Medicine and Health Sciences Commons^™

Prescription Opioid Misuse And Addiction: Healthcare’S Contribution To The Opioid Epidemic And What Can Be Done About It, Emily Larsen, Katrina Ecke

Nursing | Senior Theses

Up to one in four patients undergoing prolonged opioid therapy in a primary care setting battle opioid addiction. In 2020, the CDC found that more than 16,000 deaths involving prescription opioids (limited to natural and semi-synthetic opioids and methadone) had occurred, which is equivalent to about 45 deaths per day. Opioid overdose death can be identified through three distinct waves; increased prescribing of opioids in the 1990’s began the first wave, the beginning of the second wave came in 2010 with a rapid increase in heroin related overdose deaths, and in 2013 the third wave began with a significant increase …

Editorial: Response To Societal And Environmental Trauma: Supporting Stakeholders Through Health Education, Kimberly B. Garza, Lindsey E. Moseley, Channing R. Ford, Kristen L. Helms

Research, Publications & Creative Work

Within the current political, environmental, and societal landscape, a great number of events in recent years have put a strain on mental health and led to trauma among health professionals, health educators, students, and the patients and communities they serve. This Research Topic, “Response to societal and environmental trauma: Supporting stakeholders through health education,” focuses on strategies and best practices for preparing current and future healthcare providers, public health educators and advocates, and members of the community to face the challenges associated with societal and environmental trauma. It presents five diverse articles that span a wide spectrum, from effects of …

Rethinking Assessment In Response To Generative Artificial Intelligence, Jacob Pearce, Neville Chiavaroli

Higher education research

The use of decision-making support tools during assessments, such as electronic differential diagnosis in examinations, is just the tip of the iceberg when it comes to how technology is currently changing assessment practice. We have reached a transformative stage in the development of artificial intelligence (AI). We can no longer rely on non-invigilated assessments and submitted ‘artefacts’ to demonstrate student learning and competence. This is bringing many long-term demands on educators, course coordinators and curriculum designers, forcing us to rethink assessment approaches. Going forward, we see an important distinction between ‘assisted’ assessments and ‘unassisted’ assessments. With the recent increase and …

Digest Of The Philadelphia College Of Osteopathic Medicine (2023, No. 1), Philadelphia College Of Osteopathic Medicine

PCOM Digest 2020s

The 2023 Vol. 1 issue of the Digest of the Philadelphia College of Osteopathic Medicine includes the following articles:

• Updates
• Advancing Alumni
• Institutional Heritage: Founders’ Day 2023
• Digest Magazine Anniversary Series: 125 Years Through 125 Stories
• The Longest-Tenured Dean: Kenneth J. Veit, DO ’76, MBA, FACOFP, reflects on his historic distinction
• This Old House: The story of the Tudor Revival-style mansion that was renovated to become an administration building at the heart of the PCOM campus in Philadelphia
• Class Notes

Old, Nonagenarians, And Centenarians In Cilento, Italy And The Association Of Lifespan With The Level Of Some Physicochemical Elements In Tap Drinking Water., Silvana Mirella Aliberti, Richard H W Funk, Elena Ciaglia, Joseph S. Gonnella, Aldo Giudice, Carmine Vecchione, Annibale Alessandro Puca, Mario Capunzo

Department of Medicine Faculty Papers

Longevity, as a complex life-history trait, shares an ontogenetic relationship with other quantitative traits, such as epigenetic and environmental factors. Therefore, it is important to identify environmental factors that may modify the epigenome to establish healthy aging. This study explored the association between tap drinking water and longevity in Cilento, Italy, to understand whether trace elements in local drinking water may have an influence on old, nonagenarian, and centenarian people and promote their health and longevity. Data on population and water sources were collected through the National Demographic Statistics, the Cilento Municipal Archives, and the Cilento Integrated Water Service. Ordinary …

Etsu Health Annual Report - 2023, 2023

ETSU Health Annual Reports

No abstract provided.

Athletic Training Students' Perceptions Of Translating Knowledge From Classroom To Clinical Practice, Cailee E. Welch Bacon, Ryan Kroskie, Alicia M. Pike Lacy, Julie M. Cavallario

Rehabilitation Sciences Faculty Publications

Context

As the health care landscape evolves, athletic training students (ATSs) must gain the skills necessary to effectively translate new evidence into practice to optimize patient outcomes. Knowledge translation is an iterative process that promotes the application of new knowledge by users, but little is known about how students perceive this translation process during athletic training education.

