Medicine and Health Sciences Commons^™

The Performance Of Neurologically Intact Sequential Shona-English Bilingual Speakers On The Bilingual Aphasia Test, Mcloddy R. Kadyamusuma, Antony R. Joseph

Faculty Publications – Communication Sciences and Disorders

Background
Currently, no standardized culturally and linguistically appropriate assessment tools may be used to provide speech and language assessment for Shona-English bilingual speakers.

Aims
This study examined the performance of Shona-English sequential bilingual speakers on the full versions of the Shona and English Bilingual Aphasia Test (BAT).

Methods and Procedures
The adapted BAT-Sh and BAT-E were administered to 20 neurologically intact sequential bilingual individuals 30 to 40 years of age. Each participant was administered 32 tasks to facilitate a complete assessment of language skills at all levels of processing and for all modalities.

Results
The Shona-English sequential bilingual speakers performed …

Laser-Induced Graphene Sensor For The Electrochemical Detection Of Acetaminophen, Abdellatif Ait Lahcen, Mazhar Sher, Sikander Ameer, Gymama Slaughter

Center for Bioelectronics Publications

Here we present a simple and efficient method for fabricating laser-induced graphene (LIG) electrodes for the electrochemical detection of acetaminophen (AAP), a crucial analgesic and antipyretic that can become toxic at elevated concentrations. Unlike conventional sensors that require intricate chemical modifications, the fabricated LIG-based sensor eliminates the need for functionalization, offering a streamlined sensing solution. The LIG electrodes were characterized using scanning electron microscopy, energy-dispersive spectroscopy, and Raman spectroscopy, which confirmed the formation of a highly porous graphene network with excellent purity and conductivity. Cyclic voltammetry analysis with a ferricyanide redox probe revealed a large electroactive surface area of 1.21 …

Enhancing Nursing Education: A Quality Improvement Project To Mitigate Incivility Among Faculty, Rebecca Mitschele

Doctor of Nursing Practice Projects

Incivility among nursing faculty poses a significant challenge, adversely affecting job satisfaction, mental health, and communication within academic and clinical settings. This Quality Improvement (QI) project addressed this pervasive issue by identifying faculty incivility as a key contributor to high turnover rates and burnout in faculty and students. A mixed-methods approach assessed the prevalence and types of incivility displayed, including surveys and focus group discussions with faculty. The intervention included conflict resolution training, the establishment of an anonymous reporting mechanism, and the development of a framework to revise the faculty handbook specifically to address incidents of incivility. Post-intervention results indicated …

Promoting Student Retention Through Mandatory Remediation, Randi Mccoy

Doctor of Nursing Practice Projects

This DNP Project seeks to identify and evaluate among associate degree nursing (ADN) faculty, will implementing a pilot remediation policy, compared to the current remediation policy, impact faculty perception regarding exam remediation? Exam remediation is important as it helps students understand why they missed questions, how to improve on their next exam, provides guidance and confidence. It is also essential to determine whether required remediation for students after failing an exam promotes student retention, growth, and expansion at a local university in Oklahoma in the setting of an unprecedented program. Does adding required remediation after a failed exam offer students …

Improving Nursing Faculty's Self-Efficacy For Pre-Brief In High Fidelity Simulation: A Quality Improvement Project, Jamie Herron

Doctor of Nursing Practice Projects

High-fidelity simulation (HFS) effectively allows students to practice nursing care in a safe and controlled environment with fewer chances of error or harm. The Society of Simulation in Healthcare (2021) states that best practice standards include pre-briefing, evaluation during simulation, and debriefing. A standardized pre-briefing for faculty during nursing students' high-fidelity simulation was needed in an Oklahoma associate degree nursing (ADN) program. The Society of Simulation in Healthcare (SSH) evidence-based standards of practice include providing a pre-brief before starting a high-fidelity simulation, which decreases the student's anxiety and improves learning. The PICOT question, “How does education about pre-briefing in high-fidelity …

Quality Improvement Project: Reducing Ventilator Days: Evaluating The Effectiveness Of A Nurse-Led Mechanical Ventilation Liberation Protocol In Critical Care Units, Joseph Duncan

