Medicine and Health Sciences Commons^™

Use Of Online Educational Modules To Improve Occupational Therapy Students’ Knowledge And Perceptions Of Their Emotional Intelligence Skills: An Evidence-Based Pilot Study, Jennifer Calabrese, Jennifer E. Lape, Theresa Delbert

Journal of Occupational Therapy Education

Many current students studying in health care professions lack skills in communication, socialization, and decision-making that can lead to an inability to recognize and manage emotions, indicating a need for emotional intelligence training in university health field curricula. This article presents an evidence-based study that used a new approach to education using online emotional intelligence modules within a graduate occupational therapy program to supplement the program’s curriculum. The study was completed over six and one-half weeks and included 28 second-year graduate occupational therapy students. A pre/post-survey design was used to determine participants’ knowledge and their perceptions of their own emotional …

Implementing School-Based Education Programs To Combat Lack Of Access To Psychiatric Facilities In The United States, Marisa L. Sparbanie

Kentucky Journal of Undergraduate Scholarship

One in five Americans are diagnosed with a mental illness, yet only 41% of adults received healthcare services in the past year. Due to barriers in accessing care, services are costly, wait times are long, and appointment times are inconvenient. Lack of access to quality, affordable care disproportionately affects those in rural areas and individuals with low socioeconomic status. School-based mental health education programs should be developed as a beginning step to combat increasing mental health conditions and limited access to healthcare facilities. Lack of access to care may lead to occupational injustices such as: occupational alienation, deprivation, and imbalance. …

Healthcare Access Barriers In Rural America, Lakyn E. Jolly

Kentucky Journal of Undergraduate Scholarship

• In rural America, the path to accessing healthcare is met with many challenges. These challenges can present geographically and structurally within rural healthcare systems, as well as larger healthcare delivery entities. Due to these access barriers, rural Americans are at higher risk for developing poor health outcomes, as compared to their urban counterparts. Among these are higher mortality and morbidity rates, higher instances of chronic conditions, and higher rates of childhood obesity. Because rural communities are at risk for adverse health outcomes, it is vital that research and policy be geared toward reducing barriers to accessing healthcare within this population. …

Healthcare Of The Lgbt Community, Hannah N. Vance

Kentucky Journal of Undergraduate Scholarship

There are laws and policies that are currently put into place to protect and provide adequate healthcare for LGBT individuals. However, these different laws and policies are not strongly enforced, therefore, members of the LGBT community continue to experience health disparities resulting in a poor quality of life and reduced health outcomes. In order to prevent these discrepancies, it is important that mandatory education for healthcare providers be implemented so beliefs and attitudes can be positively altered to support improved health outcomes. If education for healthcare providers is implemented, and if laws protecting this population are fully enforced, then LGBT …

Healthcare Access And Poverty Among Central Appalachian Residents, Kacey M. Lefevers

Kentucky Journal of Undergraduate Scholarship

Healthcare access is an important shaping force in the lives of Appalachian people. Appalachians often face both inadequate availability of medical facilities and poverty, which limits access to health insurance and therefore healthcare. This results in reduced life expectancy and health disparity. In this study, the author examines relationships between adequate healthcare and access to healthcare among Appalachian residents. Using a convenience sample of Appalachian residents, the author finds that income, education, and being an Appalachian resident have unique impacts on healthcare access or perceptions of healthcare in general.

Use Of Self-Care Standardized Assessments In Occupational Therapy Skilled Nursing Home Practice, Courtney M. Green

Occupational Therapy Doctorate Capstone Projects

Background: Understanding why occupational therapists select certain self-care standardized assessments within the skilled nursing setting is important to ensure outcomes are accurately measured. Consistent use of self-care standardized assessments can further support the utilization of occupational therapy services. Limited research is available to understand why occupational therapists use self-care standardized assessments in general as well as specifically within skilled nursing facilities (SNFs).

Purpose: The objective of this project is to discover the supports and barriers to utilizing self-care standardized assessments among occupational therapy practitioners who work within for-profit SNFs.

Theoretical Framework. Theoretical framework utilized to evaluate the intrinsic and extrinsic …

Improving Nurse-To-Nurse Handoff Communication At The Bedside Through Simulation-Based, Lisa Thornsberry Mrs.

Doctor of Nursing Practice Projects

Communication among nursing staff is crucial to the outcome of patient care. Poor handoff and communication among professionals can have a negative impact on the safety of patients. The systemic nature of the problem with miscommunication among healthcare clinicians supports the necessity of standardization of communication among nursing as a handoff of care.

