Medicine and Health Sciences Commons^™

The Relationship Between Moral Courage And Professional Confidence And Academic Achievement Among Precertification Radiologic Sciences Students In The United States: A Cross-Sectional Quantitative Study, Kristin M. Beinschroth

Doctoral Dissertations and Projects

Moral courage and professional confidence are traits that benefit healthcare professionals and students in practice but have yet to be explored in the radiologic science population. This study aimed to discern if relationships exist among moral courage, professional confidence, and academic achievement factors in pre-certification radiologic sciences students in the United States. This cross-sectional, nonexperimental quantitative study employed correlation and regression analyses using abridged versions of the Nurses’ Moral Courage Scale (NMCS) (Numminen et al., 2019) and the Confidence in Managing Challenging Situations Scale (CMCS) (Walsh et al., 2021). Participants exhibited high moral courage and high professional confidence, and both …

Understanding Faculty Perspectives On Health Equity Curriculum Implementation In Graduate Medical Education: A Qualitative Study, Krys Foster, Dhruvi Shah, Quinn Plunkett, Randa Sifri

Department of Family & Community Medicine Faculty Papers

BACKGROUND: Despite increased awareness of persistent healthcare disparities, integrating health equity education into medical residency curricula needs urgent expansion. The Accreditation Council for Graduate Medical Education (ACGME) mandates addressing healthcare disparities and social determinants of health, but implementation remains insufficient due to pervasive barriers.

OBJECTIVE: To explore residency faculty perspectives at one institution surrounding implementing a health equity curriculum within their programs.

METHODS: Between November 2022 and April 2023, qualitative interviews and focus groups were conducted with residency faculty participants (n = 13) from a large academic medical institution. Participants were recruited via an internal email list directory of program …

Google Glass™ In Healthcare Education: A Scoping Review, David B. Gillette, Bhavana Raja

Pacific Journal of Health

Background: Google Glass™ (Glass), a wearable augmented reality device is gaining popularity in healthcare education due to its portability, affordability, and usefulness, including offering a different vantage point and potential for remote training. We conducted this scoping review to determine its applications, effectiveness, and limitations in healthcare education.

Methods: Seven electronic databases were searched for relevant studies and reports using specified search terms. Two reviewers independently screened studies for eligibility, retrieved data, and compared results.

Results: The search yielded 2,019 articles. After removing duplicates, 1,576 titles, 877 abstracts, and 408 articles were screened; 78 articles were included in this review. …

Hydration Behavior Following Education And The Use Of A Hydration Monitoring Device, Victor A. Trujillo, Cynthia Galvez, Aqueen Lenon, Saemi Lee, Brian Bender, George Crocker, Michael S. Joseph

International Journal of Exercise Science: Conference Proceedings

Maintaining proper fluid balance is essential for metabolism, circulation, and temperature regulation. Physical activity, ambient temperature and humidity, fluid intake, and diet are some of the factors that influence a college student’s hydration status. PURPOSE: The purpose of this study was to determine the effects of hydration education and the use of a urinal-based hydration monitoring device (HMD) on hydration status in men on a college campus. METHODS: This study was conducted over eight weeks in a first-floor men’s bathroom located in a natural science building. The design consisted of four 2-wk interventions. The order of the treatments was …

Understanding The Impact Of Covid-19 On Yoga Instruction: Examining Teaching Methodology, Class Components, And Injury Patterns In The Northeastern Us, Sojung Kim, June Solow, Donald H Lein, Harshvardhan Singh

Rowan-Virtua School of Osteopathic Medicine Departmental Research

OBJECTIVES: This study aimed to examine the impact of COVID-19 on the perspectives of yoga instructors (YIs) regarding teaching methodology, class components, and yoga-related injuries among their clients DESIGN: A cross-sectional design in this study.

SETTING: A total of 407 YIs from Northeastern United States completed a customized, web-based survey.

MAIN OUTCOME MEASURES: Chi-square tests were carried out to determine changes in yoga teaching format before and during the pandemic, as well as the counts of yoga related injuries between face-to-face (FtoF) and online teaching format. Independent t tests were used to compare the characteristics of yoga teaching elements.