Doctor of Nursing Practice Projects

The present study investigated the effect of intensive care unit (ICU) nurses’ knowledge and confidence in managing mechanically ventilated patients’ weaning trials, and whether innovative education can improve these clinical interventions. Current practice relies on an antiquated provider-led protocol that does not account for the nurses’ skill level or practice autonomy. This oversight consistently leads to ventilator associated complications including prolonged ventilation time, increase sedation infusion use and increase ICU length of stay. This study’s aim was to determine if innovative education could improve nursing knowledge and confidence related to ventilated patient care. Nurse participants (N=100) were randomly selected to …

Quality Improvement Project: Improving Access To Early Intervention For Prediabetic Patients In Primary Care, Jude Abam

Doctor of Nursing Practice Projects

Primary care frequently misdiagnoses prediabetes, which serves as a diabetes type 2 precursor, resulting in failed early treatment opportunities. A structured staff education program was the goal of the quality improvement project during the DNP implementation. The initiative addressed knowledge gaps alongside screening protocol standardization all to enhance early detection as well as intervention efforts. Using both Lewin’s Theory of Change and Kolb’s Theory of Experiential Learning, a pre-post-design was applied across seven weeks. Prediabetes screening and management, along with its risk factors, were taught to the staff. The demographic questionnaires helped in assessing the knowledge and self-efficacy of the …

Quality Improvement Project - Virtual Escape Rooms: A Teaching Strategy For Nurse Educators, Alisha Mcafee

Doctor of Nursing Practice Projects

Virtual escape rooms (VERs) are an active learning activity that engages students with learning materials while applying theory and knowledge to life-like patient scenarios. Nursing faculty at one nursing program required education about VER development. The problem identified for this quality improvement (QI) project was the lack of knowledge of the nursing faculty on the use and development of this active learning strategy. This QI project aimed to enhance nurse faculty knowledge and ability to utilize VERs within their courses. Faculty participated in an educational session about VERs. Completion of a pre-and post-questionnaire took place. Three Likert-scale questions were asked …

Point-Of-Care Lab Testing Reduces Lab Turn Around Times And Decreases Delays In Treatment, Arkayla Beamon

Doctor of Nursing Practice Projects

The purpose of this doctoral project was to explore workflows associated with the preanalytical phase of the lab diagnostic process in a one-hundred-bed long-term acute care hospital, identify the most common errors that occur, and explore the effect of point-of-care lab testing (POCT) education on a reduction in treatment delays. More specifically, the project aims to answer the following question: In nurses, unit clerks, and respiratory therapists what is the impact of POC education on lab diagnostic delays in a long-term acute care hospital over six months?

Enhancing Simulation Debriefing In Nursing Education: A Quality Improvement Project, Rebecca L. Ray

Doctor of Nursing Practice Projects

This quality improvement (QI) project is of utmost importance as it aims to significantly enhance the debriefing process after simulations in an Associate Registered Nursing Program. The project is designed to equip nursing instructors with a comprehensive guide to facilitate debriefing after simulations, thereby improving student learning outcomes, fostering reflection, and enhancing clinical practice. The lack of consistent and practical guidance during the debriefing process after simulation exercises has been identified as a critical challenge in the nursing program. Without proper guidance, the debriefing process may not achieve its intended outcomes, underscoring the necessity of this project. The intervention at …

Nurses Confidence And Knowledge Improvement For Sleep In Sleep Hygiene Education, Rawda Nourain

Doctor of Nursing Practice Projects

The purpose of this DNP project was to increase the knowledge and self-confidence of nurses in relation to sleep hygiene practices for psychiatric patients to improve sleep quality and overall mental health. In this study, a pre- and post-intervention design was used for four nurses in a psychiatric unit. The intervention was comprised of teaching the patients about sleep hygiene practices, altering the environment (light and noise reduction), and using non-drug approaches. Knowledge assessments and self-confidence surveys were used to collect the data. All the participants were able to recall the correct sleep hygiene knowledge after the intervention, and all …

Nourishing Knowledge: Optimizing Therapist And Family Education In The Implementation Of The Sos Feeding Approach, Aidyn C. Keller

