Medicine and Health Sciences Commons^™

A Computational Study Of Sleep And The Hemispheres Of The Brain, Tera Ashley Glaze

Doctoral Dissertations

"Sleep and sleep cycles have been studied for over a century, and scientists have worked on modeling sleep for nearly as long as computers have existed. Despite this extensive study, sleep still holds many mysteries. Larger and more extensive sleep-wake models have been developed, and the circadian drive has been depicted in numerous fashions, as well as incorporated into scores of studies. With the ever-growing knowledge of sleep comes the need to find more ways to examine, quantify, and define it in the context of the most complex part of the human anatomy -- the brain. Presented here is the …

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 …

Development Of A Training Program To Increase Student Clinician Competency When Communicating With People With Aphasia, Meghan Doherty, Chevie Lay

Journal of Occupational Therapy Education

The Washington University in St. Louis Stroke Clinic is a student-run free clinic (SRSC) designed to enhance student learning and provide the community with no-cost evidence-based occupational therapy services. Aphasia is a common communication impairment after stroke that affects the ability to access services and give and get information, and impacts life participation and satisfaction. Conversation partner training is an evidence-based treatment approach to improve communication with people with aphasia (PWA). The purpose of this project was to develop and evaluate the effectiveness of student clinician training about communicating with PWA using conversation partner training in the SRSC. This study …

The Perceived Value And Utilization Of Occupational Therapy Models In The United States, Rhonda Davis-Cheshire, Kailey Davis, Lindsay Drumm, Sydney Neal, Emma Norris, Melanie Parker, Christina Prezzia, Colleen Whalen

Journal of Occupational Therapy Education

This study investigated United States (U.S.) occupational therapy (OT) practitioners’ perceived value and utilization of OT models in practice. In addition, this research explored correlations that might impact practitioner value and choice of models as related to entry-level OT educational program, practice setting, and frequency of model utilization. The study utilized a cross-sectional research design. A convenience sample of 219 OT practitioners completed an 18-question online survey capturing participant demographics, perceived value, and utilization of models. Practitioners indicated they used models (79.45%, n = 174) in practice with 77.63% (n = 170) reporting they somewhat or strongly agreed that models …

Using Case-Based Learning To Facilitate Clinical Reasoning Across Practice Courses In An Occupational Therapy Curriculum, Lynne F. Murphy, Jennifer C. Radloff

Journal of Occupational Therapy Education

Although occupational therapy educators have historically used cases as a means to prepare students for clinical practice, there is little evidence that this instructional method actually facilitates clinical reasoning. This convergent, parallel mixed methods study examined how the use of varied case formats, built on the tenets of case-based learning, facilitated specific components of clinical reasoning, and explored how the cases contributed to readiness for professional practice. Case formats included text, video, role-playing, simulated patients, and a client. Case-based learning activities included application of models and frames of reference, conducting assessments, planning and implementing interventions, clinical documentation, and identification of …

Application Of Theory To Guide Development Of A Rehabilitation Service-Learning Project In Guatemala, Mary Zadnik, Suzanne Trotter, Cindy Mathena

Journal of Occupational Therapy Education

International community-based rehabilitation service-learning projects in physical and occupational therapy education programs may impact underserved communities internationally. The intentional inclusion of learning in service activities has been identified as service-learning. Extending the impact and education beyond the service project is necessary in order to provide a sustainable outcome for the community. Faculty at the University of St. Augustine for Health Sciences partnered with Potter’s House Association International to develop an interprofessional program to address the rehabilitation needs and continuity of care following a one-week project serving the community members of the Guatemalan City Garbage Dump. The purpose of this article …

Medication Reconciliation, Competency, Timely And Effective Care, And Hospital Readmissions, Perry Theodore Nichols

Walden Dissertations and Doctoral Studies

Hospital readmissions within 30 days of discharge result in significant multimillion-€dollar penalties to thousands of Medicare-€eligible hospitals throughout the United States and are indicators of suboptimal patient healthcare leading to less than ideal health outcomes for previously hospitalized patients. The purpose of this correlation study was to examine the relationship between medication reconciliation, nursing workforce competency, timely and effective care, and Medicare-€eligible hospital 30-€day readmission rates. The sample of 269 hospitals came from the population of Medicare-€eligible hospitals throughout the United States. Complexity theory and the general model of readmission were theoretical frameworks grounding this study. Secondary data were from …

