Medicine and Health Sciences Commons^™

Predictors Of Binge Drinking In High School Youths In Montgomery County, Maryland, Lum M. Fube

Walden Dissertations and Doctoral Studies

Underage drinking is a major problem in the United States, leading to increased morbidity and mortality. About 43,000 deaths a year result from binge drinking in youths at a cost of $24 billion in 2010 to the U.S. economy. The purpose of this quantitative dissertation was to examine the predictors of binge drinking in high school youths in a highly racial diverse community of Montgomery County, Maryland. The social ecological model was the theoretical framework used for this study due to the presence of both personal and contextual factors that influence behavior. Using binary logistic regression to analyze data from …

Special Educators' Perceptions On Effective Preparation And Practice For Student Success, Anne Brackney Liese

Walden Dissertations and Doctoral Studies

Alternative school settings are success prospects for students at risk of school failure. However, research on the daily experiences of the special educators in alternate school settings tasked with educating the at-risk population, is limited. The purpose of this phenomenological study was (a) to recognize the perceptions of special educators concerning their preparation to advance the success of SEN students who are at risk of school failure; (b) to determine how to improve special educator preparation programs in alternative school settings. Deci and Ryan's self-determination theory, focused on student success provided the study's framework. Twelve semistructured interviews were conducted to …

Use Of Simulation For Tracheostomy Care, A Low Volume, High Risk Nursing Procedure, Vijaya Ramakrishnan

Walden Dissertations and Doctoral Studies

Often, education regarding low volume and high-risk procedures, like tracheostomy, are ignored. Lack of experience, skills, and human resources can lead to decreases in confidence levels, diminished quality of care, and potentially an adverse event. The purpose of this DNP project was to prepare simulation-based education on the tracheostomy procedure and provide hands-on education to bedside nurses. The project answered the question: To what extent will a simulation-based teaching method adequately prepare staff nurses in a post-acute surgical unit to perform this high risk low volume procedure? The Johns Hopkins evidence-based model method was used to assist in translation of …

Rem Initiative To Develop Educational Strategies For Inductions Of Labor, Chandra Evette Jones-Worthing

Walden Dissertations and Doctoral Studies

Inductions of labor that occur prior to 39 weeks' gestation can pose increased risks for the mother-baby dyad. In the target setting, there is a gap in knowledge among the pregnant women about options for delivery, hospital policies and procedures, and what to expect in the labor and delivery experience. Because of this gap in knowledge, the pregnant patient is unable to make informed decisions regarding her needs, expectations, and care. This lack of knowledge has resulted in a 40-50% rate of inductions of labor at the target site, which is well above the 2014 national average of 25%. In …

Effects Of Transformational Learning On Student Nurses' Perceptions And Attitudes Of Caring For Dying Patients, Kristina Mccall

Walden Dissertations and Doctoral Studies

Nurses spend more time with patients than members of any other discipline in the hospital setting, and most nurses will provide care for dying patients. However, nurses tend to feel uncomfortable providing care to dying patients, which may be due to a lack of education and knowledge about care for dying patients. The purpose of this quasiexperimental 1-group pretest-posttest study was to determine the effect education had on nursing students' attitudes and perceptions about the care they give to their patients at the end of life. The End of Life Nursing Education Consortium (ELNEC) education modules were used for quality …

A Diabetic Child's Impact On An African American Family, Silvanus Okeke

Walden Dissertations and Doctoral Studies

Diabetes, a chronic disease with devastating but preventable consequences, is common in the United States, especially within African American communities. Earlier research has indicated that 21.7% of African American parents have children diagnosed with Type 1 diabetes in the Mississippi Delta Region. Researchers have examined coping, stress, and behaviors of African American parents of children diagnosed with Type 1 diabetes; however, there is a gap in literature regarding how African American parents can cope with stress and how changes in health behavior due to Type 1 diabetes impact African American families. The purpose of this qualitative phenomenological study was to …

Development And Validation Of A Measure Assessing Blind Patients' Perceptions Of Their Healthcare Providers' Stereotype Content, Nazanin Mina Heydarian

Open Access Theses & Dissertations

People with disabilities (PWDs) constitute about 15-20% of the total population. Health disparities among PWD's are due, in part, to stereotypes about PWDs as incompetent. These stereotypes may lead some healthcare providers (HCP) to patronize PWDs, over-focus on the PWDs' impairments and potentially neglect their presenting problem. Moreover, if the PWD violates stereotypical assumptions, the HCP may actively interfere with the PWD's goals. This Dissertation focused on the blind population because this is a large, stigmatized and understudied subpopulation of PWDs. In Study 1, the content of stereotypes about blind patients in the clinical setting were examined from the patient …