Occupational Therapy Doctorate Capstone Posters

This ALE/capstone project aimed to bridge the knowledge gap between families, caregivers, and therapists during a 12-week feeding program at a local outpatient pediatric facility in Louisville, KY. The goal was to promote carryover of SOS-based strategies at home and boost caregiver confidence in implementing them. Dr. Kay Toomey, founder of the SOS Approach to Feeding, developed an evidence-based framework for children with feeding difficulties, following the developmental sequence of feeding skills from oral motor and sensory perspectives. The program incorporated resources from Dr. Toomey, including physical documents and links for additional materials for families and professionals.The project focused on …

Maternal Health Advocacy, Savanah Jones

Occupational Therapy Doctorate Capstone Posters

This capstone, conducted at Sunny Day Therapy, aligned with the ACOTE advocacy domain and aimed to raise awareness of occupational therapy’s (OT) unique role in maternal health—a critical need as maternal mental health concerns affect 1 in 5 U.S. women (Postpartum Support International, 2023) and OT remains underutilized in this area. Addressing literature-identified gaps in emotional regulation, daily function, and maternal-infant co-occupations (Sepulveda, 2019), the 14-week project developed and disseminated evidence-based educational materials, social media campaigns, and outreach initiatives to support maternal self-regulation, physical health, and well-being during the perinatal and postpartum period. Deliverables included flyers on self-regulation, postpartum ergonomics, …

Tethered Oral Tissues (Tots) And Occupational Therapy (Ot), Tori Gray

Occupational Therapy Doctorate Capstone Posters

This capstone project and ALE focused on Tethered Oral Tissues (TOTs) and their connection to Occupational Therapy (OT), highlighting how TOTs impact more than just feeding by affecting sensory regulation, posture, and overall development. Through observation, research, and hands-on experience, I explored OT’s role in identifying and treating TOTs. I created an evidence-based educational infographic for local physician and dental offices to advocate for increased OT involvement and tracked patient referrals to assess its impact. Literature review revealed that while TOTs are commonly linked to lactation and speech, their broader effects on motor coordination, sensory processing, and posture are underrecognized. …

Empowering Mothers: Addressing Postpartum Depression In The Nicu Through Occupational Therapy, Maggie Cloyd

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project and Applied Leadership Experience (ALE) addressed the elevated risk of postpartum depression (PPD) among mothers with infants in the Neonatal Intensive Care Unit (NICU). Completed at Norton Women’’s and Children’s Hospital in Louisville, KY, the project focused on leadership and advocacy, aiming to raise awareness of maternal mental health, highlight occupational therapy’s role, and create educational infographics for both NICU mothers and staff.A needs assessment was conducted through informal staff discussions, observation, and an anonymous survey distributed to NICU mothers. Mothers reported emotional distress, guilt, isolation, and limited involvement in infant care. Research supports that NICU …

In-Depth Exploration Of Ot In An Alf, Madison J. Jones

Occupational Therapy Doctorate Capstone Posters

My Capstone project focused on occupational therapy’s role in maintaining independence for individuals living in an assisted living facility (ALF) through advocacy, education, and hands-on experience. My goal throughout the project was to reach out to friends, family, and residents living in this retirement community to inform them about OT and the role OT can have to maintain their independence through physical activities, cognitive activities, and meaningful occupations. Different education and advocacy events were created and completed during the project to reach out to the residents and staff members about therapeutic services offered to support aging in place. My Capstone …

Building Clinical Expertise: An Occupational Therapy Student-Centered Guide To Foundational Orthotic Fabrication Concepts And Splint Patterns, Belinda Cheng

Occupational Therapy Doctorate Capstone Posters

The purpose of this doctoral capstone was to support student learning in hand therapy by developing a student-centered educational guidebook that introduces fundamental orthotic fabrication concepts and provides visual splint pattern tutorials in an accessible and comprehensive format. Splint pattern development is a foundational step in orthotic fabrication that helps students comprehend how 2D designs translate into 3D orthoses. To enhance clinical skills through direct practice opportunities, this resource features detailed splint pattern modules for 10 commonly fabricated orthoses, each accompanied by background information and model images, while the orthotic educational content promotes self-directed learning by guiding students to understand …

Sensory Toolkits For Self-Regulation In An Inclusive Summer Camp, Ashley A. Edwards