Change of shift report, or nurse-to-nurse report ensures the transfer of critical information to promote patient safety and best practices. Transferring and communicating pertinent information from one shift to the next is one factor in providing continuity of care. Bedside Shift Report (BSR) is an opportunity to …

Increasing Medication Error Reporting To Improve Patient Safety, Dianna Madden

Doctor of Nursing Practice Projects

In 2006, the Institute of Medicine estimated that 1.5 million preventable adverse drug events occur in healthcare facilities annually (Institute of Medicine, 2006). Each ADE adds approximately $8,750 per hospital stay (Institute of Medicine, 2006). In 2017, the Food and Drug Administration (FDA) estimated that 1.3 million people are injured annually from medication errors (Agency for Healthcare Research and Quality, 2017). For the purposes of this project, all Registered Nurse staff on the Medical-Surgical unit were mandated to participate in an education targeted at medication error reporting, the importance of reporting, and a demonstration of inputting an error into the …

Streamlining The Nursing Approach To Newborns With Neonatal Abstinence Syndrome, Gail A. Reichert

Doctor of Nursing Practice Projects

Newborns may suffer from withdrawal symptoms after exposure to maternal substance abuse while in-utero, resulting in negative outcomes for the patient, family, and healthcare system. Neonatal Abstinence Syndrome (NAS) has increased by 300% in the United States. Non-pharmacological interventions such as rooming in, breastfeeding, and parent education are nursing activities which can improve the outcomes for NAS patients. However, a formal protocol to identify, assess, and treat the patients with non-pharmacologic evidence-based interventions is lacking. The purpose of this project was to develop, implement, and evaluate a sustainable policy to incorporate evidence-based strategies into nursing care at a rural community …

Mobile Video Monitoring To Reduce Falls And Sitter Usage, Jennifer L. Forman

Doctor of Nursing Practice Projects

In the United States between 700,000 to 1,000,000 people fall in hospitals each year. Reducing patient falls in the inpatient setting remains a challenge for many acute care hospitals. Inpatient falls can lead to serious injuries such as fractures and internal bleeding. Fall-related complications can lead to increased hospital stay, prolonged rehabilitation, and increased healthcare costs. Inpatient falls are considered preventable. One intervention commonly used to prevent falls and keep patients safe is the use of an in-person sitter or a patient safety companion (PSC). However, sitters are very costly and considered a variable staffing resource. The need for a …

Cultural Competency Training In Primary Care: A Pilot Project For Improving Culturally Competent Care, Diane F. Riff

Doctor of Nursing Practice Projects

As America grows increasingly diverse, there is a recognized need for increased cultural competence in Nurse Practitioners (NPs) and other healthcare workers. Research has shown that when health care providers are not attentive to providing culturally competent care, there is a subsequent negative impact on the quality, safety and cost of patient care. Cultural

competency is a recognized and popular approach to improving the provision of health

care to racial/ethnic minority groups in the community with the aim of reducing health disparities in racial/ethnic minorities. The project sought to improve NPs’ and other health care workers’ abilities to provide culturally …

Utilizing Simulation For Family Member Caregivers Of Nicu Infants: A Pilot Project, Brenda M. Seegmiller

Doctor of Nursing Practice Projects

According to the World Health Organization (WHO), there are approximately 15 million babies born prematurely every year. Family members of premature infants in the Neonatal Intensive Care Units (NICU) are overwhelmed and lack confidence with basic skills to care for their newborn. Simulation is an education modality used for adult learners that utilizes a hands-on method for education and allows application of knowledge and skill development in a safe environment. Although clinicians are frequently trained utilizing simulation, there is limited information on its use among family members and caregivers. The purpose of this DNP Project was to explore use of …

Colorectal Cancer Educational Program In A Community Senior Center, Cathy A. Catlett Dr.

Doctor of Nursing Practice Projects

Colorectal cancer (CRC) is a preventable cancer but prevention can only occur through screening. Screenings are recommended for those 50 to 75 years of age, however rates remain low with 25.6 percent having never been screened and 7.1 percent not up-to-date. The U.S. Preventive Services Task Force (USPSTF) recommends strategies such as education to increase screening rates. Education may be used to inform and motivate individuals to be screened. Research supports the use of educational activities in a community setting to increase CRC knowledge and increase CRC screening rates. A group educational program using the Centers for Disease Control’s (CDC) …

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 …

The Editors’ Perspective: Reflecting On Two Years Of The Journal Of Occupational Therapy Education, Renee Causey-Upton, Cynthia L. Hayden, Dana Howell

Journal of Occupational Therapy Education

No abstract provided.