8902: Athletic Training Student Application Of Evidence-Based Practice During Clinical Education: A Report From The Athletic Training Clinical Education Network, B. L. Van Lunen, J. M. Cavallario, S. E. Walker, R. C. Bay, C. E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context: Previous research has demonstrated that the translation of evidence-based practice (EBP) from didactic environments to clinical practice can be difficult. The level to which athletic training students (ATSs) incorporate EBP during clinical experiences is still largely unknown. Objective: To assess whether ATSs are integrating concepts of EBP during patient encounters (PEs) as a part of their clinical experiences. Design: Multisite, panel design. Setting: Three Commission on Accreditation of Athletic Training Education-accredited professional athletic training programs (2 baccalaureate, 1 postbaccalaureate). Patients or Other Participants: One thousand three hundred nineteen PEs (539 pediatric patients, 775 adult patients, 5 missing) were entered …

8870: Program Administrators' Perceived Challenges Associated With Developing Preceptors, J. L. Rager, J. M. Cavallario, D. A. Hankemeier, C. E. Welch Bacon, S. E. Walker

Rehabilitation Sciences Faculty Publications

Context: While research has revealed the characteristics, behaviors, and skills that help improve preceptors' success in meeting the objectives of clinical education, a gap in the literature exists as to how preceptors are being developed to ensure they exhibit such characteristics, behaviors, and skills. Understanding potential barriers that prevent program administrators from providing high-quality preceptor development opportunities will help develop future strategies and initiatives that enhance the development of preceptors. Objective: To explore the challenges program administrators (ie, program directors, clinical education coordinators) encounter when developing preceptors for graduate professional athletic training programs. Design: A consensual qualitative research approach guided …

8893: Athletic Training Student Application Of Health Information Technology During Clinical Education: A Report From The Athletic Training Clinical Education Network, C. E. Welch Bacon, S. E. Walker, J. M. Cavallario, R. C. Bay, B. L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Health information technology (HIT) is becoming ubiquitous in health care, so it is essential to ensure professional athletic training students (ATSs) are gaining exposure to the concepts of HIT throughout their clinical experiences. Research has demonstrated that when ATSs observe patient encounters (PEs) they are less likely to implement HIT; however, it is still unclear how or to what extent ATSs are incorporating concepts of HIT during individual PEs. Objective: To assess whether ATSs are integrating concepts of HIT during PEs as part of their clinical experiences. Design: Multisite, panel design. Setting: Convenience sample of 3 Commission on Accreditation …

8892: Athletic Training Student Application Of Interprofessional Education During Clinical Education: A Report From The Athletic Training Clinical Education Network, S. E. Walker, J. M. Cavallario, C. E. Welch Bacon, R. C. Bay, B. L. Van Lunen

Rehabilitation Sciences Faculty Publications

Context: Past research has identified interprofessional education (IPE) as a challenging core competency to incorporate into health care education, and suggested that the lack of IPE is a barrier to students' ability to provide patient-centered care. The extent to which IPE is being incorporated into athletic training clinical experiences for athletic training students (ATSs) is still largely unknown. Objective: To assess whether ATSs are integrating concepts of IPE during patient encounters (PEs) during their clinical education. Design: Multisite, panel design. Setting: Three Commission on Accreditation of Athletic Training Education-accredited professional athletic training programs (2 baccalaureate, 1 postbaccalaureate) via convenience sampling. …

Assessing Expectations Of Physician Assistant Program Applicants Using The Problem-Based Learning Readiness Questionnaire: Effect Of A 1-Hour Pbl Experience, Susan Hawkins, John Laird, Anthony Goreczny

Internet Journal of Allied Health Sciences and Practice

Purpose: Physician Assistant (PA) programs using problem-based learning (PBL) and other self-directed learning pedagogies must inform applicants of the nature of this type of curriculum. The purpose of this study is to determine if the author-composed PBL Readiness Questionnaire can detect changes in applicant expectations of self, others, and facilitators following a one-hour PBL experience.

Method: Applicants to a Physician Assistant program took part in a one-hour PBL experience as part of their admissions interview process and 729 completed the PBL Readiness Questionnaire before and after the experience.

