Medical Education Commons^™

Educational Model To Increase The Number And Diversity Of Rn To Bsn Graduates From A Resource-Limited Rural Community, Janice E. Hawkins, Lynn Wiles, Karen Karlowicz, Kimberly Adams Tufts

Ellmer School of Nursing Faculty Publications

Increasing the number of BSN-prepared nurses at the bedside is directly linked to improved health care outcomes. However, employers are challenged to find enough BSN graduates to meet workforce demands. This article presents an educational model that uses evidence-based practices to increase enrollment, retention, and graduation rates of RN students in a BSN program (RN-BSN) in a resource limited rural community. This exemplar may equip nurse educators with strategies to adopt in their own communities.

Telehealth And Ehealth In Nurse Practitioner Training: Current Perspectives, Carolyn M. Rutledge, Karen Kott, Rebecca Poston, Christianne Fowler, Tina S. Haney

Ellmer School of Nursing Faculty Publications

Telehealth is becoming a vital process for providing access to cost-effective quality care to patients at a distance. As such, it is important for nurse practitioners, often the primary providers for rural and disadvantaged populations, to develop the knowledge, skills, and attitudes needed to utilize telehealth technologies in practice. In reviewing the literature, very little information was found on programs that addressed nurse practitioner training in telehealth. This article provides an overview of both the topics and the techniques that have been utilized for training nurse practitioners and nurse practitioner students in the delivery of care utilizing telehealth. Specifically, this …

An Evaluation Of Pathways To Community College Student Success In Anatomy And Physiology I, Staci Brooke Forgey

Educational Leadership & Workforce Development Theses & Dissertations

The demand for healthcare workers is increasing nationwide. Higher education is responding by examining various interventions designed to increase completion (Abele, Penprase, & Ternes, 2011). Anatomy and Physiology is often identified as a gatekeeper course for students, since many withdraw or fail this course (Hopper, 2011). Within the VCCS, two colleges have implemented a prerequisite course, NAS 2, for Anatomy and Physiology. This study analyzed student data from before and after NAS 2 implementation, and examined General Biology to determine if it was a predictor of success in Anatomy and Physiology.

When NAS 2 was a significant predictor of grade …

A Study Of Visible Tattoos In Entry-Level Dental Hygiene Education Programs, Kathryn R. Search

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to survey entry-level dental hygiene program directors in the United States to assess their perceptions of dental hygienists with visible tattoos as well as their satisfaction with current program tattoo polices. Methods: After IRB approval, a 14-item survey was administered online to 340 entry-level dental hygiene programs. Participants used a seven-point Likert type scale ranging from strongly disagree (1) to strongly agree (7), to indicate their opinions of visible tattoos on the basis of professionalism, concern within the school, dress code policy satisfaction, tolerance toward visible tattoos, whether tattoos needed to be covered, …

A "Clarion" Call For Embracing Ipe As The Status Quo For Preparing Health Professionals To Engage In Interprofessional Health Research, Kimberly Adams Tufts

Ellmer School of Nursing Faculty Publications

Complex health conditions and the social-economic determinants that contribute to disease and injury incidence, prevalence, and health inequalities require multifaceted evidence-based interventions that only interprofessional research teams who collaborate across traditional disciplinary lines can generate. Interprofessionally driven and derived research evidence is the method of du jour. Nonetheless as a whole, health professionals who are often members of interprofessional health research teams are products of educational systems wherein they were educated in disciplinary silos. Health professionals that learn about, with, from, each other during their foundational education will be better prepared to function as interprofessional research team members. With the …

The Noncompete Clause And The Nurse Anethetist: An Assessment Of Knowledge, Perception, And Experience, Briana K. Meseroll, Nathaniel M. Apatov, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Economic pressures and the challenge to maintain competitive advantage have resulted in many health-care entities requiring their practitioners to contractually enter into noncompete clauses (NCCs). Many student registered nurse anesthetists (SRNAs) and Certified Registered Nurse Anesthetists (CRNAs) are unaware of NCCs in employee contracts.

An anonymous, web-based questionnaire regard-ing NCCs was distributed to SRNAs and CRNAs nation-wide. Of 242 practicing CRNAs who responded, 147 (60.7%) were employed without a noncompete clause and 22 (9.1%) were unaware whether they had such a provision in their employment contracts. The knowledge level of the nurse anesthetist respondents was low (average score of 55.3%). …

Epidemic Surveillance Using An Electronic Medical Record: An Empiric Approach To Performance Improvement, Hongzhang Zheng, Holly Gaff, Gary Smith, Sylvain Delisle

Biological Sciences Faculty Publications

BACKGROUNDS: Electronic medical records (EMR) form a rich repository of information that could benefit public health. We asked how structured and free-text narrative EMR data should be combined to improve epidemic surveillance for acute respiratory infections (ARI).