Promoting Nursing Communication Competence On A Spinal Cord Injury Unit, Tishon L. Creswell

Walden Dissertations and Doctoral Studies

The power to communicate effectively and respectfully in the health care setting promotes job satisfaction, retention, and healthy relationships. Ineffective communication is one of the major causes of sentinel events, incivility, nurse turnover, and workplace hostility in the health care environment. This project examined a communication competence educational program on a spinal cord injury (SCI) nursing department and its potential to improve communication competence. The project question explored whether an educational series on incivility and creating healthy relationships would increase communication competence in nurses on the SCI unit. The project used the high reliability solutions for health care model communications …

Role Of Primary Care Providers And Integrated Disease Surveillance In Chad, Dhoud Stave Gischel Samba

Walden Dissertations and Doctoral Studies

In the Republic of Chad, primary care physicians play a central role in the detection and control of outbreaks and are critical actors in the integrated disease surveillance system through mandatory reporting. Feedback on such surveillance must reveal the needs and perceptions of these physicians. These needs and perceptions were examined using a questionnaire survey distributed to a sampling of 20 physicians in Chad. The purpose of this qualitative study was to investigate the role of primary care providers in the integrated disease surveillance to identify factors that impact complete, quality, and timely reporting. The theory of planned behavior was …

Effects Of Neighborhood Membership And Hypertensive Disorders In Pregnancy On Adverse Birth Outcomes, Chinyere Onyebuchi

Walden Dissertations and Doctoral Studies

Infant mortality (IM) rates in the United States remains high. The higher rates of IM among specific groups in the United States is believed to be fueled by the high rates of adverse birth outcomes including low birthweight (LBW) and preterm births (PTB) among these groups. Adverse birth outcomes have also been linked to the presence of hypertensive disorders during pregnancy. The purpose of this cross-sectional study was to explore the association between hypertensive disorders during pregnancy and adverse birth outcomes and the impact of the residential neighborhood of expectant mothers on this association. The life course health development theory …

Growing South Dakota (Winter 2019), College Of Agriculture, Food And Environmental Sciences

Growing South Dakota (Publication of the College of Agriculture, Food and Environmental Sciences)

This is issue contains the South Dakota Agricultural Experiment Station 2018 Annual Report, and the SDSU Extension 2018 Annual Report.

[Page] 2 Setting Into role as Dean
[Page] 4 Raven Precision Ag Center Groundbreaking Ceremony
[Page] 10 Collaborating for Research-Based Solutions
[Page] 12 From the SDSU Extension Director
[Page] 14 Empowering South Dakotans Through Training and Certifications
[Page] 18 Mental Health and Opioid Education
[Page] 21 Science of Agriculture
[Page] 23 Community Gardens Bring Hope to Pine Ridge Indian Reservation
[Page] 26 Energize! Conference
[Page} 28 Disaster Preparedness Training
[Page] 30 Bush Foundation Change Network
[Page] 32 SDSU to Participate …

Anti-Fat Bias Of Occupational Therapy Students, Carli Friedman, Laura H. Vanpuymbrouck

Journal of Occupational Therapy Education

Anti-fat biases in healthcare providers can result in substandard and decreased care, and also result in health disparities. There are very few studies that examine occupational therapists’ attitudes towards fat people and implications on practice. Therefore, the aim of this study was to explore the implicit fat prejudice of occupational therapy students. The authors also sought to understand how this prejudice related to the occupation-based models/frames of reference with which students professionally identified. To do so, 58 occupational therapy students from three Midwestern universities, all of whom recently completed their first year of professional occupational therapy education, completed the Weight …

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 …

Online Hybrid Vs. Face-To-Face Instruction In Applied Ot Theory, Brenda S. Howard

Journal of Occupational Therapy Education

Minimal evidence exists regarding online education in occupational therapy. This study explored entry-level occupational therapy (OT) student responses to two methods of instruction in an applied OT theory course. The investigator used a retrospective quasi-experimental, nonrandomized comparison group design with mixed methods to compare two cohorts of entry-level OT students. Data included midterm exam, final exam, and cumulative course grades, as well as qualitative data from a final exam essay question. Demographic data and cohort mean grade-point averages were collected at the program level. One cohort received face-to-face instruction, while the other received online hybrid and face-to-face instruction. The face-to-face …

