Medicine and Health Sciences Commons^™

Evidence-Based Care In Urgent Care Centers, Kelly Wagner

Walden Dissertations and Doctoral Studies

Concussions are brain injuries--also called mild traumatic brain injuries--that affect the function of the brain temporarily or permanently. The purpose of this doctoral project was to develop an education module for staff at an urgent care center to address the lack of knowledge and low level of comfort regarding the care for patients with a head trauma. This project introduced and educated the clinical staff on an evidence-based protocol for the treatment and management of a patient with a concussion. The Rosswurm and Larrabee model for evidence-based change was used as a foundation for refining the practice question, gathering evidence, …

Educational Plan For Correctional Officers To Increase Awareness Of Diabetes Mellitus Among Inmates, Zaheerah Yasmeen Shareef

Walden Dissertations and Doctoral Studies

In the United States, approximately 30.3 million or 9.4% of the population have been diagnosed with diabetes mellitus. Of these, 8.3 million remain undiagnosed. There are approximately 2 million people incarcerated in detention centers, jails, and prisons across the United States with approximately 80,000 inmates living with diabetes. Correctional officers are not educated to identify and respond to inmates with evolving medical complications, such as low or high blood glucose, which can lead to preventable adverse events, including permanent injury or death. The purpose of this project was to develop an evidence-based education module to teach correctional officers how to …

A Clinical Practice Guideline To Improve Education In The Heart Failure Population, Mailey L. Wilks

Walden Dissertations and Doctoral Studies

Managing heart failure patients in the outpatient setting can pose a challenge for nurses and health care staff due to the need to educate patients on self-care skills and management of disease. Several factors, including health literacy and numeracy, need to be considered when developing an education program for heart failure patients to promote self-care management. The purpose of this project was to provide nursing staff with a clinical practice guideline (CPG) that incorporated health and numeracy literacy assessment into an individualized education program. The Johns Hopkins nursing evidence-based practice (EBP) model, the situation-specific theory of heart failure (HF) self-care, …

Nursing Education To Prevent Resident Falls In Long-Term Care, Henrietta Aguwa

Walden Dissertations and Doctoral Studies

Residents in nursing facilities are more prone to falls than those living in the community. Injuries resulting from falls impact residents, their families, and healthcare costs. The gap in nursing practice was the lack of a comprehensive fall-prevention program in a long-term care facility that had experienced high fall rates among residents. This project addressed whether an educational program using the American Medical Directors Association's clinical practice guideline and the Centers for Disease Control and Prevention's STEADI (Stopping Elderly Accidents, Deaths, & Injuries) toolkit for fall- prevention improved the self-efficacy of direct-care staff in preventing falls among residents in a …

Simulation As A Remediation Tool For Clinically At-Risk Associate Degree Nursing Students, Janna G. Lock

Walden Dissertations and Doctoral Studies

Evidence-based remediation options are limited for nursing students who fail their clinical competency evaluations. Scholarly literature provides a paucity of studies related to the use of simulation-based technology to remediate nursing students. The research question focused on the difference in the initial competency demonstration evaluation scores of associate degree nursing students compared to the reevaluation scores after remediation with simulation-based technology. Benner's novice to expert and Kolb's experiential learning theories were used to explain how nurses acquire and develop skills. The researcher used a quantitative one-group pretest posttest design to examine archival data from 149 nursing students from a South-Central …

2019-2020 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2019-2020 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

2019-2020 Nursing Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2019-2020 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Development Of A Program To Educate Physician Assistant Students On Performance Of A Comprehensive Breast Exam, Pamela B. Jaffey, Diana Cherkiss, Mara Sanchez, Patrick Hardigan

Internet Journal of Allied Health Sciences and Practice

ABSTRACT

Purpose: The purpose of this study was to develop a new program to educate physician assistant (PA) students on the performance of a comprehensive breast exam and to test its effectiveness as compared to the previous program. Methods: The preexisting educational program for the performance of a clinical breast exam was evaluated during the term prior to the start of clinical rotations for the class of 2015. Baseline data were obtained from this control group by evaluation of student competency using a skills examination, utilizing a Nasco Advanced Breast Exam Simulator, and using a female standardized patient. An innovative …

Multifaceted Contents And Techniques For Designing Health Communication Courses, Maria Brann, Laura Russell

Journal of Communication Pedagogy

Health communication courses explore health phenomena from various angles. Whether focusing on interpersonal and organizational relationships or addressing community and national campaigns, instructors may choose from various contents to design these courses. This essay highlights critical questions, contents, and activities useful for instructors seeking information for designing health communication courses. Moreover, the authors reflect on sensitive issues unique to these courses that instructors should take into consideration when teaching.