RESULTS: …

Impact Of State Abortion Policies On Family Medicine Practice And Training After Dobbs V Jackson Women’S Health Organization, Karen L. Roper, Sarah Jane Robbins, Philip Day, Grace Shih, Neelima Kale

UK CARES Faculty Publications

PURPOSE The Dobbs v Jackson Women’s Health Organization (Dobbs) Supreme Court decision revoked the constitutional right to abortion. Now, restrictive state abortion laws may con- tribute to the shortage and strain already felt in primary care practice, especially related to the provision of reproductive health care. The purpose of this study is to evaluate perceived impacts of state abortion legislation on family medicine clinicians’ practice and medical edu- cation regarding reproductive health care.

METHODS Ten questions were added to the 2022 Council of Academic Family Medicine Educational Research Alliance general membership survey to evaluate impact on relevant themes in reproductive …

Simulation In An Entry-Level Respiratory Therapy Program, Nikonya Godwin

MSHS Student Capstones

In response to the complex clinical environments respiratory therapy students face, there is a need for hands-on learning experiences that closely replicate real-life scenarios. There is a significant gap in the literature regarding respiratory therapy simulation-based training. A new simulation training program is being developed for Catawba Valley Community College’s (CVCC) respiratory therapy program to address this gap. The simulation training program will enhance critical thinking, decision-making, and technical skills by integrating realistic simulated respiratory case scenarios into the curriculum each semester of the two-year program. Central to the simulated program design are high and mid-fidelity multi-functional patient simulators and …

Transgender Education In School Nursing To Decrease Stigma And Promote Self-Efficacy, Brandy Shannon-Loyola

Electronic Theses and Dissertations

This Doctor of Nursing Practice project evaluated whether transgender education provided to school nurses and healthcare technicians decreased stigma and promoted self-efficacy. Concerns that transgender individuals have voiced were that they felt healthcare professionals could not effectively care for transgender patients, which may be due to personal or religious beliefs or lack of knowledge concerning the lesbian, gay, bisexual, transgender, and queer community. Participants included credentialed school nurses and healthcare technicians in secondary education settings. The method consisted of a presurvey, education in the form of a handout, followed by a postsurvey to determine if education was successful. The Wilcoxon …

Implementing Online Educational Modules To Introduce Specialty Disability Care To Students In Undergraduate Nursing Programs, Keegan Brunner, Molly Helton

James Madison Undergraduate Research Journal (JMURJ)

In 2016, 1 in 4 adults reported living with a disability in the United States; however, few nursing schools include education about how to best care for these individuals in their curricula. Studies have found that when nurses and other healthcare workers have better attitudes toward patients with disabilities, it leads to better health outcomes. The literature suggests that education and exposure are the most effective ways to increase positive attitudes toward disabled communities. This study offered Equity Access modules titled “Disability and Healthcare” and “Accessibility” developed by Duquesne University to pre-professional health students planning on pursuing Nursing degrees at …

From Books To The Bedside: Post-Graduation Impact Of 'Week On The Wards' On Medical Education., Ashley Russell, Kimberly Eberenz, Meena Khandelwal

Cooper Medical School of Rowan University Departmental Research

BACKGROUND: The transition between preclinical and clinical years during medical school has been shown to be challenging. Cooper Medical School of Rowan University (CMSRU) implements one required two-week-long shadowing program for first and one one-week-long shadowing program for second-year medical students called Week On the Wards (WOW). The goal of this study is to ascertain whether students who completed the WOW curriculum found it beneficial over the long-term. Specifically, we want to evaluate alumni's impression of the program's influence on career, specialty choice, professional development, personal development, and confidence.

METHODS: To evaluate our program, we developed, validated, and distributed a …

Ten Challenges And Opportunities In Computational Immuno-Oncology, Riyue Bao, Alan Hutson, Anant Madabhushi, Vanessa D Jonsson, Spencer R Rosario, Jill S Barnholtz-Sloan, Elana J Fertig, Himangi Marathe, Lyndsay Harris, Jennifer Altreuter, Qingrong Chen, James Dignam, Andrew J Gentles, Edgar Gonzalez-Kozlova, Sacha Gnjatic, Erika Kim, Mark Long, Martin Morgan, Eytan Ruppin, David Van Valen, Hong Zhang, Natalie Vokes, Daoud Meerzaman, Song Liu, Eliezer M Van Allen, Yi Xing