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 …

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 …

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 …

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 …

Increasing Emotional Intelligence Through Self-Reflection Journals: Implications For Occupational Therapy Students As Emerging Clinicians, Natalie A. Perkins, Arlene A. Schmid

Journal of Occupational Therapy Education

Occupational therapy practitioners and students need skills associated with emotional intelligence (EI) as it is linked with therapeutic use of self. It is vital to train and educate occupational therapy students in self-awareness in order to prepare them to work effectively with future clients and co-workers. This study explored the use of self-reflection journals among graduate students during their spring semester of a full-time on-campus Master’s in Occupational Therapy program. Researchers aimed to understand the impact of self-reflection journals on trait EI. First year master level occupational therapy students (n=39) completed the Trait Emotional Intelligence Questionnaire (TEIQue). Quantitative data were …

Student Perceptions And Grade Comparisons After Exposure To Instructor-Made Skills Videos In A Kinesiology Course, Pamela Karp, Robert G. Gallagher

Journal of Occupational Therapy Education

The purpose of this mixed method, descriptive case study was to determine whether the use of pre-recorded instructor-made videos (PRIMVs) in a kinesiology course, along with curricular design changes, facilitated increased conceptual and practical student learning. The study examined three student cohorts in one occupational therapy program. Two of the student cohorts had unrestricted access to the PRIMVs designed to support student learning of bone and muscle palpation and joint actions. Students from the two cohorts completed a survey about their experience of having access to the videos. Exam data from the student cohorts who had access to the videos …

Collaborative Learning In A Faculty-Led Occupational Therapy Level I Fieldwork: A Case Study, Karen M. Keptner, Susan Maureen Klein

Journal of Occupational Therapy Education

Fieldwork experiences in occupational therapy are meant to bridge the gap between academic learning and clinical practice. Various formats for fieldwork experiences have been encouraged as sites become harder to find. A faculty-led fieldwork experience is one suggested format. Faculty-led initiatives using a collaborative learning model (CLM) allow faculty to supervise a group of students at one time. In order to understand more about using a CLM within Level I fieldwork, a case study approach was used to describe the experience of nine occupational therapy students. Results suggest that the students involved in this faculty-led Level I fieldwork experience in …

Use Of Case Studies To Promote Critical Thinking In Occupational Therapy Students, Denise D. Allen, Susan Toth-Cohen

Journal of Occupational Therapy Education

Critical thinking is a necessary component of clinical reasoning that should be addressed as part of the graduate curriculum for occupational therapists. For students to apply critical thinking in practice they must also have confidence and minimal anxiety about their abilities. Case-based learning was chosen to address critical thinking skill development, increase confidence, and decrease anxiety. The purpose of this mixed methods pilot study was to evaluate progressively independent engagement with case-based learning on student performance, confidence, and anxiety in applying critical thinking skills in the clinical setting. Critical thinking was measured using a rubric to assess students’ performance in …

Critical Thinking And Transformational Learning: Using Case Studies As Narrative Frameworks For Threshold Concepts, Christine Berg, Rachel Philipp, Steven D. Taff

Journal of Occupational Therapy Education

Critical thinking is an essential component to the occupational therapy process that is a timely skill with the rapid pace of change in our healthcare system. Critical thinking exposes assumptions, biases, beliefs and points of view and challenges a shift in epistemology by asking, ‘how do we know what we believe to know?’ Case studies are a tool to engage the learner in critical thinking and are commonly employed in occupational therapy curricula. Social determinants of health (SDH) describe environmental circumstances that affect health. The authors propose that SDH, embedded in case studies, serve as a threshold concept. A threshold …

Metacognition Of First Year Occupational Therapy Students: A Comparison Of Entry-Level Degrees, Leah S. Dunn, Pamela Lewis-Kipkulei, Roy Bower

