational …

Nursing Faculty Experiences With Mobile Technology Use In The Classroom, Sue Ellen Clark

Walden Dissertations and Doctoral Studies

Research to date on faculty use of technology in the classroom has largely focused on student perceptions of technology, technology use in higher education, and benefits of technology use in teaching and learning. A critical factor in integrating technology relates to nursing faculty members’ mobile technology (MT) experience. The aim of this descriptive phenomenological study was to explore the experiences of nursing faculty when integrating MT in the face-to-face classroom. More precisely, this study was designed to explore the reasons for inconsistencies among faculty in the integration of MT in the face-to-face classroom in baccalaureate nursing education programs. Experiences of …

Mentorship Education For Advanced Practice Registered Nurses, Eleanor Dunlap

Walden Dissertations and Doctoral Studies

Mentorship is vital part of the nursing profession. The evidence suggests that competent mentors aid in facilitating role transitions, improving job satisfaction, enhancing patient care, and decreasing nursing turnover. Advanced practice registered nurses (APRNs) have the skill and knowledge to provide safe, high-quality, patient-centered care; however, they may be lacking in mentorship abilities. Currently, there is no formal mentorship training in the organization, which may cause variability in the mentoring of new staff. The focus of this project was to create a staff educational intervention to improve the mentoring competency of surgical APRNs. The project practice focused question asked if …

Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey

Walden Dissertations and Doctoral Studies

Abstract The loss of the experienced bedside nurse is a current health care problem. New nurses are moving into other areas of nursing or leaving the profession within 6 months of graduation. During the current COVID-19 pandemic, nurses are vital at the bedside. Patients’ and families rely on the nurse to be their support and educational source. In this study, the possible implications of why a registered nurse remains at the bedside throughout their professional career although offered different positions and work environments was examined. The theoretical framework of Patton and McMahon identifies the holistic nature of career development through …

Parental Stress Coping And Middle-School Students’ Grades And Behavioral Conduct, Stephanie Buckner

Walden Dissertations and Doctoral Studies

AbstractAccording to Bronfenbrenner’s ecological systems theory, factors such as parental stress influence family functioning and affect children’s adaptive development. This quantitative study was conducted to better understand the association of parental stress coping skills with two dependent measures: the grades and behavioral conduct of middle-school students. Sixty-six parent/guardians completed the Coping Skills Assessment 2nd Revision (COSA R2), an assessment of parental stress coping skills and a brief questionnaire to collect data on their middle-school-aged children’s grades and conduct, along with demographic variables of race/ethnicity, age, family income level, number of children in the household, and partner status. No significant difference …

Dental Hygiene Faculty Use Of Educational Technologies For Instruction, Natalie Michelle Delacruz

Walden Dissertations and Doctoral Studies

Faculty hesitancy to implement educational technologies for instruction is problematic in dental hygiene education. Little or no scholarly research has been conducted on faculty use of educational technologies for instructional practices in the dental hygiene field. Grounded in the technology acceptance model, the purpose of this inquiry was to explore the perceptions of dental hygiene faculty regarding their attitudes toward use, usefulness, and ease of use of educational technologies for instruction. The research questions focused on dental hygiene faculty attitudes toward use of educational technologies for instruction, the usefulness of educational technologies for instruction, and the ease of use of …

Lived Experiences Of Nurse Faculty Teaching Patient Safety Risks From Smartphone Distractions, Nicole Irene Helstowski

Walden Dissertations and Doctoral Studies

Smartphone distractions frequently occur in healthcare, disrupting nurses’ provision of patient care and threatening patient safety. To ensure safe care for patients, nurse faculty must prepare prelicensure nursing students with the knowledge, skills, and behaviors that they need to mitigate patient safety risks. A lack of research regarding how nurse faculty teach nursing students about patient safety risks from smartphone distractions was the concern for this study. The purpose of this qualitative, descriptive phenomenology study was to identify and report the lived experiences of undergraduate nurse faculty regarding teaching about patient safety risks from smartphone distractions in prelicensure nursing programs …

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff’s confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …

Improving Staff Knowledge Of Cultural Competence, Sherry Denise Akins

Walden Dissertations and Doctoral Studies

Professional nurses must demonstrate sensitivity to and understanding of a variety of cultures within United States (US) healthcare systems. Such skillsets are needed for the provision of high-quality nursing care across the entire spectrum of healthcare. Nurses are challenged to provide holistic care that is congruent with each patient’s beliefs, practices, and culture. Guidelines from the constructs of pioneer Madeline Leininger’s Transcultural Theory was used as the conceptual framework for the proposal. The purpose of this project was to validate an evidence-based orientation module to educate nurses and nursing staff within an acute healthcare setting regarding cultural competence during hospital …

Factors Associated With Overall Experience In Advanced-Practice Doctoral Programs, Kristi Chipman

UNF Graduate Theses and Dissertations

Advanced-Practice Doctoral (APD) students are working professionals who are often returning to school after several years of practice. Multiple areas and concerns may affect overall experience as well as retention rates in doctoral programs.

This mixed-methods research study utilized both qualitative (interview) and quantitative (survey) methods. Students from three different APD programs (Doctorate in Clinical Nutrition, Doctor of Education, and Doctor of Nursing) were asked to participate in a semi-structured interview. The interview was used to help guide the development of a survey. Students from the three groups (n=65) were asked to participate in a one-time, non-incentivized, survey. The survey …

The Focuus Model— Facilitating Occupational Performance On Campus: Uplifting Underrepresented Students, Maribeth Clifton, Steven D. Taff

Journal of Occupational Therapy Education

The FOCUUS Model or Facilitating Occupational Performance on Campus: Uplifting Underrepresented Students, is a theoretically-based, evidence-centered model focused on ethnic minority (EM) students in higher education. The FOCUUS Model recognizes minority status as a determinant of health, where the experience of minority status stress (MSS) resulting from racism, stigmatization, marginalization, discrimination, microaggressions, and challenges to one’s sense of belonging largely influence one’s occupational performance, health, and overall well-being. Historical and contemporary injustices within American culture have resulted in multigenerational occurrences of disparities for EMs. Racial injustice is deeply embedded and still ever-present within practices and traditions in higher education institutions …

From Boring To Board Game: The Effect Of A Serious Game On Key Learning Outcomes, Kendal L. Booker, Anita W. Mitchell

Journal of Occupational Therapy Education

Serious games incorporate learning objectives in the context of competitive games with rules. These types of games have been incorporated in education as well as therapeutic contexts. This study examined the effectiveness of a modification of the game “Snakes and Ladders,” for reviewing and learning qualitative research concepts. Using the Game-based Evaluation Model (GEM), the researchers also measured learning indicators such as interest and enjoyment, perceived competence, effort and importance, and value/usefulness. Thirty-eight Master of Occupational Therapy students completed a 25-question multiple choice pretest to measure knowledge of qualitative research concepts before playing the game. A 25-question multiple choice posttest …

Interprofessional Education And Collaborative Competency Development: A Realist Evaluation, Rabina Raveendrakumar, Salihah Faroze, David Rojas, Sylvia Langlois

Journal of Occupational Therapy Education

Collaboration among healthcare professionals has been widely cited as critical in ensuring optimal and efficient client care. To foster the development of this interprofessional competency in healthcare graduates, the University of Toronto created an Interprofessional Education (IPE) curriculum. However, the means by which the IPE curriculum developed interprofessional collaborative competencies in occupational therapy (OT) graduates had not been explored. The study identified the mechanisms and outcomes of University of Toronto’s IPE curriculum that contributed to OT graduates’ collaborative competency development. This study also identified the contexts in which this development occurred, and why such patterns were observed. This study employed …

Establishing Inter-Rater Reliability Of The Occupation-Centered Intervention Assessment For Student Observation Of Rehabilitation Interventions, Vanessa D. Jewell, Joy Burkley, Taylor Wienkes, Ted K. Kaufman

Journal of Occupational Therapy Education

The Occupation-Centered Intervention Assessment (OCIA) is a tool designed to capture and rank occupational therapy interventions through an occupational lens to improve occupational therapy students’ professional reasoning skills. The purpose of this study was to determine the inter-rater reliability of the OCIA for occupational therapy interventions provided to adults with physical rehabilitation needs as observed by occupational therapy students. Utilizing a methodological research approach, 111 students completed training for application of the OCIA and independently scored five standardized videos of occupational therapy interventions. Results indicated an overall agreement of α=0.856 using Krippendorff’s alpha. Student raters demonstrated good agreement for rating …