Faculty, Staff and Student Publications

Immuno-oncology has transformed the treatment of cancer, with several immunotherapies becoming the standard treatment across histologies. Despite these advancements, the majority of patients do not experience durable clinical benefits, highlighting the imperative for ongoing advancement in immuno-oncology. Computational immuno-oncology emerges as a forefront discipline that draws on biomedical data science and intersects with oncology, immunology, and clinical research, with the overarching goal to accelerate the development of effective and safe immuno-oncology treatments from the laboratory to the clinic. In this review, we outline 10 critical challenges and opportunities in computational immuno-oncology, emphasizing the importance of robust computational strategies and interdisciplinary …

From Books To The Bedside: Post-Graduation Impact Of ‘Week On The Wards’ On Medical Education, Ashley Russell, Kimberly Eberenz, Meena Khandelwal

Abington Jefferson Health Papers

BACKGROUND: The transition between preclinical and clinical years during medical school has been shown to be challenging. Cooper Medical School of Rowan University (CMSRU) implements one required two-week-long shadowing program for first and one one-week-long shadowing program for second-year medical students called Week On the Wards (WOW). The goal of this study is to ascertain whether students who completed the WOW curriculum found it beneficial over the long-term. Specifically, we want to evaluate alumni's impression of the program's influence on career, specialty choice, professional development, personal development, and confidence.

METHODS: To evaluate our program, we developed, validated, and distributed a …

Professional Development: A Mixed Methods Study Of Masters Of Public Health Alumni, Orna Baron-Epel, Yana Douvdevany, Dana Ivancovsky-Wajcman, Paul Barach, Osnat Bashkin, Katarzyna Czabanowska, Keren Dopelt, Nadav Davidovitch, Szczepan Jakubowski, Fiona Macleod, Maureen Malowany, Leah Okenwa-Emegwa, Maya Peled-Raz, Shira Zelber-Sagi

College of Population Health Faculty Papers

INTRODUCTION: We examined the perceptions of the Master of Public Health (MPH) degree graduates regarding their personal competencies, job performance and professional development using a mixed method, explanatory sequential design.

METHODS: A cross-sectional, self-administered questionnaire of the Haifa School of Public Health alumni who graduated between 2005 and 2022 was disseminated to 849 graduates between March and June 2022, from which 127 responded (response rate: 14.90%). This was followed by 24 in-depth interviews with alumni from the same sample (conducted between November 2022 and March 2023).

RESULTS: The sample included 74.8% of females with a mean age of 40.7 years, …

Nutrition Education Needs And Barriers Of Uninsured Clients Who Utilize Free Clinics In Western North Carolina, Manan Roy, Alisha Farris, Erin Loy, Lauren Sastre, Danielle L. Nunnery

Journal of Appalachian Health

Introduction: Many uninsured adults rely on free health clinics for prevention and treatment of chronic disease. Little is known about the nutrition education needs of adults served by free health clinics, especially those living in counties within the Western North Carolina Appalachian Mountain Region.

Methods: An in-person survey was distributed to 202 clients of two free health clinics in western North Carolina. Descriptive analyses were conducted to determine frequency distributions for food and physical activity practices, acceptable topics and strategies for nutrition education, and the acceptance and barriers for various modalities.

Results: Depending on the clinic, 49-58% of participants were …

Raising Awareness About Type 2 Diabetes In Adolescents Through Theatre: A Quasi-Experimental Pretest-Posttest Study, Margaret Curry

Wisdom & Compassion: The LUSON Journal

Education for preventing type 2 diabetes in adolescents should be a high priority among school officials and healthcare providers. The purpose of this research study was to educate adolescents on type 2 diabetes and to increase awareness about this disease. The Health Promotion Model developed by Nola Pender was used as the theoretical framework for this study. A quasi-experimental before-after design was used. The seventh and eighth-grade students enrolled in physical education classes at a local school were recruited. Of the 57 students recruited, 47 completed the study. A diabetes education program geared towards kindergarten through eighth grade was used. …

Nurse Graduates’ Experiences With Pain Science – A Qualitative Study, Rachel Bee, Cynthia Goodrich

Wisdom & Compassion: The LUSON Journal

Background: While the nursing profession has made great strides in pain management over the last 20 years, patients often report being under-assessed and undertreated for pain.

