Medicine and Health Sciences Commons^™

Primary Care Provider’S Perspectives Of Integrating Public Health Into The Prevention And Management Of Type Ii Diabetes Mellitus In Rural Nebraska, Emma Frost-Briley

Capstone Experience

Through the 2011 Community Health Needs Assessment, the Four Corners Health Department has identified type II diabetes mellitus as one of the communities top concerns within their communities. The goals of this project were: to develop a survey to assess the state of current practices of primary care providers on type II diabetes mellitus in the health department district, to identify primary care providers views on prevention, treatment, and management of type II diabetes mellitus in the health department district, and to examine primary care providers and local health department’s views on how primary care and public health can be …

Accelerating Patient Experience Performance: Collaboration And Engagement As Drivers For Success, Sidney Klajner

Patient Experience Journal

The efforts at Albert Einstein Jewish Hospital in São Paulo, Brazil have been focused on principles of excellence for many years as realized in engagement in and commitment to some of the leading global healthcare practices over the last decade. In reinforcing a commitment to excellence and continuous improvement, the patient experience efforts at Einstein have evolved from an operating structure for patient experience efforts to a truly integrated program for action in address all elements in the organization impacting and ultimately driving patient experience outcomes. By grounded efforts in core evidence-based practice, while engaging the hearts and minds of …

Collaborative Practices In Special Education: An Exploratory Study, Evelyn Tang, Blanka Pentek, Laura Greiss Hess, Katherine Sadoff

Student Research Posters

Professional collaboration in special education is essential for student success (Barnes & Turner, 2000). However, IDEA legislation does not guide how such collaboration should take place (Pub. L. 108–446). The Conceptual Model for Collaboration (CMC) created by Czuleger and colleagues (2016) described professional collaborative practices of a transdisciplinary team at a special education center. The purpose of this study was to examine the CMC in a broader context.

Schools Of Public Health In Low And Middle-Income Countries: An Imperative Investment For Improving The Health Of Populations?, F. Rabbani, Leah Shipton, Franklin White, Iman Nuwayhid, Leslie London, Abdul Ghaffar, Bui Thi Thu Ha, Goran Tomson, Rajiv Rimal, Anwar Islam, Amirhossein Takian, Samuel Wong, Shehla Zaidi, Kausar Kausar, Rozina Karmaliani Professor, Imran Naeem Abbasi, Farhat Abbas

Fauziah Rabbani

BACKGROUND: Public health has multicultural origins. By the close of the nineteenth century, Schools of Public Health (SPHs) began to emerge in western countries in response to major contemporary public health challenges. The Flexner Report (1910) emphasized the centrality of preventive medicine, sanitation, and public health measures in health professional education. The Alma Ata Declaration on Primary Health Care (PHC) in 1978 was a critical milestone, especially for low and middle-income countries (LMICs), conceptualizing a close working relationship between PHC and public health measures. The Commission on Social Determinants of Health (2005-2008) strengthened the case for SPHs in LMICs as …

Implementation Of The National Partnership For Action To End Health Disparities: A Three-Year Retrospective, Oscar Espinosa, Brandon Coffee-Borden, Mpp Coffee-Borden, Mpp, Alexis Bakos, Phd, Mph, Rn, D. Bakos, Phd, Mph, Rn, Onyemaechi Nweke

Journal of Health Disparities Research and Practice

In April 2011, the U.S. Department of Health and Human Services’ (HHS) Office of Minority Health (OMH) launched the National Partnership for Action to End Health Disparities (NPA) to increase the effectiveness of efforts to eliminate health disparities by coordinating partners, leaders, and stakeholders committed to action. At its core, the NPA is an experiment in collaboration that relies heavily on those on the front line who are actively engaged in minority health work at multiple levels. It gives them the responsibility of identifying and helping to define core actions, new approaches, and new partnerships that ultimately will help to …

Teaching And Learning Courageous Followership: An Action Research Study, Karen Walker Schwab

Theses & Dissertations

Followership has been shown to be a developmental stage of leadership. Yet, there is a lack of followership theory in the health-care context. The purpose of this qualitative action research study was to explore how introducing Chaleff’s dimensions of courageous followership influences the undergraduate nursing students’ views of the follower role and informs their nursing practice. Secondary research questions asked how knowledge of these dimensions influences the nursing students’ views while advocating, collaborating, and addressing lateral violence. Using purposeful sampling, 12 participants were recruited for this study. After attending a followership seminar, they completed online reflections and participated in individual …

Exploring The Value Of Interprofessional Collaboration Between Occupational Therapy And Design: A Pilot Survey Study, Amy Wagenfeld, Lori Reynolds, Tamar Amiri

The Open Journal of Occupational Therapy

Background: Consistent with the American Occupational Therapy Association’s Vision 2025, interprofessional partnerships between occupational therapy and designers is necessary to “maximize health, well-being, and quality of life for all people . . . through effective solutions that facilitate participation in everyday living” (2016, para 1). Occupational therapy’s knowledge of the person-environment-occupation fit appears to make us well suited to collaborate with design teams to create environments that facilitate optimal function and promote health and well-being (Ainsworth & de Jonge, 2014).