The Development Of Theory- And Evidence-Based Educational Workshops For Occupational Therapists, Sungha Kim, Rebecca E. Gewurtz, Ilana Bayer, Nadine Larivière, Lori Letts

Journal of Occupational Therapy Education

The Do-Live-Well (DLW) framework is a health promotion approach developed by Canadian occupational therapists (OTs). As the DLW framework is relatively new, it has not been widely adopted by OTs. In order to facilitate OTs to incorporate the DLW concepts in their practice, there should be more learning opportunities, and online and in-person workshops have been chosen to be a specific interest of this study. The purpose of this project was to develop theory- and evidence-based in-person and online educational workshops for OTs as a pre-implementation study to increase the knowledge of the DLW framework among OTs. In order to …

The Impact Of The Sensory Form On Confidence And Competence In Occupational Therapy Students: A Quasi-Experimental Study, Elisabeth Michail, Caroline J. Mills, Kristy Coxon

Journal of Occupational Therapy Education

The Sensory Form is a new assessment and intervention planning tool utilized with occupational therapy students to teach and guide their professional reasoning amidst limited evidence. This study aimed to determine the impact of the use of The Sensory Form on student competence and confidence in assessment and intervention planning for children with atypical sensory processing (ASP). A quasi-experimental study was conducted with 84 third-year undergraduate occupational therapy students from a large multi-campus university in New South Wales, Australia. Tutorial classes were allocated to The Sensory Form or usual teaching conditions. Participants completed pre-class and post-class self-reported confidence rating scales …

Kinesthetic Learners During The Covid-19 Pandemic: Occupational Therapy Students’ Perspective On E-Learning, Michael Stamm, Kailey Francetic, Regina Reilly, Angela Tharp, Nicole Thompson, Ryleigh Weidenhamer

Journal of Occupational Therapy Education

The purpose of the study was to understand the perspective of kinesthetic learners in an online learning environment. A Microsoft Forms survey was created and distributed to the sample population using the university electronic mailing list. If self-identified as kinesthetic learners, subjects were asked to participate in a semi-structured focus group. Twenty-six subjects responded to the survey, with 73% (n=19) identifying as kinesthetic learners. Quantitative results showed subjects felt most confident in content comprehension but less confident in clinical application. Qualitative data collection led to emergence of the following four themes—advantages, disadvantages, accommodations to e-learning, and external factors. …

Teaching Clinical Skills Online: Techniques, Student Feedback, And Lesson Learned, Kathleen Eglseder, Amanda Littleton

Journal of Occupational Therapy Education

The use of online education has long been used in occupational therapy for both post professional and continuing education. In entry level programs, however, strict online education is not common due to the intensive clinical skills that the students must obtain. These are typically taught in lab format with consistent practice and faculty feedback. Due to the COVID 19 epidemic, many universities were forced to make a rapid transition to online learning with little preparatory time. While it is believed that many courses were conducive to this change in format, instructors of clinical skills courses were forced to identify creative …

Use Of A Webinar To Assess Fieldwork Educator Readiness To Provide Occupational Therapy Services And Supervise Students Through Telehealth, Jennifer A. Calabrese, Jeanne M. Coviello, Anna Y. Grasso, Kelly A. Otchet, Erica A. Pugh, Mary Beth Thomas, Bridget Trivinia

Journal of Occupational Therapy Education

At the start of the COVID-19 pandemic in the spring of 2020, many school-based occupational therapy practitioners experienced intensified job demands including a rapid shift to telehealth service delivery. Additionally, academic fieldwork coordinators sought to find effective methods of delivering fieldwork education and supporting those involved, including the occupational therapy fieldwork educators and students, as they navigated the new context imposed by the pandemic. A study was completed using a synchronous webinar format and post-webinar survey to explore school-based occupational therapy practitioners’ perceptions of readiness to provide occupational therapy services through telehealth, the perception of preparedness of potential, current, and …

Advancing The Entry-Level Practitioner: A Curricular Model Of The Professional Occupational Therapy Doctoral Degree, Erika L. Kemp, Lisa A. Juckett, Amy R. Darragh, Lindy L. Weaver, Monica L. Robinson, Carmen P. Digiovine, Lori Demott

