Medicine and Health Sciences Commons^™

Oral History Service Learning: Veterans Studies And Sosa, Amanda S. Hansford

Veterans Studies Undergraduate Capstones

As professionals, it is important to promote interprofessional education and collaboration among disciplines. This project explores connections between Veterans Studies, Library Science, and Occupational Science / Therapy. An oral history protocol was developed between the student sponsored organization Student Occupational Science Association (SOSA) and the Eastern Kentucky University Veterans Studies academic program. The goal was to promote deeper learning and cultural competency about members of veteran and military communities. Participants also gain leadership and interviewing skills applicable in a variety of career settings.

The model of human occupation (MOHO) guided aspects of the project design is used to discover the …

Faculty-Led Virtual Level 1 Community Fieldwork During The Covid-19 Pandemic, Tiffany L. Benaroya, Margaret Swarbrick, Michelle Zechner, Ann A. Murphy, Meredith Cimmino

Journal of Occupational Therapy Education

Fieldwork is an integral portion of occupational therapy education that ensures students have the opportunity to develop basic competencies in real world practice settings. The national shortage of fieldwork placements, particularly in the area of mental health, in combination with the COVID-19 pandemic, have led to the adoption of increasingly innovative fieldwork models. This retrospective, qualitative study investigates occupational therapy assistant students’ experiences of completing a faculty-led (i.e. where faculty served as the primary fieldwork educator) and virtual (i.e., where services were offered in a virtual environment) Level I fieldwork with a community-based peer led behavioral health agency. Twenty-three students …

The Use Of Compression To Treat Phlebolymphedema Symptomology: A Systematic Review, Naomi Moran

Occupational Therapy Doctorate Capstone Projects

Background: There is a lack of clinical practice guidelines regarding treating phlebolymphedema symptomology. To facilitate client centered evidence-based practice, occupational therapists (OTs) who are Certified Lymphedema Therapists (CLTs) need disease specific evidence for treating phlebolymphedema. Finding available evidence regarding the use of complete decongestion therapy (CDT) for this population will support evidence-based practice. For this capstone compression usage is the one component of CDT that will be researched.

Purpose: A systematic review of evidence related to use of static compression for treatment of lower leg phlebolymphedema that is within the scope of a CLT who is not wound care certified. …

Addressing Tobacco Use With Improved Utilization Of 5as Framework In Primary Care, Binta Bojang

Doctor of Nursing Practice Projects

Abstract

Identifying and treating tobacco use disorder through screening and evidence-based intervention is necessary to assist all tobacco users to quit and or to decrease typical tobacco-linked health risks. The findings from the literature review suggested that the implementation of the technology-enhanced 5As model (asking, advising, assessing, assisting and arranging for follow up) approach might serve as a reminder to clinicians to assess tobacco use, and improve patient outcomes in tobacco cessation care. The purpose of this DNP project was to improve the treatment of tobacco use disorder among adults in a primary care. The objective of this project was …

Bridging The Gap In Education For Patients On Oral Chemotherapy: A Qi Project, Lindsay Rodriguez

Doctor of Nursing Practice Projects

Abstract

Oral chemotherapy and intravenous (IV) chemotherapy share many of the same side effects. However, at community General Hospital Medical Center oral chemotherapy patients were not receiving equitable monitoring and education like their IV chemotherapy counterparts. To bridge the gap, a quality improvement (QI) initiative to improve education, documentation and follow-up between visits was proposed to increase compliance and understanding. The QI project consisted of patients taking oral chemotherapy within the first 12 weeks of starting treatment. Patients were contacted weekly via nurse lead follow up calls and the Oral Chemotherapy Template was discussed with the patient to identify concerns …

Complete Health Improvement Program To Implement Lifestyle Medicine, Robert Hobbs Jr

Doctor of Nursing Practice Projects

The health of many Americans continues to worsen. Over the past 20 years there has been a fifty percent increase in the incidence of Type 2 Diabetes Mellitus in the US. America has an increase in obesity rates, and lower mortality rates compared to other countries that spend less per capita. Currently the US healthcare system only contributes about 20% of the overall care of patients. Provider burned out is increasing and many remain uneducated regarding lifestyle medicine. Since up to 90% of chronic diseases are lifestyle related, a different approach to chronic disease care is needed. The Complete Health …