Objective

To explore ATSs’ perceptions of knowledge translation.

Design

Cross-sectional.

Setting

Web-based survey with open-ended questions.

Patients or other participants

A total of 255 professional ATSs accessed the survey; 168 students (118 women, 48 men, 2 missing; age = 22 ± 2.3 years) …

Medical Emergency Preparedness Among Undergraduate Students, Savannah L. Finigan

Honors Theses

Knowing how to respond to a medical emergency is a valuable life skill that college students ought to have the opportunity to attain in order to save lives. This study aims to understand how prepared and confident local students are to respond to a medical emergency. Participants consisted of undergraduate students who had no healthcare or nursing school experience. A survey was distributed that asked students to rank and describe their own confidence to respond to medical emergencies. The survey also questioned how much former training or experience they had with medical emergencies. The results of the survey show that …

The Ethical Basis For Student-To-Student Training In Dentistry, Larry E. Jenson Dds, Ma, Joel M. White Dds, Ms

Journal of the American College of Dentists

This article will focus on the most ethically contentious student-to student training practice: local anesthesia administration. We will examine the factors that contribute to a broader understanding of the ethical issues involved and introduce a framework that will help to clarify these issues. We have identified six stakeholders in this issue: the student-as-patient, the student-as-student, the university, the faculty, the general public and the profession.

Strengthening New Hampshire’S Primary Care Workforce Pipeline: Utilization Of Alternative Scheduling Models, Elizabeth Harrison

DNP Scholarly Projects

Abstract

BACKGROUND: Traditional clinical scheduling coupled with the current reimbursement system have created systematic barriers leading to decreased clinical education opportunities. Alternative scheduling models such as longitudinal integrated clerkships, one preceptor to two students and wave scheduling have the potential to eliminate these barriers and provide financial gains and increased access to care.

INTERVENTION: Interventions to meet this quality improvement project's objectives included (1) pre-intervention planning (2) focus groups, (3) video presentations and (4) a pilot program of alternative scheduling models in clinical practice.

RESULTS: A pilot program utilizing the alternative scheduling models increased the relative value units (RVU) of …

Pre-Health Majors And Career Paths At Ud, Udayton

Pre-Health Resource Center Campus Communications

An overview of pre-health majors and career paths offered at University of Dayton.

Didactic Recommendations For Teaching About Integrated Care In Human Services Addiction Education, Kristy Carlisle, Mary Mccloskey

Counseling & Human Services Faculty Publications

This article presents didactic activities and recommendations to implement in human services addiction education that uses Transformative Learning Theory to teach about integrated care approaches that are associated with improved client outcomes. Authors discuss learners’ attitudes and beliefs towards addiction and evidence-based treatment exploring traditional, evidence-based, and holistic treatment practices and experiential learning and reflection. The innovative goal of this article is to advocate for addiction education that expands learners’ belief systems so that they are more open to integrated care options that cater to each individual they treat.

"Teamwork Makes The Dream Work": Infusing Interprofessional Education Into Human Services Curriculum And Training, Nicholas Schmoyer, Kristy Carlisle

Counseling & Human Services Faculty Publications

Given the provision of health and wellness services is shifting towards an interdisciplinary framework, human services professionals may be in a unique position to collaborate with various professionals in the pursuit of client welfare. To competently engage in interprofessional care, interprofessional education (IPE) in human services training programs is necessary. This paper points to the alignment between human services organizations, values, and practice with the Interprofessional Education Collaborative’s competencies and makes recommendations for the didactic infusion of IPE into human services programs, curricula, coursework, and experiences.

The Write Stuff - Winter 2023 (Vol. 20, No. 1), Research Medical Library

Write Stuff 2023

• Protected health information
• Literature reviews: Which type should I write?
• Finding examples of funded NIH applications
• New NIH policy for data management and sharing now in effect
• Unusual terms used in scientific writing and publishing: Person-first language

Coh 1700: Health Care Coordination Syllabus, Sasha Harry

Open Educational Resources

This is the syllabus for a Health Care Coordination course.