Occupational Therapy Doctorate Capstone Posters

This capstone project focused on increasing sensory regulation support for participants at Camp Hooray hosted at Extra Special People (ESP), a nonprofit organization serving individuals with disabilities of all ages. To address sensory processing challenges in an inclusive summer camp setting, I developed and distributed portable sensory toolkits and provided staff education on their use. Each toolkit was a drawstring bag containing noise-canceling headphones, fidgets, sunglasses, visual prompts for deep breathing, and other items designed to offer calming or alerting input in moments of dysregulation. I collaborated with staff to identify needs, secured donations, sourced materials, and created an educational …

Advocating For And Improving Kota Membership, Hunter Robinson

Occupational Therapy Doctorate Capstone Posters

This capstone project took place remotely with mentorship provided by Dr. Allen Keener, PhD, OTD, OTR/L, ATP. The primary ACOTE focus area of this project is advocacy. The goals of my capstone include identifying why OT professionals either do or don’t attain and maintain KOTA membership, advocating for the importance of OT professionals to gain membership to their state OT association, identifying factors/trends that may contribute to an increase or decrease in membership rates among various state OT associations, and using knowledge gained throughout this project, help to improve KOTA membership rates. State occupational therapy associations across the country are …

Long Story Short: Addressing Health Literacy In The Acute Care Setting, Madeline K. Ebright

Occupational Therapy Doctorate Capstone Posters

This capstone project targeted patient and family education in the acute care setting. The primary goals were focused on understanding what education was already being provided and what improvements can be made to educational methods. The primary problem that was addressed through a literature review and needs assessment was a lack of physical resources available. Five core resources were then created across three different departments in order to improve the overall system of health education in the acute care setting and consequently improve patient health literacy. To evaluate the efficacy of the resources they were provided to patients and practitioners …

Adverse Childhood Experiences In The School System, Hollie Hedrick

Occupational Therapy Doctorate Capstone Posters

Through my ALE, focused on education in Boyd County Public Schools, I implemented trauma-informed interventions to support students affected by Adverse Childhood Experiences (ACEs). My goals were to help children develop emotional and sensory regulation skills, educate school staff on how to support students navigating trauma, and raise awareness of the lifelong impact of ACEs and the value of therapeutic services. ACEs—such as abuse, neglect, or household dysfunction—can disrupt childhood development and lead to poor long-term health and increased need for medical and educational services. It is crucial that professionals help students process and manage these experiences. I delivered 1:1 …

Enhancing Occupational Therapy In The Acute Care Setting: Educating Clinicians, Expanding Resources, And Strengthening Documentation, Elizabeth Biggs

Occupational Therapy Doctorate Capstone Posters

My doctoral capstone project was completed in the acute care setting at University of Kentucky HealthCare. The goal was to elevate occupational therapy’s role by addressing documentation practices, assessment use, and discharge planning. I focused on equipping clinicians with tools and education to improve service quality, efficiency, and OT visibility in discharge processes.

Through clinician interviews, workflow observations, and review of discharge trends, I identified challenges in documentation standardization, assessment clarity, and OT involvement in discharge planning. Literature supported these findings, highlighting how such issues reduce OT’s impact on patient outcomes.

In response, I developed three key deliverables using clinician …

From Symptom To Source: Unraveling The Upper Limb Puzzle, Kara Burton

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE project was to bridge the gap in literature by creating a comprehensive evaluation program to assist in identifying differential diagnoses based on symptoms presented. Following ACOTE’s focus areas of program development and clinical practice, this project aimed to improve diagnostic accuracy and clinical reasoning through the creation of an evidence based evaluation program. It guides therapists through a systematic evaluation process, especially when symptoms are complex or diagnoses are unclear. Providing clinicians with a structured chart focusing on symptom overview, mechanism of injury, clinical presentation, special testing, and potential differential diagnoses. On site therapists and …

Kentucky Occupational Therapy Foundation, Hannah Mitchell, Hannah Mitchell

Occupational Therapy Doctorate Capstone Posters

For my Capstone and Applied Leadership Experience (ALE), I partnered virtually with Eastern Kentucky University and the Kentucky Occupational Therapy Foundation (KOTF), focusing on advocacy and development in alignment with ACOTE standards. The project’s goal was to promote occupational justice by increasing access to OT education through the creation of a targeted scholarship. Guided by my mentor, Dr. Colleen Schneck, and the KOTF board, we identified financial barriers as a significant issue for aspiring occupational therapy professionals. Our needs assessment showed a lack of OT-specific scholarships for students at varying educational levels. To address this, we developed a scholarship for …