Decreasing Falls: Communicating Safety With Patient-Directed Visual Cues, Signs, And Symbols, Lizelle Hill

Doctor of Nursing Practice Projects

Patient falls during hospitalization are a major clinical problem that occurs frequently. It is estimated that between 700,000 and 1,000,000 patients fall in hospitals each year. Between 30% and 50% of patients who fall in hospitals are injured. Consequently, falls with serious injury are among the most frequent hospital-reported sentinel events. Hospitals also suffer from patient falls as the Centers for Medicare and Medicaid Services no longer reimburse for costs related to preventable falls or fall-related injuries. Given the significant negative impact of falls on patients and healthcare organizations, hospitals continue to look for interventions to decrease falls. Research strongly …

Online Support For Families Affected By Opioid Use Disorder, Sharonda Hill

Doctor of Nursing Practice Projects

Families who care for children with neonatal abstinence syndrome (NAS) face many challenges and may be lacking support. The purpose of this project was to provide evidence-based information to families caring for NAS children through an established online support group, To the Moon and Back. Nola Pender’s Health Promotion Model was the theoretical model used to guide this project. An intervention to deliver support and information was implemented through three sessions. During these sessions participants were educated on evidenced-based tools to help their children with behavioral self- regulation and communication with providers. Data was collected through pre and post assessments …

Use Of Academic Detailing To Improve Reporting Of Peri-Operative Events, Allyn Sara Miller-James

Doctor of Nursing Practice Projects

Problem: Four million people worldwide die within thirty days of surgery. The EPIC Corporation has created the opportunity to collect and analyze data on the peri-operative care of patients. Initially, implementation of the program has identified barriers to event reporting by anesthesia providers. Barriers identified in the literature and in semi-structured interviews are fear of liability and retribution by patients, employers, and governing bodies. Significance: Despite national efforts to increase the reporting of medical errors, they remain grossly under- reported. The integration of the National Anesthesia Clinical Outcomes Registry (NACOR) events data collection tool into the EHR for anesthesia providers …

A Self-Compassion Intervention For University Students: A Dnp Project, David Coffey

Doctor of Nursing Practice Projects

University students are reporting increased levels of anxiety, depression, and suicidal ideation. Trends for mental health distress among this population have been increasing over the past few years. The COVID-19 pandemic has worsened this trend. It is important to provide college-age students with the knowledge and skills for self-compassion necessary to navigate the difficult transition from high school to university. Self-compassion skills have been shown to positively affect mental health outcomes, specifically anxiety and depression. A brief, two-part intervention was developed focusing on the major components of self-compassion and offered to university students over a two-week period. Results of the …

Simulation To Improve Dementia-Related Care Of Veterans, Brandy Wardrip

Doctor of Nursing Practice Projects

Millions of Americans, including Veterans, are diagnosed with dementia. Healthcare staff may benefit from dementia-related training. This Doctorate in Nursing Practice (DNP) project evaluated the effectiveness of the Virtual Dementia Tour (VDT) as a learning tool to improve staff’s knowledge of dementia, enhance their empathy and attitudes when interacting with Veterans diagnosed with the disease, and increase awareness that behaviors commonly seen with dementia may be forms of communication. Interprofessional healthcare staff (N=33) at a Veterans hospital participated in the experiential simulation. A pre-and post-test design utilized the Dementia Knowledge Assessment Scale (DKAS) and the Dementia Attitude Scale …

Providing Mbsr Tools To First Year Adn Nursing Students: A Dnp Project, Katherin Brandt

Doctor of Nursing Practice Projects

Abstract

As part of the educational training provided to nursing students it is important to not only provide information regarding stress management, but also to give them tools that they can use to handle stressful situations more effectively. Literature supports the use of mindfulness techniques practiced regularly to decrease stress and anxiety. This DNP project developed, implemented, and evaluated the addition of Mindfulness-Based Stress Reduction (MBSR) techniques into the curriculum of the first-year Medical Surgical nursing course in a prelicensure Associate Degree Nursing program. The project was guided by Watson’s Theory of Human Caring and the Model for Improvement (PDSA …