METHODS: Eight previously characterized ARI case detection algorithms (CDA) were applied to historical EMR entries to create authentic time series of daily ARI case counts (background). An epidemic model simulated influenza cases (injection). From the time of the injection, cluster-detection statistics were applied daily on paired background+injection (combined) and background-only time series. This cycle was then repeated with the injection shifted to each …

Physician As Teacher: Promoting Health And Wellness Among Elementary School Students, Jill E. Stefaniak, Victoria C. Lucia

STEMPS Faculty Publications

BACKGROUND: Every day, physicians engage in teaching during their patient encounters. It may be that medical students who are introduced to the principles of teaching and learning are more likely to become good communicators and learners. Service-learning may be an effective way for medical students to practice skills in teaching and communication in a real-world setting, while also filling a need within the community. The purpose of this study was to identify common themes within medical students' reflections on what they learned through participating in a teaching exercise with local elementary school children.

METHODS: As a required component of a …

Student Retention In Bsn Programs, Katherine Pittman Hensley

Educational Leadership & Workforce Development Theses & Dissertations

This study examined, by use of a researcher-developed survey instrument, perceptions between three groups on reasons why students drop out of nursing programs. Also examined are recommendations from the three groups on how to try to avoid nursing student attrition. Specific groups surveyed included native BSN students, RNB students, and a mixed group of nursing faculty. Survey items were divided into two general groups: student-related issues, and institutional issues. Since RNB students (which include a larger number of non-traditional students) and BSN students (which include more of the native university population of traditional students) have many differences, the author attempted …

Effects Of An Interprofessional Simulation Activity To Improve Students' Perceptions Of Other Healthcare Professions, Chase Raymond Poulsen

STEMPS Theses & Dissertations

Healthcare professionals have historically been educated and trained by members of their own profession within a curriculum that reinforces their individual discipline-specific strengths. This differentiation has contributed to students having little interaction with other professionals until after they have entered the workforce and consequently little formal education in collaboration or integration. The purpose of this mixed-method study was to evaluate the impact of an interprofessional (IP) collaborative activity on student's perceptions of the others discipline for the improvement in care of medical patients.

The sample population consisted of students from two programs, nursing (n=40) and respiratory therapy (n=33). Students were …

I'M Still Standing: Five Strategies To Survive Going Back To School, Janice Hawkins

Ellmer School of Nursing Faculty Publications

[First paragraph] Making the decision to return to school for a PhD was difficult for me. I feared the unknown but inescapable lifestyle adjustments. I’m resistant to change. When facing life’s cold waters, I wade, rather than plunge. There’s no wading into a PhD program. In spite of my cautious nature, I took the plunge.

The Socialization Of Bullying Through Community College Nursing Education: A Multiple Case Study, Margaret M. O'Conner Machon

Educational Leadership & Workforce Development Theses & Dissertations

Many recent studies propose that bullying in the workplace is prevalent and is a phenomenon which occurs in the nursing workplace as well as in nursing education. This qualitative study examined the effects of vertical bullying upon community college nursing students and graduates, and the effect of this behavior upon the socialization of those learning the nursing profession. The study is based on a theoretical framework based on the findings of Salin (2003) and Twale and De Luca (2008) adapting their theory of bullying in academia which incorporated enabling, motivating and precipitating factors leading to intensified bullying. The study investigated …

General Education Requirements In A Community College Baccalaureate Rn-To-Bsn Program, Jason Bentley Krupp

Educational Leadership & Workforce Development Theses & Dissertations

Increasing demand for nurses with bachelor degrees, the growing culture of accountability in higher education, and the community college baccalaureate phenomena provided the impetus for this study. This ex-post facto quantitative study examined the graduation rates and time to degree of 240 students who were enrolled in a bachelor of science in nursing (BSN) program at a community college in Florida between Fall of 2002 and Spring of 2004. The general education course enrollment patterns of the students were analyzed to determine if they impacted student graduation rates and time to degree. Graduation rates and time to degree of students …

Bridging The Gap Between Student And Real World. Student Perspectives On Nursing Externships, Janice Hawkins, Lauren O'Connor, Rachelle Ann Santo Domingo

Ellmer School of Nursing Faculty Publications

[First paragraph] As senior nursing students in the 2011-2012 academic year, we recognized how difficult it is for students to transition from the classroom to the "real world" of nursing practice. Through the nursing curriculum, we have become extremely knowledgeable about numerous diseases and nursing care for different patient populations. However, with limited hands-on clinical experience, how are student nurses able to comprehend all of the diseases, disorders, and conditions studied in the classroom? Making connections between what is learned in theory and what is applied in nursing practice can only be achieved through experience.

Procedural Wound Geometry And Blood Flow Generation For Medical Training Simulators, Rifat Aras, Yuzhong Shen, Jiang Li, David R. Holmes Iii (Ed.), Kenneth H. Wong (Ed.)