Results: Analysis of variance showed a significant increase in pre versus post …

Facilitating Collaboration Among School And Community Providers In Children's Mental Health, Holly J. Curran

Walden Dissertations and Doctoral Studies

Interprofessional collaboration among school-based and community-based mental health providers in children's mental has been studied in relation to specific providers and as part of program evaluation; however, limited information exists as to how to overcome barriers to collaborative relationships. This study describes the experiences of school and community mental health service providers and those who supervise them. Using phenomenological methodology, three focus-group interview transcripts were analyzed by identifying recurrent themes relevant to the experience of collaboration from school and community providers' perspectives. Although participants viewed aspects of collaboration positively, barriers frequently interfered with collaborative relationships. Support for collaboration from state, …

Education Models For Teaching Adults About Modifying Dietary Carbohydrate And Controlling Weight, Vincient Cleamons

Walden Dissertations and Doctoral Studies

The prevalence of diabetes and other pathophysiological conditions has been correlated with the incidence of obesity. A large portion of an adult community in the northwestern United States suffers from excessive weight that has been linked to premature mortality rates and certain forms of diabetes. Excess calories from carbohydrate have been shown to increase weight. Therefore, diets that are modified in carbohydrate and calories may help mitigate weight and obesity comorbidities. This qualitative, single case study's purpose was to explore the methods health care professionals use for teaching adults about controlling weight. Altheide and Johnson's analytic realism theory, in which …

Food Allergy In Youth: A Primer For Allied Health Professionals, Philip Welch, Lauren Maziarz, Macy Mccartney, Chelsea Raker

Internet Journal of Allied Health Sciences and Practice

Purpose: Many youth struggle with the physical, mental, and social burdens of food allergy. The exact cause of food allergies is unknown, but several theories exist such as the “couch potato theory”, “hygiene hypothesis”, “microflora theory”, and “alarmins” theory. This non-systematic literature review summarizes the problem of youth food allergy and provides guidance to allied health professionals.

Method: A literature search of the relevant literature from years 2000 through 2017 was conducted using PubMed with the key words “food allergy”, “youth”, and “management”.

Results: Youth with food allergy may experience anxiety, social isolation, bullying, and depression, in addition to life-threatening …

Under The Influence: An Interdisciplinary Approach To Psychedelics, Jody Roun

Master of Liberal Studies Theses

The following research will outline the effects of psychedelics from an interdisciplinary approach, which is to say that I will explore the neuroscience behind psychedelic drugs and how it relates to creativity, as a primary focus, while examining the role of additional points included along the way. The goal of this research, is to gain a deeper understanding of psychedelics and truly decipher what it means to be under the influence, as the most important goal of this human existence is to achieve understanding. The aforementioned is a point that great minds like Albert Einstein and Humphry Osmond impressed on …

Nutrition Label Accuracy And The Theory Of Triadic Influence: The Impact Of Knowledge On Healthy Food Choices In A Predominantly Hispanic Sample, Mosi Staudt Dane'el

Open Access Theses & Dissertations

Unhealthy food choices and the outcomes of those choices are a significant concern in the United States. Multiple governmental agencies recommend using nutrition labels to promote healthier food choices. This study investigated this claim using the theory of triadic influence to examine the efficacious use of nutrition labels on food choices. The theory of triadic influence presents a model of variables that affect food choice, including knowledge pathways on which this study focuses. Within the model, we expected increased scores on two measures of health knowledge to predict nutrition label understanding, which predict healthy food attitudes. Next, we expected that …

Effects Of Simulated Clinical Experiences On Empathy, Self-Confidence, And Satisfaction In Nursing Students, Dawn Riess

Walden Dissertations and Doctoral Studies

Empathetic communication enhances the nurse-patient relationship and improves patient outcomes and needs to be taught and evaluated during simulated clinical experiences. Experience in healthcare education has shown students' empathy levels decrease over time. The purpose of this quasi-experimental pretest posttest, study was to compare nursing students' empathy levels, self-confidence, and satisfaction with simulation between the use of the high-fidelity manikin simulator (HFMS) and a standardized patient (SP) used during their simulated clinical experience. Kolb's experiential learning theory was used to guide the study through the four phases specific to simulation and learning. Convenience sampling was used to recruit 135 nursing …

Concerning Trends In Allopathic Medical School Faculty Rank For Indigenous People: 2014–2016, Erik Brodt, Amanda Bruegl, Erin K. Thayer, M. Patrice Eiff, Kelly L. Gonzales, Carlos J. Crespo

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Trends in faculty rank according to racial and ethnic composition have not been reviewed in over a decade.

Objective: To study trends in faculty rank according to racial and ethnicity with a specific focus on Indigenous faculty, which has been understudied.

Methods: Data from the Association of American Medical Colleges’ Faculty Administrative Management Online User System was used to study trends in race/ethnicity faculty composition and rank between 2014 and 2016, which included information on 481,753 faculty members from 141 US allopathic medical schools.

Results: The majority of medical school faculty were White, 62.4% (n = 300,642). Asian …

Department Of Education: Fy2018 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.