Examining Sensory Ability, Feature Matching And Assessment-Based Adaptation For A Brain–Computer Interface Using The Steady-State Visually Evoked Potential, Jonathan S. Brumberg, Anh Nguyen, Kevin M. Pitt, Sean D. Lorenz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: We investigated how overt visual attention and oculomotor control influence successful use of a visual feedback brain-computer interface (BCI) for accessing augmentative and alternative communication (AAC) devices in a heterogeneous population of individuals with profound neuromotor impairments. BCIs are often tested within a single patient population limiting generalization of results. This study focuses on examining individual sensory abilities with an eye toward possible interface adaptations to improve device performance.

Methods: Five individuals with a range of neuromotor disorders participated in four-choice BCI control task involving the steady state visually evoked potential. The BCI graphical interface was designed to simulate …

Promoting Nurses Management Of Night Shift Sleepiness, Sunday Iken Okundolor

Walden Dissertations and Doctoral Studies

Nurses are largely unaware of the problems of night-shift-nurse sleepiness and available strategies to manage night-shift sleepiness. The purpose of this project was to examine nurses' self-perception, awareness of sleepiness, and current strategies to manage this problem in the emergency medicine department of a major academic hospital in the western United States. The validated de-identified Karolinska Sleepiness Scale (KSS) was used to measure the prevalence and intensity of night shift nurses' sleepiness prior to the development of an educational program on strategies to manage sleepiness. Of the 164 registered nurses surveyed, 72 (43.9%) reported sleepiness greater than 7 on the …

The Effect Of An Educational Video On Device-Related Concerns In A Single-Center Left Ventricular Assist Device Population, Devan Costelle

DNP Projects

PURPOSE:The purpose of this study is to evaluate the prevalence of various concerns among left ventricular assist device (LVAD) patients and evaluate the effect of an educational video intervention on reducing those concerns in a single-center adult LVAD population.

METHODS:A 15-point LVAD Concerns Scale was created to evaluate the prevalence of specific device-related concerns. An educational video was created to address the concerns presented in the LVAD Concerns Scale. Data collection took place from November 2018 to February 2019. A cross-sectional, pre- post-test implementation study design was used to both identify various device-related concerns that exist among LVAD patients and …

The Effect Of An Emotional Intelligence Training Program On Use Of A Transformational Leadership Style Among Nurse Managers, Audrey Frias

DNP Projects

Background: Leaders with high levels of emotional intelligence have been associated with transformational leadership styles, which have been found to directly impact leader effectiveness. Emotional intelligence training has been deemed the most effective method for improving nurse manager emotional intelligence and transformational leadership by providing participants with the tools they need to be successful.

Conceptual Framework: Transformational leadership was used as the conceptual framework for this study and is defined as ‘‘a leadership process that is systematic, consisting of purposeful and organized search for changes, systematic analysis, and the capacity to move resources from areas of lesser to greater productivity …

Momentum 2019, Stephanie Clarke

Momentum

A journal of undergraduate research

Saudi Arabian Students In Postgraduate Dental Programs: Investigating Factors Associated With Burnout, Asiri Amal

University of the Pacific Theses and Dissertations

Burnout related to emotional and physical study or work demands affects an individual’s performance and well being. This study focused on Saudi Arabian dental residents studying in the United States and the United Kingdom who are faced with many challenges in pursuit of a higher education degree. A survey including demographic and MBI questions was distributed to assess this population’s level of burnout. The Maslach Burnout inventory (MBI) was has been widely used in the literature to assess three components of burnout: emotional exhaustion (EE), depersonalization (DEP), and (diminished) personal accomplishment (PA). Potential predictors of burnout level, tested for statistical …

Reflections On Changing Pedagogy Of Augmentative And Alternative Communication, Kelly Kleinhans, Lauren E. Bland, Richard Dressler

Journal of Excellence in College Teaching and Learning

Augmentative and alternate communication (AAC) is a service delivery area in the field of speech-language pathology. Individuals with significant and complex communication impairments benefit when a speech-language pathologist develops a communication system that either replaces or augments traditional speech. AAC includes the use of assistive technology designed to represent language and produce voice output. The profession's credentialing body, the American Speech-Language Hearing Association, requires university training programs to document student's knowledge and skills in AAC for working with clients across the lifespan. The authors reflect on how pedagogy associated with AAC has been transformed over time by external influences like …

Teachers' Perception Of Mental Health In The School System, Nicholas Caldwell

Masters Theses

The study examined teachers' perceptions of their school's mental health system. Specifically, teachers were asked about their role in the identification process, how effective their school's system is at identifying and treating mental health problems, and their suggestions for improvement. Mental health problems affect a significant portion of today's youth (Merikangas et al., 2010). Mental health problems can negatively impact an adolescent's academic achievement, social relationships, and behavioral functioning (Woodward & Fergusson, 2001). Six teachers from a southeastern, rural Illinois high school participated in the study. Each teacher participated in a single interview and discussed their perceptions of the school's …