Purpose: The study purpose was to understand the lived experiences of practicing nurses who had completed a baccalaureate-level pain management course during their undergraduate training. The study aims included understanding how pain management skills were implemented in the clinical arena, determining barriers to implementing pain management skills, and identifying opportunities to improve the patient experience regarding pain management.

Design: The researchers implemented a qualitative methodology with a phenomenological design. Data collection consisted of semi-structured …

Nurses’ Ability To Provide Diabetes Education In A Hospital Setting, Nicole Ancrum

Doctoral Dissertations and Projects

Diabetes is a destructive health problem that affects millions of people throughout the United States. Diabetes rates are drastically increasing, and diabetic adults have a higher risk of excessive hospitalization and readmission. One in every four or five hospitalized adult patients has diabetes. Hospitals nationwide are saddled with the responsibility of assessing the need for and supplying diabetic education. Registered nurses’ perception, awareness, and utilization of diabetes education are essential to patients’ ability and willingness to perform diabetes self-management interventions effectively. Meeting inpatient diabetes educational needs requires persistent, innovative strategies appropriate for available resources and staffing models. Nurses play a …

Navigating Artificial Intelligence In Spine Surgery: Implementation And Optimization Across The Care Continuum, Antony A. Fuleihan, Arjun K. Menta, Tej D. Azad, Kelly Jiang, Carly Weber-Levine, Daniel A. Davidar, Andrew M. Hersh, Nicholas Theodore

SKMC Student Presentations and Publications

The field of spine surgery has long been characterized by innovations and technological advancements. The integration of artificial intelligence (AI) into spine surgery represents one of the latest technical developments in the field. The ability of AI to rapidly analyze datasets improves decision making, risk assessment, intraoperative precision, and postoperative management, all of which contribute to increasing personalized spine care and improving outcomes. However, the successful implementation of AI faces regulatory and privacy challenges that must be addressed before its full potential can be realized. Here, we provide a detailed analysis of the current applications and future prospects of AI …

Gender And Sexuality Awareness In Medical Education And Practice: Mixed Methods Study, Rola Khamisy-Farah, Eden Biras, Rabie Shehadeh, Ruba Tuma, Hisham Atwan, Anna Siri, Manlio Converti, Francesco Chirico, Łukasz Szarpak, Carlo Biz, Raymond Farah, Nicola Bragazzi

Faculty, Staff and Students Publications

BACKGROUND: The integration of gender and sexuality awareness in health care is increasingly recognized as vital for patient outcomes. Despite this, there is a notable lack of comprehensive data on the current state of physicians' training and perceptions in these areas, leading to a gap in targeted educational interventions and optimal health care delivery.

OBJECTIVE: The study's aim was to explore the experiences and perceptions of attending and resident physicians regarding the inclusion of gender and sexuality content in medical school curricula and professional practice in Israel.

METHODS: This cross-sectional survey targeted a diverse group of physicians across various specializations …

Empowering Students Is “Perfectly Normal:" The Case For 𝘐𝘵'𝘴 𝘗𝘦𝘳𝘧𝘦𝘤𝘵𝘭𝘺 𝘕𝘰𝘳𝘮𝘢𝘭 In Middle Schools, Caroline H. Peabody

OUR Journal: ODU Undergraduate Research Journal

In September of 2023, a middle school teacher wrote an open letter to the Lexington County, Virginia school board expressing outrage over the “graphic sexual content” included in the county middle school’s library. Swiftly following the letter, the school board removed two books from the county’s Lylburn Middle School library without due process and avowed to reconsider the guidelines for including books in the library. One of the two books in question was It’s Perfectly Normal, a non-fiction illustrated book intended to educate readers ten and up on sex, intercourse, and puberty. It’s Perfectly Normal and should be available …

Racial Equity, Diversity And Inclusion In Bioethics: Recommendations From The Association Of Bioethics Program Directors Presidential Task Force, Sandra Soo-Jin Lee, Alexis Walker, Shawneequa L Callier, Faith E Fletcher, Charlene Galarneau, Nanibaa' Garrison, Jennifer E James, Renee Mcleod-Sordjan, Ubaka Ogbogu, Nneka Sederstrom, Patrick T Smith, Clarence H Braddock, Christine Mitchell