Streamlining The Referral Process For A Mental Health Clinic: A Dnp Project, Ashley Barr

Doctor of Nursing Practice Projects

Abstract

Mental health providers are in short supply in the United States. Access to mental health is impacted by the process used to refer patients. To bridge this gap, this DNP Project sought to increase mental health referrals to the partnering organization through strategic outreach to primary care and an online social media presence. After IRB approval, outreach to twenty-one primary care providers across eleven clinics was completed, a social media campaign was conducted, and the intake form for the partnering organization was updated for tracking the source of the referral. Results of the interventions included high satisfaction on the …

Evolution Of Level I Fieldwork During An International Pandemic: Students’ Perceptions Of The Effectiveness Of Virtual Simulation-Based Level I Fieldwork, Rebecca Ozelie, Shiori Domenighetti, Amanda Sugar, Samantha Conrad

Journal of Occupational Therapy Education

Fieldwork education is an essential component of occupational therapy (OT) curriculum; yet national shortages and the COVID-19 pandemic have affected fieldwork availability. To combat the shortage, some academic programs implemented simulation-based Level I fieldwork experiences. The objective of this research study was to compare the perceived knowledge, confidence, and attitude of OT students that completed a virtual simulation-based Level I fieldwork to those that completed a traditional Level I fieldwork. This study involved a sample of 26 doctorate of OT students that completed a traditional or virtual simulation-based Level I fieldwork. Students completed pre-and-post fieldwork surveys regarding their perceived knowledge, …

Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D.

Psychology Doctoral Specialization Projects

Trauma related symptoms and Posttraumatic Stress Disorder (PTSD) have been increasingly recognized for the key roles they occupy in mental health and overall individual well-being within both adult and childhood populations. They often represent significant barriers to the provision of mental healthcare within military populations and individuals diagnosed with serious mental illness (SMI). This original contribution to practice explores the significance of Equine Assisted Psychotherapy as a novel adjunctive approach to treating trauma. symptoms in adults and children. An extensive literature review examines current research and discussion on common definitions and nomenclature. It begins with discussion on the broader areas …

Evaluating Course Design For Significant Learning Among A Blended Cohort Of Occupational Therapy Students, Diana R. Feldhacker, Bobbi S. Greiner

Journal of Occupational Therapy Education

Occupational therapy (OT) school is where learning begins as students prepare to become future professionals. Thus, effective course design is imperative in professional formation. This study examined the effectiveness of a course designed around andragogical and active learning principles in combination with Fink’s (2013) taxonomy of learning for a blended cohort of face-to-face and hybrid OT students. The study used a mixed methods explanatory sequential design with pre/post surveys, end-of-course evaluations, and focus groups to explore student perceptions and preferences toward learning to create significant learning experiences. One hundred six students completed pre and post testing of the redesigned course, …

“I Had To Adapt To Continue Being A Student To The Best Of My Ability”: Identifying Occupational Therapy Students’ Processes Of Adapting To Academic Disruption, Laura H. Vanpuymbrouck, Linda M. Olson

Journal of Occupational Therapy Education

In the wake of COVID-19, practitioners, educators, and students had to shift to virtual interactions while experiencing significant unknowns and valid fears. This project describes the lived experiences of 37 occupational therapy students who lived through this international pandemic examining their reflections of how occupational therapy theories and models of practice could inform approaches to adapt to the changing context of their lives. Narratives of students collected as part of routine educational assessments in an introduction to occupational therapy theory course were examined using methods of content analysis to understand the perspectives of students’ needs, supports, and mechanisms of adaption …

Self-Care: An Occupational Therapy Student Perspective, Isabelle Laposha, Stacy Smallfield

Journal of Occupational Therapy Education

Health professional students, including occupational therapy students, report increasing rates of stress, anxiety, depression, and burnout while completing their academic programs of study. Self-care is one potential solution to this crisis, as engagement in evidence-based self-care practices has been found to improve the health and well-being of various student populations; however, the self-care practices of occupational therapy students have not been well studied. Therefore, this study explored how occupational therapy students understand and practice self-care, and how self-care correlates to perceived stress. Twenty participants engaged in a focus group and completed a 72-hour time diary. Focus group results indicated that …