Journal of Occupational Therapy Education

The purpose of this study was to compare the metacognitive awareness among first year students in entry-level occupational therapy programs. The study investigated the similarities and differences in awareness of cognition and strategies used to regulate cognition in occupational therapy assistant (OTA), Master of Occupational Therapy (MOT), and Occupational Therapy Doctorate (OTD) programs to inform teaching practices for the different educational demands and expected outcomes of each program. Thirty occupational therapy students (11 OTA, 10 MOT, and 9 OTD) completed the Metacognitive Awareness Inventory (MAI) during their first semester of occupational therapy courses at two universities. Overall, the results indicated …

Proposing A Metacurriculum For Occupational Therapy Education In 2025 And Beyond, Quinn P. Tyminski, Amy Nguyen, Steven D. Taff

Journal of Occupational Therapy Education

The American healthcare system has undergone significant changes in the past few years due to government and corporate-level changes. As healthcare requirements continue to shift, occupational therapists must continue to assert their role or risk losing relevancy. Therefore, educational programs must prepare students to meet the populations’ shifting healthcare needs through agile curricula which focus less on isolated skills and more on broad areas of impact. To determine essential content comprising a ‘metacurriculum’ for occupational therapy education of the future, nine articles were analyzed using Bloom’s Taxonomy (revised) to code each document into knowledge, skills, and behaviors. Major themes were …

Accommodation Use By Individuals With Disabilities In Occupational Therapy Fieldwork, Rebecca Ozelie, Megan Delehoy, Sierra Jones, Erin Sykstus, Victoria Weil

Journal of Occupational Therapy Education

The number of individuals enrolling in postsecondary education with a diagnosed disability is rising. However, the literature reflects a gap between mandated institutional policies and the extent of accommodation use and success. This study examines the use, type, and prevalence of accommodations used by students with disabilities completing occupational therapy fieldwork rotations, as well as the common barriers to accommodation access. Snowball sampling methodology was utilized to send out a 26-item questionnaire to occupational therapists and occupational therapy assistants. Two hundred and ninety-two occupational therapists and occupational therapy assistants answered the questionnaire to identify disability type, disclosure of disabilities, and …

Health Literacy In Student-Created Occupational Therapy Home Programs, Karen Flaherty, Sarah Foidel, Nancy E. Krusen

Journal of Occupational Therapy Education

This single site case report examined student-designed client educational materials for integration of health literacy principles in occupational therapy education. Researchers analyzed 16 home programs from first and second year occupational therapy doctorate students using the Health Literacy Advisor (HLA) and the Patient Education Materials Assessment Tool – Printable (PEMAT-P). The HLA provides scores of readability indexes, including Fry, SMOG, Flesch-Kincaid, and Flesch Reading Ease. The PEMAT-P assesses understandability and actionability. Results indicated reading levels near recommended 6^th grade reading scores with some improvement from first to second year educational level, though not necessarily useable material. HLA difficult to …

Developing An International Cultural Learning Project: An Effort Towards Introducing Internationalization In The Classroom, Mary Zadnik, Pavlina Psychouli, Kayla Collins

Journal of Occupational Therapy Education

In an increasingly diverse and global society, allied health professionals must be ready to meet the needs of clients with different cultural values, habits, and attitudes. Understanding how culture impacts decision making in healthcare is a fundamental skill. However, education and experiences to help prepare future practitioners to meet this need are often lacking in allied health. This paper highlights a call to develop methods to identify and overcome barriers in providing students with culturally diverse and immersive experiences both feasibly and efficiently. A pilot cross-cultural experience was created utilizing the technique of Internationalization at Home (IaH) and integrating technology …

Instructing Students How To Use Evidence-Based Technology Interventions With Older Adults, Michele L. Tilstra, Michelle L. Webb, Sandra E. Groger

Journal of Occupational Therapy Education

Current evidence supports the use of technology with older adults and the Accreditation Council for Occupational Therapy Education standards for entry-level occupational therapy programs mandate instruction on the use of technology to support occupational performance. The literature does not clearly define specific strategies to teach entry-level occupational therapy students how to implement technology interventions with older adults. The purpose of this paper is to provide OT educators with recommendations for teaching entry-level students to use evidence-based technology with older adults. The authors reviewed current literature. The recent evidence helped the authors define practical curriculum recommendations for instructing entry-level occupational therapy …