Center for Medical Ethics and Health Policy Staff Publications

Recent calls to address racism in bioethics reflect a sense of urgency to mitigate the lethal effects of a lack of action. While the field was catalyzed largely in response to pivotal events deeply rooted in racism and other structures of oppression embedded in research and health care, it has failed to center racial justice in its scholarship, pedagogy, advocacy, and practice, and neglected to integrate anti-racism as a central consideration. Academic bioethics programs play a key role in determining the field's norms and practices, including methodologies, funding priorities, and professional networks that bear on equity, inclusion, and epistemic justice. …

Perceptions Of Virtual Reality In Cardiac Pharmacy Education, Morgan E. Mendes

Senior Theses

Background: The reformation of how educational content is portrayed is not a new phenomenon. However, the world of pharmacy has been slow to adapt, particularly considering higher education’s declining attendance rates and less engaging lectures. XR can be a great addition to learners’ curriculum, particularly VR, with various applications including adjunctive pharmacotherapy, patient counseling, pharmacist training, and pharmacological modeling. Despite the various barriers VR integration faces, the benefits of VR necessitate its future implementation into our COP curriculum as an augmentative form of learning.

Methods: An independent study of 11 students at the UofSC COP was conducted in the Spring …

Training Nurses In Trauma-Informed Care To Address Workplace Violence In Inpatient Settings, Kelly Kearney, Elaheh Ashtari, Stephanie Emhoff, Calvary Fielden, Sarah Hernandez, Ana Ruiz

Faculty, Staff and Student Publications

Background: Frontline workers in psychiatric facilities are exposed to considerable risks of verbal and physical assaults, with 40% to 65% of mental health nurses experiencing violence in the workplace. The goal of this pilot study was to assess the readiness and motivation for adopting trauma-informed care (TIC) to address workplace violence in an acute care psychiatric hospital.

Method: A pre-post quality improvement study was conducted in two pilot units of a 274-bed acute care psychiatric hospital, involving a discussion-based seminar and a practical exercise. Surveys assessed participants' readiness and motivation posttraining.

Results: Sixty-eight staff members completed part 1 training, with …

Accelerated 3ymd Programs: The Last Decade Of Growth Of The Consortium Of Accelerated Medical Pathway Programs (Campp)., Catherine L Coe, Sally A Santen, Annette Reboli, Jeffrey R Boscamp, Amanda M Stoltz, Erin Latif, Lisa Grill Dodson, Matthew Hunsaker, Anuradha Paavuluri, Judith Brenner, Seethalakshmi Ramanathan, Allison Macerollo, Shou Ling Leong, Lisa Strano-Paul, Christin Traba, Betsy Goebel Jones, Kristen Rundell, Alicia Gonzalez-Flores, William J Crump, Mark Vining, April O Buchanan, Debaroti Tina Mullick Borschel, Christina M Vitto, Joan Cangiarella

Cooper Medical School of Rowan University Departmental Research

INTRODUCTION: Over the past decade, the growth of accelerated three-year MD (3YMD) programs has flourished. In 2015, with support from the Josiah Macy Jr. Foundation, the Consortium of Medical Pathway Programs (CAMPP) started with eight North American medical schools. The objective of this paper is to evaluate the current state of the 3YMD programs.

MATERIAL AND METHODS: Since 2015, the CAMPP has tracked new and prospective 3YMD programs. An electronic survey collecting curricular and programmatic information about the programs was disseminated to all members of the CAMPP in August 2023. The survey included elements related to year of initiation, number …

Qualitative Investigation Of School Experiences In Children With Osteogenesis Imperfecta, Julia M Morales, Andrew D Wiese, Whitney S Shepherd, Gianna M Colombo, Selena Guo, Justin Qian, W Conor Rork, Hannah Cho, Kristin M Kostick-Quenet, Dianne Nguyen, Erin M Carter, Michelle L Fynan, Members Of The Bbdc, Chaya N Murali, Marie-Eve Robinson, Sophie C Schneider, Brendan Lee, V Reid Sutton, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Osteogenesis imperfecta (OI) is a rare genetic chronic condition leading to fragile bones and frequent bone fractures with wide-reaching health implications. Current literature suggests that children with chronic diseases face unique challenges at school, yet research regarding educational concerns among those with OI is limited. The present study involved qualitative analysis of semi-structured interviews with 10 children with OI and 12 caregivers of a child with OI. Children and caregivers participated in the interviews individually; they were not dyads of participants. Half of the caregivers who participated had OI themselves. The interviews were coded, and six themes were identified: (1) …