Addressing Sexuality: The Comfort And Preparedness Of Occupational Therapy Students, Claire Lynch, Annette V. Joosten

Journal of Occupational Therapy Education

Undergraduate sexual health education has the potential to increase confidence and the likelihood that healthcare professionals address sexual health in practice. This study explored Australian final year occupational therapy students’ perceptions about their education, and their preparedness and comfort to address sexuality in their final practice placements and into their future careers. An online questionnaire with three sections for (a) demographics; (b) the students' attitudes towards sexual health (SA-SH) questionnaire, which is a 22-item Likert scale about student attitudes toward sexual health issues in their future profession; and (c) nine open questions regarding students’ comfort and preparedness to address sexuality …

Telehealth Vs Face To Face Pediatric Screenings: A Pilot Study, Katherine S. Ryan-Bloomer, Joan Ziegler Delahunt

Journal of Occupational Therapy Education

The global pandemic heightened the importance of occupational therapy (OT) education programs to prepare students for telehealth practice. The objective was to examine the following research questions: 1. Does self-assessment of pediatric competency skills improve following participation in pediatric screenings? 2. Is there a difference in self-assessment of pediatric competency skills between those students who perform pediatric screenings via telehealth versus face-to-face? 3. What is the lived experience for students who perform telehealth and face-to-face pediatric screenings? A mixed method- quasi-experimental design and phenomenological tradition were employed. The study utilized online surveys, focus groups, telehealth screenings with an urban preschool, …

Exploring Fieldwork Educator Development: Preparation Methods And Support Tools, Pamela Karp, Kelly A. Lavin, Tara Collins

Journal of Occupational Therapy Education

Fieldwork education is a critical piece to professional development and competency in occupational therapy. As part of their core curriculum, all students enrolled in accredited occupational therapy programs must complete full-time fieldwork experiences under the direct supervision of a licensed occupational therapy practitioner. This component of the student’s education relies on the skills and training of the fieldwork educator. Academic programs are expected to support occupational therapy practitioners in their role as fieldwork educators in the form of resource provisions to enhance supervisory skills. However, there are no clear standards that describe how to vet, effectively disseminate, or implement the …

Finding A Voice: Overcoming Shame Through A Classroom Collective Exploration Of Vulnerability, Mary Catherine Lockmiller, Amy Armstrong-Heimsoth

Journal of Occupational Therapy Education

In keeping with the call for greater justice and diversity within the occupational therapy profession, many educational programs are taking steps to infuse diversity, equity, and inclusion (DEI) across their curriculum. In this paper, we will introduce the theoretical concepts underpinning the first assignment in a DEI curriculum thread in one entry-level occupational therapy doctoral (OTD) program, grounding it in critical pedagogy and exploring how it provides a first step to critical aptitude by providing space for an open-ended, reflexive dialogue about subjective experiences of internalized shame and marginalization. Students learn how to practice self awareness, understand shame culture, and …

An Exploration Of The Occupational Therapy Doctoral Capstone: Perspectives From Capstone Coordinators, Graduates, And Site Mentors, Anne F. Kiraly-Alvarez, Autumn Clegg, Whitney Lucas Molitor, Danielle Friberg

Journal of Occupational Therapy Education

Few studies have investigated entry-level doctoral capstone outcomes regarding how the experience and project relate to employment opportunities. This descriptive study reports various stakeholders’ perspectives regarding the entry-level occupational therapy doctoral (OTD) capstone in relation to employment opportunities and awareness of the profession. Authors disseminated a nationwide survey to doctoral capstone coordinators, entry-level OTD graduates, and capstone site mentors. Ten doctoral capstone coordinators, 68 OTD graduates, and 22 capstone site mentors responded to the survey. Collectively, doctoral capstone coordinators reported that 117 OTD graduates obtained employment in a setting related to the focus of their doctoral capstone and gave examples …

Use Of The Subject-Centered Integrated Learning Model And The Occupational Experience Profile To Promote Students' Connections Among Occupation, Self, And The Profession, Adele Breen-Franklin, Karen Atler