The goal of health care coordination is to improve patient outcomes with better health care services. Care coordinators play a critical role in improving patient care. Students will learn how to effectively advocate for patients and interact with members of the healthcare team in finding solutions to provide high quality, value-based, and efficient care. Effective communication styles, assessing patient’s needs and goals, and helping with patients’ transitions of care are among many topics covered in this course. Upon course completion, students will have acquired basic knowledge and skills to educate, …

Gender Differences In Administration Of Tpa In Treatment Of Ischemic Stroke, Christina Annerino

CURE Proceedings

As medicine and pharmacology advance through the years, new life-saving treatments are studied or discovered every day, and a medical emergency is no longer a death sentence. Even with conditions as serious as ischemic stroke, there is hope for survival and rehabilitation with the ‘clot-busting’ drug, tissue plasminogen activator, colloquially known as ‘tPA’. tPA is a thrombolytic agent, a substance that acts on fibrin in clots to dissolve them so they can no longer cause ischemia in blood vessels that results in a stroke. (Vega, 2022). tPA is an extremely effective treatment for ischemic stroke, demonstrated in 2013 by a …

Technology Adoption Of Computer-Aided Instruction In Healthcare: A Structured Review, Queenie Kate Cabanilla, Frevy Teofilo-Orencia, Rentor Cafino, Armando T. Isla Jr., Jehan Grace Maglaya, Xavier-Lewis Palmer, Lucas Potter, Dave E. Marcial, Lemuel Clark Velasco

Electrical & Computer Engineering Faculty Publications

Computer-Aided Instruction (CAI) is one of the interactive teaching methods that electronically presents instructional resources and enhances learner performance. In health settings, using CAI is one of the important ways to improve learners' knowledge and usefulness in their healthcare specialization yet there is still a lack of research that offers a comprehensive synthesis of investigating into the adoption of CAI in healthcare. This research aims to provide a comprehensive review of related literatures on the enablers and barriers for technology adoption of CAI in healthcare. 31 journals were analyzed and revealed that several studies were utilizing the Unified Theory of …

Dean's Research Newsletter, January 2023, Jerry L. Nadler

SOM Dean's Research Newsletter

No abstract provided.

Enhancing Education To Mitigate Workplace Violence To Increase Staff Safety In A High Acuity Setting: A Quality Improvement Project, Michelle Crowley

Master's Theses and Capstones

Background: The current microsystem is a critical access 8 bed Emergency Department with 3 hallway beds. On average it can see anywhere from 30-50 patients in a 24 hour period. Due to the nature of the microsystem, staff are at high risk for experiencing workplace violence (WPV). Within this microsystem staff do not have a readily available communication device on their person in case of an adverse event leaving them susceptible to patient to staff WPV. Staff within this microsystem are Management of Aggressive Behavior (MOAB) 1 and 2 trained, however this does not provide education on risk factors for …

Dermatoses Of The Breast During Lactation, Divya Shan, Sindhuja Koppu, Valerie Coleman, Gauri Gulati, Kimberly Salkey

Open and Affordable Course Content at VCU

No abstract provided.

Dermatologic Manifestations Of Rheumatic Disease: Malignant Cutaneous Tumors, Divya Shan, Julianna S. Kang, Allison Cinats, Julia R. Nunley, Beth Rubinstein

Open and Affordable Course Content at VCU

No abstract provided.

Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci

Dental Hygiene Faculty Publications

Purpose: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used.

Methods: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was …

Athletic Trainers' Experiences Developing And Maintaining Contemporary Expertise, Nicole R. Strout Kemper, Julie M. Cavallario, Stacy E. Walker, Cailee E. Welch Bacon

Rehabilitation Sciences Faculty Publications

Context

The Commission on Accreditation of Athletic Training Education (CAATE) implemented new accreditation standards for professional education in 2020, requiring educators and preceptors affiliated with CAATE-accredited professional programs to identify an area of contemporary expertise. Although this requirement is imperative to ensure that educators and preceptors are exposing students to the breadth and depth of content areas in athletic training practice, little is known about how an area of contemporary expertise is developed and maintained.

Objective

To explore educators’ and preceptors’ experiences with developing and maintaining an area of contemporary expertise.

Design

Cross-sectional.

Setting

Web-based survey.

Participants

Of 449 athletic …

Implementation Of Patient-Centered Care By Athletic Training Students During Clinical Experiences: A Report From The Association Of Athletic Training Education Research Network, Julie M. Cavallario, Bonnie L. Van Lunen, Stacy E. Walker, R. Curtis Bay, Cailee E. Welch-Bacon

Rehabilitation Sciences Faculty Publications

Patient-centered care (PCC) is a core competency that should be required by all healthcare education programs, but little is known about its implementation in athletic training clinical experiences. Therefore, we examined characteristics of patient encounters documented by athletic training students implementing PCC behaviors. A multisite panel design was used to recruit 363 students from twelve professional athletic training programs (five undergraduate, seven graduate). Over 1.5 years, clinical experience patient encounter data were logged in E*Value Case Logs, including student role during the encounter, length of encounter, and clinical site. Generalized estimating equations models characterized the likelihood students included PCC behaviors …