Perceptions Of Pharmacy Students Towards The Transition To Online Communication In Learning: Lessons From The Covid-19 Pandemic, Wejdan Shroukh Dr

Middle East Journal of Communication Studies

This study aims to explore the experiences of pharmacy students at Middle East University (MEU) in the transition to online communication in pharmacy education during the COVID-19 pandemic in the academic year 2021/2022.The current study follows an inductive qualitative research design based on conducting semi-structured interviews with students. Thematic analysis of data was carried out, and the six phases of analysis described by Braun and Clarke were followed. Data analysis yielded the following themes: acceptance of the transition to online communication in pharmacy education, the perceived difficulty of online courses delivered during the pandemic, drawbacks of online communication in pharmacy …

Assessing The Impact Of An Educational Healthcare Competition In Enhancing Student Knowledge Of Public Health, Alyssa L. Sepulveda, Ronald A. Shaju, Nura Salhadar, Brianna Guillen, Alexa Zarate

Research Colloquium

Background: Educational disparities have a huge impact on unequal healthcare outcomes. Students from underserved areas often lack awareness of healthcare disparities impacting their communities. This study aimed to develop and assess the effectiveness of a program conducted by medical students to enhance high school students’ understanding of these disparities in their home, the Rio Grande Valley.

Methods: The Education Collaboration for Aspiring Health Professionals (ECAHP) competition is a one-day annual program. It is designed and implemented by UTRGV medical students in collaboration with the School of Medicine’s Area Health Education Center Program (AHEC). The program targets high school students …

Point Of Care Ultrasounds Obtained By Novice Physician Assistant Residents (Pocus On Par), Kristine L. Jeffers, Jared Cohen, Eric Chin, Nicholas Thompson, Seshidar Tekmal, Robyn Lombardo, Jessica Barlow, Amie Billstrom, James Aden, Melissa Myers

Physician Assistant Studies Faculty Research and Publications

Introduction

The integration of Point of Care Ultrasound (POCUS) into the care of trauma patients, specifically the E-FAST, has improved the accuracy of initial diagnoses and improved time to surgical intervention in critically ill patients. Physician assistants (PAs) are critically important members of any military trauma resuscitation team and are often team leaders in a pre-hospital setting. They may receive training in ultrasound but there are little data to support their use or evaluate their effectiveness in using POCUS. We designed a study to evaluate the image quality of an E-FAST Exam performed by Emergency Medicine Physician Assistant (EMPA) Fellows …

Nutrition Education For Refugees: Successful Strategies And Barriers, Jessica Smith, Habiba Nur, Martha Archuleta, Mateja R. Savoie-Roskos, Celina Wille, Casey Coombs, Heidi J. Wengreen

Journal of Human Sciences and Extension

Nutrition education can improve nutrition and health for refugees. Extension program directors providing nutrition education to refugees were surveyed regarding successful program techniques, program challenges, and both the barriers refugees face and the strengths they possess concerning healthy eating. Researchers used grounded theory to explore the qualitative data. Hands-on, skill-based learning emerged as a main theme of successful programs. Language and cultural issues emerged as main program challenges. It is recommended that future refugee nutrition education programs provide culturally sensitive opportunities for skill-based learning.

Exploring Medical Student Experiences Of Trauma In The Emergency Department: Opportunities For Trauma-Informed Medical Education, Giselle Appel, Ahmed Shahzad, Kestrel Reopelle, Stephen Didonato, Frances Rusnack, Dimitrios Papanagnou

Department of Emergency Medicine Faculty Papers

PURPOSE: During the third-year emergency medicine (EM) clerkship, medical students are immersed in traumatic incidents with their patients and clinical teams. Trauma-informed medical education (TIME) applies trauma-informed care (TIC) principles to help students manage trauma. We aimed to qualitatively describe the extent to which students perceived the six TIME domains as they navigated critical incidents during their EM clerkship.

METHODS: We employed a constructivist, modified grounded theory approach to explore medical students' experiences. We used the critical incident technique to elicit narratives to better understand the six TIME domains as they naturally appear in the clerkship. Participants were asked to …