Wellness In Asexual-Identified Individuals: The Impact Of Social Support And Microaggressions, Elisa Marie Woodruff

Graduate Research Theses & Dissertations

One hundred sixty asexual identified individuals living in the United States were recruited from asexual online communities. The participants completed a comprehensive survey consisting of Zimet et al.’s 1988 Multidimensional Scale of Social Support, Foster’s 2017 Asexual Microaggression Scale, and the Five Factor Wellness Inventory Adult Version Revised (FFWEL-A2) developed by Myers and Sweeney in 2014, as well as 15-item demographic items. Regression models were used to assess relationships among the factors.

Social support was found to have a significant positive impact on participant wellness, supporting previous social science research. Microaggressions were not found to have a negative impact on …

Adaptation Of Heart Failure Education Materials For The Middle Eastern Population, Nadine A. Williams

Walden Dissertations and Doctoral Studies

Cardiovascular disease, including heart failure, is the leading cause of death among male and female Middle Eastern Americans. In 2016, a medical center located in the northeastern region of the United States had an estimated 35% of heart failure patients readmitted within 30 days of discharge, 10% of these readmitted patients belonged to the local Middle Eastern community. The gap in nursing practice noted by nursing staff, patients, and their families was that the patient education materials on heart failure were not tailored to the cultural beliefs and customs of this high-risk population. The purpose of this project was to …

Health Care Leaders' Strategies To Reduce Nursing Turnover, John Clayton Phelps

Walden Dissertations and Doctoral Studies

Health care leaders who lack effective nurse turnover strategies can negatively affect patient quality of care, productivity, and profitability. The purpose of this single case study was to explore strategies health care leaders used to reduce nursing turnover in a health care organization. The conceptual framework for this study was Herzberg's 2-factor theory. Data were collected from semistructured interviews with 4 health care leaders in the West Texas region who had a history of reducing nurse turnover for a minimum of 5 years from the date of hire, and from review of organizational documents related to the strategies to reduce …

Occupational Therapy Student Conceptions Of Self-Reflection In Level Ii Fieldwork, Susan L. Iliff, Gaylene Tool, Patricia Bowyer, Diane Parham, Tina S. Fletcher, Wyona M. Freysteinson

Journal of Occupational Therapy Education

Self-reflection is paramount to the development of professionalism and serves as the foundation of adult education and lifelong learning. Pedagogical approaches in health sciences programs that promote self-reflection are growing in popularity. Current literature identifies a gap in what and how students conceive self-reflection and whether self-reflection is creating professionals that meet the challenges of today’s healthcare climate. This qualitative study explores the conceptions of self-reflection for occupational therapy students in Level II Fieldwork. The use of phenomenographic methodology guided the collection of information-rich data through semi-structured interviews. Twenty-one occupational therapy graduates volunteered to participate in the interviews. Verbatim transcripts …

Qualitative Analysis Of Peer Supervision Training Needs In A Student-Run Occupational Therapy Clinic, Anne Murphy-Hagan, Lauren E. Milton

Journal of Occupational Therapy Education

The philosophy behind occupational therapy (OT) education espouses the belief that students are dynamic actors in the teaching-learning process, participating in self-appraisal and professional identity development. Yet, best-practice guidelines have not been developed to support students acting in a supervisory role, or contrastingly, receiving supervision from a peer. This study took place at a student-run OT clinic at a large research university in the Midwest. Qualitative methods were employed to investigate the question: What educational and training supports are needed to assist OT students with peer supervision in a student-run clinic? Six OT students participated in a focus group and …

The Development Of A Cancer-Related Cognitive Impairments Seminar For Occupational Therapy Practitioners, Sara S. Ulfers, Christine Berg

Journal of Occupational Therapy Education

Occupational therapy practitioners are qualified to address the emergence of functional deficits from cancer-related cognitive impairments (CRCI); however, they have reported a need to address gaps in their knowledge of CRCI. The purpose of this study was to comprehensively design, disseminate and examine the impact of implementing a face-to-face continuing education seminar designed to enhance occupational therapy practitioners’ knowledge of CRCI in adults and older adults. After completing a needs assessment and designing the seminar, the seminar was piloted with occupational therapy students (n = 64) where student feedback guided modifications to the seminar’s content, design and evaluation. The …

Increasing Emotional Intelligence Through Self-Reflection Journals: Implications For Occupational Therapy Students As Emerging Clinicians, Natalie A. Perkins, Arlene A. Schmid