Journal of Occupational Therapy Education

The recent growth of entry-level occupational therapy doctoral (EL-OTD) programs has been met with mixed opinions from both occupational therapy educators and practitioners. These opinions occasionally have been accompanied by uncertainty about the specific curricular components that differentiate the EL-OTD from the entry-level master’s degree. In an effort to address this uncertainty, the purpose of this article is to present one example of an EL-OTD curricular model and describe its distinct educational components. This curricular model integrates recommendations for doctoral education originally proposed by Case-Smith et al. (2014) and is characterized by the following three components: 1) Advanced Coursework; …

Interprofessional Reflective Journals: Content Themes And Self-Regulated Learning, Joan M. Tunningley

Journal of Occupational Therapy Education

Self-reflection has been linked with clinical reasoning, academic, and clinical outcomes. The purpose of this study was to examine self-reflective journal entries from thirty students for interprofessional core competencies and for self-regulated learning components. The text data was analyzed using an in-depth three cycle coding process, thoroughly described in the methods. The findings were structured into two themes confirming interprofessional content learning: collaboration, team, and communication; and respect and roles. One additional theme emerged, transformation and relatedness, which indicated self-regulated learning components as well as supporting transformative learning. This qualitative case-study contributed to the research of occupational therapy students’ self-reflection …

Using Metacognitive Training With Kinesiology Students, Christina Davlin-Pater, Leah S. Dunn, Roy Bower, William Cipolli, Sara Biddle

Journal of Occupational Therapy Education

As future healthcare practitioners, kinesiology students must become expert learners who choose strategies resulting in deep and durable learning. Metacognitive instruction goes beyond the use of study skills as it focuses on student reflection and evaluation of their learning success, and ultimately establishes effective learning skills, a requirement for professional practice. To examine if an intervention in a kinesiology course affected metacognitive awareness and use of metacognitive strategies, a quasi-experimental research design utilized a convenience sample of 89 upper division undergraduate occupational therapy students and master’s level athletic training students enrolled in kinesiology courses. Using an online survey including the …

Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor

Walden Dissertations and Doctoral Studies

AbstractLassa fever, a viral disease, was first isolated in the late 1960s and affects 300,000 to 500,000 people, causing 5,000 to 10,000 fatalities annually across West Africa. Although there are studies on the causes and prevalence of Lassa fever, there is a paucity of studies regarding the quality of life (QoL) and lived experiences of survivors. The purpose of this qualitative study, guided by Leininger’s culture care theory, was to describe the QoL and meanings of the lived experiences of Lassa fever survivors in the Southsouth region of Nigeria. Fifteen survivors of Lassa disease were interviewed. Data were analyzed using …

Making Training Memorable: Assessing The Impact Of Animated Video On Learner Satisfaction, Engagement And Knowledge Retention, Leigh Highsmith

Doctor of Nursing Practice Projects

Media rich video provides attributes such as animation, narration, and music that can be incorporated into learning modules which have high potential to promote learning. This project evaluated the impact of transitioning a learning module from static PowerPoint slides to animated (media rich) video on employee satisfaction, engagement, and knowledge retention. Learner satisfaction and engagement was measured using a validated survey instrument designed to evaluate the effectiveness, appeal, and efficiency of the animated video about Hospice and Palliative Care. Knowledge retention was measured by comparing post-test scores between the initial and subsequent second post-test. A retrospective design was used to …

How Faculty And Student Preferences For Active And Traditional Instructional Methods Relate To Their Beliefs, Quantity, And Quality Of Experiences, Knowledge Of The Benefits, And Professional Training, Tammy R. Shilling

Dissertations

Purpose

The complexity of preparing students for clinical practice and the mitigating factors that influence pedagogical preferences impact the current realities of health professional education. The purpose of this quantitative, correlational study is to explain the relationships between faculty preferences and student preferences for active over traditional methods and their beliefs, the frequency and positiveness of their experiences, and the amount and extent of the knowledge or training they have had regarding active and traditional teaching methods. Results may further inform and refine health professional education infrastructure changes to support faculty in pedagogical change as they prepare students with the …