Method: Two short closed-ended online questionnaires were designed to gain an understanding of designer and occupational therapy practitioner impressions of …

Strategies For Effective Collaboration Among Multidisciplinary Teams: Integration Of An Aba Professional, Elizabeth Schroeder, Kalene Lynch, Allison Turgeon

School of Occupational Therapy Master's Capstone Projects (2016-2021)

Our collaborating practitioner (CP), Kari Tanta, PhD, OTR/L, FAOTA, manages Valley Medical Center which is a multidisciplinary pediatric outpatient therapy clinic. Dr. Tanta was seeking research to support incorporating an applied behavior analysis (ABA) professional into VMC’s practice. The focused question became, “What are strategies to promote successful collaboration when integrating a Board Certified Behavior Analyst (BCBA) into an established multidisciplinary pediatric clinic to promote best practice for clients?” From September 2016 - January 2017, 26 articles were analyzed using a critically appraised topic (CAT) table. The literature indicated effective health care team collaboration yields positive patient outcomes, provided strategies …

Graduate Interprofessional Education And Collaborative Practice Experiences: A Phenomenological Inquiry, Jaime Sand

Boise State University Theses and Dissertations

Healthcare reform and the complexities of the healthcare system and chronic disease conditions call for collaborative interdisciplinary team-based care. To enhance these collaborative efforts, universities and facilities are promoting the need for students and professionals to learn and work with others from different healthcare disciplines in an interprofessional manner. Four graduates of undergraduate programs in health sciences, nursing, radiologic sciences, and respiratory care sat for multi-series interviews using a phenomenological approach to share their experiences in interprofessional education and collaborative practice. Participant responses were grouped into themes around the development of a professional identity through personal, educational, and professional healthcare …

A Technical Integration Of Primary Care Into A Behavioral Health Site, Lara M. Dengerink-Vantil

Doctoral Projects

People with persistent mental illness experience more chronic disease and co-morbidities than the general population, impacting their quality of life and increasing the cost of health care. In spite of the increased need for primary care services, people with mental illness encounter barriers to health care including lack of access to care, and a shortage of both primary care and psychiatric care providers. While this challenge was previously addressed by attempting to integrate behavioral health care into primary care settings, recent research indicates that a more successful model is reversed shared care, or the integration of primary care into a …

Institutional Collaboration To Accelerate Interprofessional Education, Susan Mace Weeks, David Farmer

International Journal of Health Sciences Education

Evidence has been generated and synthesized to support enhanced outcomes in healthcare environments supportive of interprofessional practice. Despite the preponderance of evidence, many health professions education programs do not prepare their students for interprofessional practice. Multiple factors influence the integration of interprofessional education into a program’s curricular offerings including availability of potential partnering professions, conflicting schedules, lack of curricular alignment, and logistical challenges. This manuscript describes initiatives and innovations used to replace health profession and institutional silos with interprofessional and cross-institutional collaboration in Fort Worth, Texas, USA. While the initial point of connection involved the administrators and faculty members from …

Transprofessional Education – An Asynchronous Approach, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

Creating an opportunity inter-professional educational for nursing students involves challenges in logistics and resources.

Rn To Bsn Education For Future Nurse Leaders, Janice Smolowitz, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Pediatric Oncology Nurses' Experiences With Prognosis-Related Communication, Amy Rose Newman

Dissertations (1934 -)

Health care providers (HCPs) in pediatric oncology are faced with the challenge of communicating the devastating news of a cancer diagnosis and prognosis. This type of communication can be referred to as prognosis-related communication (PRC). While the initial conversation with the patient and family regarding prognosis is generally considered the responsibility of the physician, patients and family members will subsequently turn to nurses for clarification of the information presented. If nurses are excluded from initial conversations, they may feel as though they are “working in the dark,” trying to answer questions while not contradicting what the physician said. This strained …

I Am More Than My Label, Taylor L. Teichman, Enid Melendez

National Youth Advocacy and Resilience Conference

This workshop will offer experiential activities for youth allies to explore the foundational intersections between LGBTQ youth experiencing homelessness and sexual violence. Introducing a framework of concrete tools, participants will identify at least three core resiliency factors of LGBTQ youth and be able to identify at least three concrete components for fostering community-wide support for these youth.