Journal of Occupational Therapy Education

Occupational therapy practitioners and students need skills associated with emotional intelligence (EI) as it is linked with therapeutic use of self. It is vital to train and educate occupational therapy students in self-awareness in order to prepare them to work effectively with future clients and co-workers. This study explored the use of self-reflection journals among graduate students during their spring semester of a full-time on-campus Master’s in Occupational Therapy program. Researchers aimed to understand the impact of self-reflection journals on trait EI. First year master level occupational therapy students (n=39) completed the Trait Emotional Intelligence Questionnaire (TEIQue). Quantitative data were …

Student Perceptions And Grade Comparisons After Exposure To Instructor-Made Skills Videos In A Kinesiology Course, Pamela Karp, Robert G. Gallagher

Journal of Occupational Therapy Education

The purpose of this mixed method, descriptive case study was to determine whether the use of pre-recorded instructor-made videos (PRIMVs) in a kinesiology course, along with curricular design changes, facilitated increased conceptual and practical student learning. The study examined three student cohorts in one occupational therapy program. Two of the student cohorts had unrestricted access to the PRIMVs designed to support student learning of bone and muscle palpation and joint actions. Students from the two cohorts completed a survey about their experience of having access to the videos. Exam data from the student cohorts who had access to the videos …

Use Of Case Studies To Promote Critical Thinking In Occupational Therapy Students, Denise D. Allen, Susan Toth-Cohen

Journal of Occupational Therapy Education

Critical thinking is a necessary component of clinical reasoning that should be addressed as part of the graduate curriculum for occupational therapists. For students to apply critical thinking in practice they must also have confidence and minimal anxiety about their abilities. Case-based learning was chosen to address critical thinking skill development, increase confidence, and decrease anxiety. The purpose of this mixed methods pilot study was to evaluate progressively independent engagement with case-based learning on student performance, confidence, and anxiety in applying critical thinking skills in the clinical setting. Critical thinking was measured using a rubric to assess students’ performance in …

Proposing A Metacurriculum For Occupational Therapy Education In 2025 And Beyond, Quinn P. Tyminski, Amy Nguyen, Steven D. Taff

Journal of Occupational Therapy Education

The American healthcare system has undergone significant changes in the past few years due to government and corporate-level changes. As healthcare requirements continue to shift, occupational therapists must continue to assert their role or risk losing relevancy. Therefore, educational programs must prepare students to meet the populations’ shifting healthcare needs through agile curricula which focus less on isolated skills and more on broad areas of impact. To determine essential content comprising a ‘metacurriculum’ for occupational therapy education of the future, nine articles were analyzed using Bloom’s Taxonomy (revised) to code each document into knowledge, skills, and behaviors. Major themes were …

Instructing Students How To Use Evidence-Based Technology Interventions With Older Adults, Michele L. Tilstra, Michelle L. Webb, Sandra E. Groger

Journal of Occupational Therapy Education

Current evidence supports the use of technology with older adults and the Accreditation Council for Occupational Therapy Education standards for entry-level occupational therapy programs mandate instruction on the use of technology to support occupational performance. The literature does not clearly define specific strategies to teach entry-level occupational therapy students how to implement technology interventions with older adults. The purpose of this paper is to provide OT educators with recommendations for teaching entry-level students to use evidence-based technology with older adults. The authors reviewed current literature. The recent evidence helped the authors define practical curriculum recommendations for instructing entry-level occupational therapy …

Design Of An Osce To Assess Clinical Competence Of Occupational Therapy Students, Nancy E. Krusen, Debra Rollins

Journal of Occupational Therapy Education

Objective structured clinical examinations (OSCEs) are a series of controlled, timed stations in which students demonstrate clinical skills. OSCEs are commonly used within health professions education to demonstrate competence, prepare for clinical education, and conduct program evaluation. The body of literature addressing the use of OSCEs in occupational therapy (OT) is growing; however, there are no available guidelines for developing an OSCE specific to the profession. The purpose of this paper is to describe the design of an OSCE for OT students prior to fieldwork placement. Twelve OT practitioners participated in a modified-Delphi method to generate possible OSCE scenarios. The …

Fatigue In Collegiate Aviation, Erik Levin, Flavio Coimbra Mendonca Mr, Julius Keller, Aaron Teo

International Journal of Aviation, Aeronautics, and Aerospace

Flight training has received little attention in fatigue research. Only transfers of knowledge gained in commercial and military aviation have been applied to general aviation without bridging the gap to the training environment. The purpose of this study was to assess collegiate aviation students’ perceptions of lifestyle and mitigation strategies related to fatigue. Participants were recruited from a Midwestern university’s accredited Part 141 flight school and a partner fixed base operator (FBO). The researchers of this study used a survey questionnaire to gather quantitative and qualitative responses. The majority of participants (68%) had logged less than 250 flight hours and …