Blood Sugar Control In The Hospital, Lehigh Valley Health Network

Department of Education

No abstract provided.

Validating A Home Health Care Staff Educational Module For Wound Treatment And Documentation, Kimberly Sanders Hebert

Walden Dissertations and Doctoral Studies

Although guidelines and minimal standards for the care and documentation of wounds in home health care settings in the United States are available, there is a lack of compliance among many home health care agencies (HHAs) with regard to the accuracy of wound documentation and care of wounds. Failure to follow guidelines for wound care according to Centers for Medicare and Medicaid Services and Home Health Outcome and Assessment Information System standards could result in loss of revenue for HHAs, improper treatment of wounds, and legal ramifications. The purpose of this doctoral project was to develop and validate a staff …

Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) faculty members are responsible for adequately preparing counselors-in-training (CIT) for their work with diverse populations. Current literature explains traditional multicultural counseling education in this way; however, little research is available exploring faculty members' personal and professional experiences with intersectionality and how those experiences contribute to their pedagogy. In this dissertation, CES faculty members' experiences with intersectionality theory and how they could use this theory in their multicultural pedagogy were explored. Research questions exploring CES faculty use of intersectionality in their multicultural coursework, how their personal experiences contribute to their pedagogy, and their experiences with privilege …

Predicting The Nclex-Rn Pass Rate At An Associate Degree Nursing Program, Dawne Devoe Olbrych

Walden Dissertations and Doctoral Studies

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) first-time pass rate for an associate degree in nursing (ADN) program was below the national mean, presenting a problem for graduates who failed the NCLEX-RN and could not enter the workforce as registered nurses. Knowles's assumptions of adult learning, Ebbinghaus's forgetting curve, and Zull's neuroscience research served as the theoretical frameworks for this study. The purpose of this study was to identify which academic and time-lapse variables predict the graduate's first-time passage for the NCLEX-RN. Archived academic records and NCLEX-RN results for all 786 graduates from one ADN program who took …

Developing An Impella Education Program For The Critical Care Registered Nurse, Sara Jackson

Walden Dissertations and Doctoral Studies

Every year, hundreds of thousands of patients have coronary angiograms performed in the United States. The Impella is a percutaneous ventricular support device that provides hemodynamic support for patients if hemodynamic instability occurs during the procedure. The critical care nurse is responsible for the recovery and management of the patient with the Impella device in place. The purpose of this scholarly project is to provide registered nurses (RN) who have not previously managed the Impella device with the appropriate education in order to demonstrate competency. The program demonstrated improved RN knowledge about the Impella and increased confidence when managing the …

Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson

Walden Dissertations and Doctoral Studies

Exercise benefits patients with cancer during and after treatments. A formalized educational program is lacking at the project's site for oncology nurses on the benefits of exercise for their patients during and after treatment. The purpose of the project was to address the identified gap in practice at the project's site by providing education to oncology nurses on the benefits of exercise for their patients during and after treatment. The ARCS model of motivational design was used as a theoretical foundation to develop and guide the educational program presented to the oncology nurses. The question addressed in the project was: …

Exploratory Application Of A Sensory Activity Schedule In Head Start Preschool, Marian Perez, Elaine Wong, Michelle Perryman

Student Research Posters

Objective: The objective of this research is to determine whether the implementation of sensory activity schedule in a preschool classroom can increase the on-task behaviors of the students.

Methods: Three students were recruited to participate in a quantitative multiple single subject design with qualitative follow-up study. The participants performed sensorimotor activities before circle time and were monitored for frequency of their off-task behavior using a time sampling frequency data collection. Afterwards, the head teacher was interviewed to discuss the experience.

Results: Off-task behavior decreased from baseline on all three children, which supports the efficacy of sensory activity schedule in reducing …

Neurological Involvement Associated With Plasmodium Vivax Malaria From Pakistan, Yousaf Abdullah Khan, Usman Hameed Mian, Najia Karim Ghanchi, Ali Bin Sarwar Zubairi, Mohammad Asim Beg

Department of Pathology and Laboratory Medicine

Plasmodium vivax is the most common specie causing malaria outside Africa with approximately 13.8 million reported cases worldwide. We report case of P. vivax infection with cerebral involvement. A nine year old boy presented with high grade fever accompanied by projectile vomiting and abnormal behavior later he developed seizures, shock, and unconsciousness. P. vivax monoinfection was diagnosed based on peripheral smears and PCR. After antimalarial therapy, patient made full recovery. Current case highlights increasing trend of cerebral complications caused by P. vivax.

2018 Spring Newsletter, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2018 Spring Newsletter of the Department of Nursing at Morehead State University.

2018-2019 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2018-2019 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.