Journal of Occupational Therapy Education

Recent research related to occupational therapy education identified the need for a conceptual model to help guide the design and implementation of occupation-centered education. Spurred by this research, the Subject-centered Integrative Learning Model-Occupational Therapy (SCIL-OT) emerged as a model to enable educators and learners to keep the concept of occupation at the center of all occupational therapy education and learning. That work, largely focused on teaching students to connect non-occupation content to occupation (Hooper et al., 2020). However, teaching students about occupation directly can also benefit from using the SCIL-OT model to design learning experiences. The purpose of this paper …

Passing The Five-Year Mark: Reflections On Growth And Trends, Dana M. Howell, Cynthia L. Hayden, Renee Causey-Upton

Journal of Occupational Therapy Education

No abstract provided.

Exploring The Experiences Of Black/African American Students In Entry Level Occupational Therapy And Occupational Therapy Assistant Programs: A Survey Study, Riqiea F. Kitchens, Amber B. Armstead, Karthik Mani, Lima Ghulmi, Diane M. Collins

Journal of Occupational Therapy Education

Black/African American students account for 6.5% of the enrollment in entry-level occupational therapy (OT) and occupational therapy assistant (OTA) programs (AOTA, 2019). OT and OTA programs serve as the entry point to increasing diversity in the profession and contribute to a diverse healthcare workforce. Limited research exists that offers insight into the experiences of minority students enrolled in OT and OTA programs. The purpose of this study was to explore the academic experiences of Black/African American students enrolled in entry-level OT and OTA programs to identify supports and barriers in the educational experience. Eligible participants were asked to complete an …

International Students’ And Alumni Perspectives On Their Transition To Graduate Level Occupational Therapy Education And Daily Life In The United States, Areli D. Benitez, Daniel Park, Sarah Bream

Journal of Occupational Therapy Education

International students who enroll in American occupational therapy academic programs must quickly adapt to the academic demands and everyday life rhythms within the United States. This qualitative study contributes to the body of knowledge of lived experiences of international occupational therapy students, specific to their transition to graduate occupational therapy education and daily life in a new country. Thirteen (13) international occupational therapy graduate students and alumni participated in an individual or joint interview. Three key themes emerged from the findings and include the following: 1) Challenges: Inside and Outside of the Classroom, 2) A Support System: A Home Away …

Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning: A Repeated Measures Design Study, Gordon B. Tsubira, Traci Garrison, Sapna Chakraborty, Shana Cerny

Journal of Occupational Therapy Education

Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in educational course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level Master of Occupational Therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses. Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the …

Validation Of Objective Structured Clinical Examination (Osce) Based On The Occupational Therapy Practice Framework (Otpf): A Pilot Study, Marzieh Pashmdarfard, Afsoon Hassani Mehraban, Narges Shafaroodi, Kamran Soltani Arabshahi, Soroor Parvizy, Akram Azad, Samaneh Karamali Esmaeili

Journal of Occupational Therapy Education

Fieldwork education is an integral part of the educational process in occupational therapy and assessing student competency at the end of fieldwork is important. The aim of this study was to design and conduct an Objective Structured Clinical Examination (OSCE) based on the Occupational Therapy Practice Framework (OTPF) for occupational therapy students on Level II fieldwork in Iran. A seven-station OSCE was designed and conducted with 13 students. Face and content validity of the exam scenarios and grading checklists was assessed via faculty review. The correlation between scores from each station and total OSCE scores were obtained to assess construct …

Occupational Therapy Students’ Responses To Online Standardized Patient Simulations, Robyn Wu, Chi-Kwan Shea

Journal of Occupational Therapy Education

Campus closures during the COVID-19 pandemic led to the innovation of online standardized patient (SP) simulations. Extensive preparation with the faculty, simulation specialists, SPs, and 42 occupational therapy students was required to smoothly adapt an occupational therapy learning module from in-person to online simulations. The concepts of functional task alignment and psychological fidelity from the simulation literature guided the process of designing the online simulations. Post-simulation, student perceptions about learner engagement, psychological fidelity, and accomplishment of the simulation’s learning outcomes were collected using anonymous surveys. All 36 survey respondents found the online SP encounters to be engaging. Most experienced realism …