Management Of Opioid Use Disorder In Primary Care, Carolyn Jeffries

Capstone Showcase

The prevalence of opioid use disorder (OUD) in the United States, and worldwide, has drastically increased in the span of 2-3 years. OUD is considered chronic condition and as such requires routine care over a lifetime. This makes OUD patients excellent candidates to be managed by primary care providers (PCPs). This article discusses the various barriers to treatment of OUD in a primary care setting as well methods and models that aim to mitigate these barriers. We will also review how to take a detailed assessment of an OUD patient, mainstays of medication assisted treatment (MAT), and management of side …

Acute Otitis Media: Management And Recurrence In The Pediatric Population, Sydney Klaiman

Capstone Showcase

Acute otitis media (AOM) is one the the most common condition that affects the pediatric population. AOM place burden on affected children, caregivers, the healthcare system, and also contributes to antibiotic resistance. In many cases, AOM is not just a one-time occurrence and is the most common reason that kids receive oral antibiotics and undergo surgery. Relative to the number of articles available, there is a large gap in the research that does not thoroughly address recurrent AOM (rAOM) and the importance of its management and prevention. Therefore, the goal of this poster is to discuss different modalities used to …

Managing Neonatal Pain: A Guideline For Non-Neonatal Providers, Kelly Stanton

Capstone Showcase

Neonatal pain, especially in settings outside of the NICU or newborn nursery, is often under-recognized or even unnoticed altogether. Many providers and parents do not know how to recognize when a neonate is in pain and many do not know how to minimize or alleviate this pain effectively. Even when providers know how to assess pain in neonates, they typically assess for acute pain in the presence of chronic pain, or vice-versa. Untreated pain in neonates harms brain development and can lead to behavior defects later in life for these babies. Due to these outcomes, the recognition and effective treatment …

Use Of The Rasch Model For Fit Statistics And Rating Scale Diagnosis For The Student Perception Appraisal- Revised, Robert J. Hawkins, Janice Hawkins, Beth Tremblay, Lynn Wiles, Karen Higgins

Ellmer School of Nursing Faculty Publications

Background and Purpose: Nursing student retention is essential to meet workforce demands. Jeffrey's Nursing Student Retention Student Perception Appraisal-Revised (SPA-R1) has been used extensively to understand factors that impact retention. Psychometric testing of the SPA-R1 contributes to greater confidence in the instrument's reliability and validity.

Methods: Item response theory and specifically, the single parameter polytomous Rasch model was used as a framework for fit statistic testing and rating scale diagnostics of the SPA-R1. This was a secondary analysis of a convenience sample of undergraduate prelicensure nursing students. The setting for the previous study was virtual, and the study period was …

Creating A Primary Care Track In Prelicensure Nursing Education, Janice E. Hawkins, Lynn L. Wiles, Jamela Martin, Beth Tremblay, Karen Higgins, Ingrid Mahoney

Ellmer School of Nursing Faculty Publications

BACKGROUND: RNs practicing in primary care (PC) increase access to health care and contribute to better patient outcomes and cost savings, yet undergraduate nursing education traditionally focuses on disease-oriented care. This article describes a curricular track for infusing PC prelicensure programs.

METHOD: PC content is threaded across four semesters with targeted assignments and clinical experiences. Providing clinical immersion experiences with practicing RNs as preceptors in community and PC settings is a key component of this initiative.

RESULTS: Student feedback has been favorable. Students stated they gained insight to the role of RNs in PC through class assignments and clinical rotations. …

Climate And Health: Impact Of Climate Education On Nursing Student Knowledge, Confidence, And Intent To Act, Beth Tremblay, Janice Hawkins

Ellmer School of Nursing Faculty Publications

Background: Because climate change negatively impacts human health, nurses need skills to mitigate climate change and nurse educators need effective educational strategies to teach climate change content in undergraduate nursing programs. To address this need, we embedded an energy efficiency treasure hunt and Climate for Health Ambassador Training into our prelicensure nursing curricula.

Purpose: To evaluate the impact of these educational activities on self-reported knowledge, confidence, and intent to engage in climate action.

Methods: A quasi-experimental one-group posttest design examined the effectiveness of 2 educational interventions on increasing knowledge, confidence, and intent to engage in climate action. A convenience sample …