Continuity Of Care And Shared Decision-Making In Interprofessional Collaborative Maternity Practices In Canada, Dorothy Anne M. Malott

Electronic Thesis and Dissertation Repository

Problem: The number of maternity care providers varies across Canada. Women from rural communities or those marginalized due to physical, psychological or social issues including newcomers, often experience challenges accessing health care (Fraser Health, 2014; Rogers, 2003). Interprofessional collaborative maternity care [IPCMC] has been credited as a means of increasing access and promoting sustainability of services (Miller et al., 2012; Society of Obstetricians and Gynecologists of Canada, 2008). Midwifery could play a greater role in delivery of services through IPCMC. However, little is known about collaboration in these practices. The purposes of this study are to explore factors influencing enactment …

Perceptions Of Occupational Therapy Involvement In School Mental Health: A Pilot Study, Susan M. Cahill, Brad E. Egan

The Open Journal of Occupational Therapy

Background: Mental health providers outside of occupational therapy, including those who work in school systems practice, often do not fully understand the contribution that occupational therapy practitioners can make to the delivery of mental health services.

Method: The purpose of this mixed methods pilot study is to describe how instructional support staff from one special education cooperative learned about occupational therapy’s role in school mental health and to explain how this education changed the instructional support staff members’ perceptions regarding the involvement of occupational therapy practitioners in school-based mental health services.

Results: Instructional support staff's perceptions about …

Consumers, Clergy, And Clinicians In Collaboration: Ongoing Implementation And Evaluation Of A Mental Wellness Program, Glen Milstein, Dennis Middel, Adriana Espinosa

Publications and Research

As a foundation of most cultures, with roots in persons’ early development, religion can be a source of hope as well as denigration. Some religious institutions have made attempts to help persons with mental health problems, and some mental health professionals have sought to engage religion resources. These programs have rarely been sustained. In 2008, the Mental Health Center of Denver (MHCD) developed a program to assess the utility of religion resources within mental health care. In response to positive feedback, MHCD appointed a director of Faith and Spiritual Wellness who facilitates community outreach to faith communities and spiritual integration …

Nurse-Physician Collaboration And Satisfaction, Fatima Brewton

Nursing Theses and Capstone Projects

The purpose of the study was to examine the effects of interdisciplinary rounds (IDR) on a neurology medical-surgical inpatient unit. Existing research shows that IDR improves nurse-physician relationships and satisfaction and improves patient outcomes. Using the Collaboration and Satisfaction about Care Decisions (CSACD) tool developed by Baggs, nurse-physician collaboration and satisfaction was measured pre and post implementation of interdisciplinary rounds. Twenty-one nurses and five physicians participated in the study which included education sessions, a two week trial of IDR, and a pre and post survey. Nurses and physicians in this sample perceived a significant increase in collaboration (X = 5.6563, …

Interprofessional Collaborative Care Educational Program For Nurses, Lynn Ann Mcewen

Walden Dissertations and Doctoral Studies

Interprofessional collaboration and collaborative patient and family-centered practice is increasingly advocated as a means of improving patient outcomes and the cost effectiveness of health care. The Canadian Interprofessional Health Collaborative and Registered Nurses Association of Ontario identified best practices and competencies required for interprofessional collaboration and collaborative practice. Despite the widespread dissemination of these competencies and best practice guidelines to health professional schools, there remains a gap in nursing practice regarding nursing knowledge about the core competencies required for interprofessional collaboration. The purpose of this project was the planning of an education program for nurses on interprofessional collaboration and collaborative …

Interprofessional Collaboration Within Teams Comprised Of Health And Other Professionals: A Systematic Review Of Measurement Tools And Their Psychometric Properties, Julia Jacob, Kobie Boshoff, Rebecca Stanley, Hugh Stewart, Louise Wiles

Internet Journal of Allied Health Sciences and Practice

Background and Purpose: Measuring collaboration within interprofessional teams allows professionals to evaluate their practice, set benchmarks and improve outcomes. In the context of healthcare, most research has focused on teams comprised solely of health professionals, with limited attention given to collaboration between health and other professionals. Given the escalating complexities of healthcare, and the growing need for interprofessional collaborative practice involving team members external to health care, this represents a considerable gap in the literature. Therefore, the purpose of this review was to identify tools that measure collaboration within interprofessional teams comprised of members from health and other disciplines, and …

Life History: Janet Salzwedel, Otr/L, Sadie Larson, Karissa Kempel

Oral History Posters

Objective. This life history is one of 29 life history interviews which are a part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of this project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states.