3d Printed Adaptive Technology, Mackenzie Polster

Occupational Therapy Doctorate Capstone Posters

For my Capstone experience, I worked with Hancock Health in the outpatient department in Greenfield, IN. My primary ACOTE focus areas were program development (creating 3D printed adaptive technology (AT) for patients) and education (educating about benefits of 3D printing for functional use). Project goals included: educate occupational therapists and patients about 3D printed AT benefits, create 3D printed AT for patients, assess 3D printed AT from patient perspective, and assess relevance of 3D printed AT from OT perspective. There is limited existing research of 3D printing being used for AT. 3D printing often is dismissed due to vendors utilizing …

The Effectiveness Of Vivistim On Ue Function Post Chronic Ischemic Stroke, Chelsea G. Tucker

Occupational Therapy Doctorate Capstone Posters

The purpose of this capstone project was to learn about a new technology, Vivistim, as it enhances upper extremity function post chronic ischemic stroke through vagus nerve stimulation paired with repetitive task-specific therapy. This project took place at UK Healthcare Outpatient Neurorehabilitation at Cardinal Hill Rehabilitation Hospital in Lexington, Kentucky. The AOTA/ACOTE focus areas for this project included education and clinical practice. Specific goals included to learn about the role of occupational therapy in the outpatient neurorehabilitation setting, research background information for case study including ischemic stroke, motor relearning, vagus nerve stimulation, and Vivistim technology, gather observations for case study, …

Program Analysis And Development In A Kentucky Specialty Court Program, Brooke Mahanna

Occupational Therapy Doctorate Capstone Posters

This capstone was completed with a Specialty Court program within Kentucky. The focus was education and advocacy for occupational therapy (OT) in a setting that currently lacks these services. The goals included identifying OT's role in substance use treatment, especially for justice-involved individuals and developing OT-informed resources to support holistic care and wellness.

Substance use negatively impacts personal, social, and occupational participation (Doğu & Özkan, 2023; Sadaqat et al., 2023). OT’s focus on quality of life is an approach shown to improve long-term outcomes. Lack of OT services in the project setting highlights a gap in holistic care for program …

Empowering Veterans Through Access: Development Of A Comprehensive Resource Guide, Lindsey Perkins

Occupational Therapy Doctorate Capstone Posters

For my Capstone and Applied Leadership Experience (ALE), I partnered with the EKU Office of Veterans Affairs, an academic support setting serving student veterans. The ACOTE focus areas were Education and Program Development. The project aimed to create a comprehensive Veterans Resource Guide to help veterans navigate healthcare, education, employment, and community reintegration services. A needs assessment revealed a lack of centralized resources to support student veterans, aligning with literature indicating that over 48% of veterans struggle with transitioning to civilian life (Parker et al., 2019). Challenges include mental health, social isolation, and occupational barriers (Krigbaum et al., 2020), with …

Dynamic Movement Intervention (Dmi): Understanding Occupational Therapy's Role In Pediatric Gross Motor Development, Katarina Porter

Occupational Therapy Doctorate Capstone Posters

The purpose of this capstone experience was to complete an advanced clinical practice in Dynamic Movement Intervention (DMI) and to explore the role of occupational therapy in pediatric gross motor development at Marshall Pediatric Therapy in Lexington, Kentucky. As part of this project, an educational brochure was developed to inform parents and practitioners about the benefits of DMI for children with gross motor delays. Additionally, a student guide was created to link DMI exercises to pediatric developmental milestones and to highlight their relevance to occupational therapy. This capstone experience allowed me to advance my understanding of pediatric gross motor development, …

Exploring The Benefits Of Occupational Therapy In Women's Health, Makayla Witt

Occupational Therapy Doctorate Capstone Posters

The primary goal of this ALE presentation was to educate healthcare providers, patients, and staff on occupational therapist’s contributions to women’s health. In collaboration with Dr. Byram Ratliff at Sterling Women’s Health, I explored the role of occupational therapy in individualized women’s care. Initial research revealed a lack of awareness regarding how occupational therapy can support women through different life stages. This project involved shadowing my site mentor to understand clinic workflows, then assessing baseline knowledge of occupational therapy using an online survey completed by patients, staff, and providers. Survey results identified limited awareness of occupational therapist’s role, prompting the …