Concepts Of Caring: Uncovering Early Concepts Of Care In Practice For First Year Occupational Therapy Students, James Battaglia

Journal of Occupational Therapy Education

Caring for others is a central ideal of most health care professions. The ability to facilitate caring behaviors in occupational therapy students is essential to developing students who are well prepared to provide both technically and emotionally competent care. This study explored the early concepts of care of Master of Science Occupational Therapy students at the start of their graduate education through use of a questionnaire and follow-up interviews. The three most frequently identified student concepts of care were: (1) caring as it relates to time, (2) caring as a personal quality, and (3) caring through their communication with clients. …

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 …

Towards Identifying Peer Supervision Competencies For Graduate-Level Occupational Therapy Students: A Scoping Review, Annie Murphy-Hagan, Lauren E. Milton

Journal of Occupational Therapy Education

In the occupational therapy (OT) profession, peer supervision groups are recommended for professional development, lessening attrition, and relieving stress. Peer supervision is under researched, thus competencies to support this practice are unknown. The purpose of this scoping review was to: (1) summarize the research knowledge around peer supervision to support evidence-based practice in OT, (2) map supervision competencies and key themes in the literature, and (3) isolate peer supervision competencies that may be especially relevant to graduate-level OT students. The long-term aim of this research is to develop a framework for evidence-based peer supervision training. Researchers investigated the question: What …

Self-Reflection And Measurement Of Professional Behavior Growth In Entry-Level Occupational Therapy Students, Brenda S. Howard, Rebecca Barton

Journal of Occupational Therapy Education

Occupational therapy (OT) educators have recognized the need to facilitate student professional development along a continuum of behavior that leads them toward professionalism. Reflection has often been a tool assisting in that process. The teaching of professional behavior has been a curricular thread throughout entry-level OT programs. Few studies exist, however, that have measured use of a self-assessment tool for reflection and development of professional behaviors. The purpose of this study was to examine how self-perception of professional behaviors changed in two cohorts of an entry-level occupational therapy program. Investigators compared two cohorts of students at two points in time …

Part 1: Preparing Entry-Level Occupational Therapy And Physical Therapy Students To Promote Health And Wellbeing With Individuals With Disabilities, Brooks C. Wingo, Donald H. Lein Jr., Beth A. Barstow, Christopher A. Eidson, Tara S. Pearce, Laurie A. Malone, David M. Morris

Journal of Occupational Therapy Education

To address accreditation standards for health and wellbeing within entry-level occupational therapy (OT) and physical therapy (PT) programs, the OT, PT, and Human Studies Departments at the University of Alabama at Birmingham (UAB) collaborated with community partners to conduct an interdisciplinary service learning activity based on the I Can Do It, You Can Do It Program (ICDI). This program is a structured community health program where individuals without disabilities are partnered with individuals with disabilities to enhance physical activity, healthy eating, and community participation. The purpose of this paper is to describe a formative evaluation of ICDI at UAB, and …

Student Perspectives Of The Occupational Therapy Doctoral Experience In An Academic Setting, Stacy Smallfield, Shelby Wood

Journal of Occupational Therapy Education

The purpose of this study was to gather student perspectives of the 16-week doctoral experiential component (DEC) of the entry-level doctor of occupational therapy educational curriculum from students who completed the DEC in an academic setting. A retrospective qualitative study of a focus group of five students who completed the DEC in an occupational therapy (OT) academic setting was conducted using semi-structured interview questions. Codes were grouped into themes and the findings were summarized. Four major themes emerged: 1) learning experiences; 2) purposeful ambiguity; 3) knowledge and skill development; and 4) newfound appreciation. Learning experiences included …

Examination Of Potential Factors To Predict Fieldwork Performance: A Program Evaluation Project, Sandra M. Whisner, Matthew Geddie, Dawndra Sechrist, Eugene Wang

Journal of Occupational Therapy Education

This program evaluation project evaluated the validity of a hypothesized model for predicting fieldwork performance using data of 121 occupational therapy students from a single university. The first aim was to evaluate the hypothesized relationships between observed measures (e.g., admission GPAs) and proposed latent factors (e.g., academic achievement) for predictor and outcome variables. Factor analysis of the outcome variable revealed a three-factor structure, measured by 13 items from the Fieldwork Performance Evaluation for the Occupational Therapy Student. However, factor analyses of the predictor variables did not support the proposed latent factors: Academic Achievement and Professional Potential. The second aim was …