Method. An in-depth interview was conducted with Janet Salzwedel in the comfort of her home. Categories and themes were synthesized from the interview …

Evolution Of Occupational Therapy Practice: Life History Of Marsha Waind, Otr/L, Patrick Finnegan, Jared Skoog

Oral History Posters

This project, one of 29 life history interviews which are a part of a larger project, is titled Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of occupational therapy (OT) practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing OT in these two states. It is anticipated that the life history process will be a powerful way to gather this information. This study is intended to provide current …

Evolution Of Occupational Therapy Practice: Life History Of Catherine Bailey, Mot, Otr/L, Ashley Cambronne, Rachel Fritzler

Oral History Posters

Purpose: This project gathered information about the history and evolution of OT practice in North Dakota and Wyoming through life histories of individuals who have been influential in developing occupational therapy (OT) in these two states. Catherine Bailey was selected to participate; she has been practicing for approximately 40 years and has influenced OT practice in the state of Wyoming. Method: Data was collected through participant interview. The interview was audio recorded and transcribed. Data was then coded and collapsed into categories with corresponding themes. The researchers utilized the Kawa Model (Turpin and Iwama, 2011) and a timeline provided by …

Collaborative Strategies Used To Reduce Billing Administrative Cost, Stella Fayomi-Olaleye

Walden Dissertations and Doctoral Studies

Billing inefficiencies represent 80% of wasteful healthcare administrative costs that are projected to reach $45 billion by 2018. Potentially, a reduced billing administrative cost is estimated to yield an annual savings of $60 billion that could fund other societal needs such as jobs, wage increases, and education. Through the conceptual framework of iceberg change management model, this single case study explored collaborative strategies 3 healthcare billing managers in Dallas, Texas successfully used to reduce billing administrative costs. Data were collected through semistructured interviews and the review of company documents. Using Yin's procedure of examining, comparing, categorizing, and coding data, the …

How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis

Walden Dissertations and Doctoral Studies

Lack of RN engagement in the acute care setting can result in poor staffing, nursing shortages, increased stress levels for nurses and decreased morale. When nurses are not engaged in their work setting, quality of care suffers. A wide range of literature focuses on the importance of RN engagement; however, few health care organizations have taken the initiative to implement programs that foster RN engagement, demonstrating a gap in practice. This study examined the relationship between the levels of RN engagement and their perceptions of their organizational culture. Kolcaba's humanistic approach to meeting the needs of RN staff was used …

Consensus In Anesthesia Handoff Reporting, Robin Lee Anselm

Walden Dissertations and Doctoral Studies

Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff. Theories and models used to inform the project included the Inter-Professional Team Collaborative, Lewin's change theory, the continuous quality improvement theory, and the knowledge to action model. The communication assessment tool (CAT) functioned as a needs assessment yielding a gap in handoff practice of 25 participants. The CAT also served as the post project evaluation survey. The situation, background, assessment, and recommendation (SBAR) tool …

Using Extremophile Bacteriophage Discovery In A Stem Education Professional Development Partnership To Explore Model Classroom Research Experiences Integrating The Three Dimentions Of The Next Generation Science Standards, Carrie L. Boudreau Ms

All Student Scholarship

The National Research Council’s (NRC) A Framework for K-12 Science Education: Practices, Crosscutting Concepts, and Core Ideas describes a vision of what it means to be proficient in science. The project discussed in this thesis was developed with a NIH SEPA Grant 8R25OD010937 to the Virology and Electron Microscopy Laboratory at the University of Southern Maine (USM) under the direction of Dr. S. Monroe Duboise. The goal of the project was to explore using discovery of extreme environment bacteria and their bacteriophages as a model for using the three dimensions of learning to teach Next Generation Science Standards (NGSS). Specifically, …

A Physical Therapist And Physical Therapist Assistant Learning Activity To Examine Student Collaboration And Collaboration Readiness: An Intraprofessional Educational Process, Salome V. Brooks, Renae Gorman

Internet Journal of Allied Health Sciences and Practice

BACKGROUND: Workforce responsibilities in the clinical setting between the physical therapist (PT) and physical therapist assistant (PTA) emphasize the necessity to develop intraprofessional skills fostering discipline collaboration. These skills impact the team process and the achievement of interprofessional patient centered outcomes. Collaboration is a skill that is sought after in inter- and intraprofessional teams. Intraprofessionalism is occurring within teamwork and collaborative activities labelled or described in interprofessional terms and tools. Health science professional programs have received recent mandates to address interprofessional collaboration skills within curricula. But disciplines that contain multiple professional roles need to address the within discipline, prerequisite intraprofessional …

Speech-Language Pathologists' Perceptions And Use Of Service Delivery Methods And Models In School-Based Practice, Burgandy Deann Henderson

Online Theses and Dissertations

ASHA (1991c) identifies the value of consultation and collaboration across disciplines in the public school setting. Historically, speech-language pathologists (SLPs) have pulled children out of the classroom to provide therapy in individual or small group settings. However, evidence continues to show the merit of consulting and collaborating with other professionals in the school in order to fully integrate classroom curriculum and support service goals (ASHA, 1991c; ASHA, 2010f; Mecrow, Beckwith, & Klee, 2010; Ritzman, Sanger, & Coufal, 2006). The purpose of this study was to explore SLPs' perspectives and use of consultation and collaboration in the public schools. A survey …