Comparing Outcomes Of Entry-Level Degrees From One Occupational Therapy Program, Stacy Smallfield, Laura Flanigan, Anna Sherman

Journal of Occupational Therapy Education

The purpose of this study was to compare the professional outcomes of two entry-level occupational therapy degrees: the Master of Science (MSOT) and occupational therapy doctorate (OTD). This was a quantitative, exploratory study using a survey method. An online survey was sent to graduates from one occupational therapy program with known email addresses (N = 711). The survey included items relating to professional outcomes, such as job title, salary, and engagement with evidence-based practice, leadership, research, and interprofessional practice. Descriptive statistics and Mann-Whitney U tests were used to describe and to compare groups. The survey yielded 208 responses eligible …

Developing Critical Thinking In Ot Education: Effectiveness Of A Fishbowl Approach, Stephanie L. De Sam Lazaro, Bonnie R. W. Riley

Journal of Occupational Therapy Education

This paper explores the effectiveness of peer assisted learning on developing critical thinking skills in an occupational therapy graduate course. The use of peer teaching strategies, including a Fishbowl discussion and case-based problem solving, were compared to a faculty-led lecture approach to determine which approach best prepared student critical thinking. Participants included 115 first year graduate occupational therapy students. No statistically significant differences were noted in student ability to express knowledge, comprehension, and application of information. However, statistically significant differences were noted on graduate student ability to analyze, synthesize, and evaluate using newly learned information when peer teaching strategies were …

Perceptions Of Low Income By Canadian Student Occupational Therapists, Naomi Newfield, Lucy Bartlett, Ellen Murray, Tim Park, Keri Chambers, Farah Hameed, Lynn Cockburn

Journal of Occupational Therapy Education

Low income negatively impacts health, access to health services, and overall quality of life. Living with low income is complex, strongly correlated with disability, age, gender, race, and mental illness, and can present barriers to participation in employment, self-care, and leisure occupations. Occupational therapists are well-positioned to reduce these socioeconomic, environmental, and personal barriers. Research on student occupational therapists’ learning and perceptions in working with individuals living with low income is unexplored. This study aimed to understand student occupational therapists’ perceptions and experiences related to low income and their knowledge of their professional roles in working with low income populations. …

The Effect Of 3d Human Anatomy Software On Online Students’ Academic Performance, Reivian Berrios Barillas

Journal of Occupational Therapy Education

Understanding anatomy is vital to occupational therapy (OT) for clinical success. Anatomy requires comprehending three-dimensional (3D) human structure relationships and student age and learning style differences may affect this understanding. This study examined how 3D anatomy software influenced online OT students’ grades among different ages and learning styles. The intervention group had 17 students (mean age 33 ± 8 years) and the control group had 18 students (mean age 32 ± 6 years). Students were categorized above or below the age of 30 and completed a learning style questionnaire at the beginning of the course. To determine the usefulness of …

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 …

Using Technology Enhanced Learning To Promote The Acquisition Of Practical Skills In Occupational Therapy, Terri Grant

Journal of Occupational Therapy Education

This paper focuses on the use of game-based technology to effectively choose, prescribe, and safely use equipment, which are vital occupational therapy skills. A three-hour workshop was designed for 42 second year British occupational therapy students across two cohorts. The goal was for students to try out a variety of equipment ranging from small household and kitchen aids to elevating chairs and hoisting equipment. Students used the game-based technology during a class to encourage their engagement with practical aspects of equipment use and fitting. A short, optional survey indicated use of the game-based technology resulted in extremely high student engagement …

Elevating Student Understanding: Irish Occupational Therapy Students’ Experience Of A Service Learning Project, Karen Mccarthy, Marian Mccarthy

Journal of Occupational Therapy Education

Service learning is a pedagogy that embraces learning in action and addresses community needs. Since the adoption of the Occupational Therapy Competencies in 2008 and the launch of national occupational therapist registration in Ireland in 2015, there has been limited research on the effectiveness of service learning pedagogies in Irish higher education for meeting core competencies. The majority of research focusing on evaluating service learning have been North American studies which brings to question the relevance of these service learning outcomes beyond North America and specifically Ireland. This qualitative study examined 11 occupational therapy students’ journal reflections, portfolio entries, and …