Electrical & Computer Engineering Faculty Publications

Efficient application of wound treatment procedures is vital in both emergency room and battle zone scenes. In order to train first responders for such situations, physical casualty simulation kits, which are composed of tens of individual items, are commonly used. Similar to any other training scenarios, computer simulations can be effective means for wound treatment training purposes. For immersive and high fidelity virtual reality applications, realistic 3D models are key components. However, creation of such models is a labor intensive process. In this paper, we propose a procedural wound geometry generation technique that parameterizes key simulation inputs to establish the …

Transition From High School To Associate Degree Nursing Education: A Qualitative Study, Kathy Jessee Mitchell

Educational Leadership & Workforce Development Theses & Dissertations

Nursing is facing a critical shortage and retention of nursing students is of paramount importance. Much research has been completed related to retention in nursing education and student success, but there is very little in current literature related to issues associated with the transition from high school to associate degree nursing (ADN) education. The purpose of this study was to explore this phenomenon through qualitative research involving ADN students who entered the nursing programs immediately after graduation from high school. This qualitative study involved students from a rural associate degree program. The intent was to provide a better understanding of …

Community College Student Learning In Phlebotomy Preceptor-Led Clinical Internship, Susan E. Phelan

Educational Leadership & Workforce Development Theses & Dissertations

The purpose of this study is to describe how allied health preceptor-led clinical internship improves or expands community college student learning. There is a significant gap of information in the literature related to the importance of this clinical internship experience for the learning, socialization, and professional development of allied health students in general and community college students in particular. The absence of relevant data for these internships as a situated learning experience is evident in the literature review. The majority of the allied health work force is prepared by community colleges. Therefore, community college leaders need data to make data-driven …

A Mixed Methods Study Examining The Efficacy Of Art Media On Stress Reduction, Lilani Pecht

EVMS School of Health Professions Theses & Dissertations

When considering today’s academic standards, most know that medical students and residents stand in a distinguished class of disciplines undertaking one of the most stressful scholastic paths. Because this notion is becoming more recognizable with the help of research and published studies, some universities have begun implementing electives focused on the health and well being of their students. Such electives have included a variety of stress relieving activities and interventions, including the use of art therapy. While the literature does indicate an effective use of art therapy and art media to alleviate stress, it does not include a study that …

Magnification Loupes In U.S. Entry-Level Dental Hygiene Programs, Leslie Mchaney Congdon

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine policies and practices regarding magnification loupes among accredited dental hygiene programs as measured by a 31- item, self-designed questionnaire titled Magnifying Loupes in U.S. Entry Level Dental Hygiene Programs. In addition, the study compared policies among dental hygiene programs in two year versus four year programs in terms of requirements for the use of magnification loupes.

Methods: After institutional review board approval, the questionnaire was emailed via Survey Monkey to 303 entry-level dental hygiene programs. An overall response rate of 75% was obtained. Data were analyzed using descriptive statistics and …

2011 Adea Annual Session: Poster Abstracts, Susan L. Tolle, Leslie M. Congdon, Michele L. Darby

Dental Hygiene Faculty Publications

Poster session abstracts from the 2011 American Dental Education Association (ADEA) Conference.

Educating Advanced Practice Nurses In Using Social Media In Rural Health Care, Carolyn M. Rutledge, Michelle Renaud, Laurel Shepherd, Michele Bordelon, Tina Haney, Donna Gregory, Paula Ayers

Ellmer School of Nursing Faculty Publications

Health care in the United States is facing a crisis in providing access to quality care for those in underserved and rural regions. Advanced practice nurses are at the forefront of addressing such issues, through modalities such as health care technology. Many nursing education programs are seeking strategies for better educating students on technology utilization. Health care technology includes electronic health records, telemedicine, and clinical decision support systems. However, little focus has been placed on the role of social media in health care. This paper describes an educational workshop using standardized patients and hands-on experiences to introduce advanced practice nurses …

Persistence To An Associate Of Applied Science Registered Nurse Degree: The Impact Of Placing Into Developmental Education Courses On Student Success, Caroline Clark Rivera

Educational Leadership & Workforce Development Theses & Dissertations

Student retention and success in nursing school has gained favor in educational research due to an increasing shortage of Registered Nurses. The purpose of this study is to measure the impact of student placement recommendation into developmental education courses on persistence to an Associate of Applied Science Registered Nurse degree. Using ex post facto research methodology rooted in the retention theories of Tinto, Bean and Metzner, and Jeffreys, this study aims to measure the effect of high school diploma type, age, race/ethnicity, and pre-requisite courses on student placement recommendation in developmental education and persistence to an Associate of Applied Science …

Persistence Of Community College Transfer Students In A Private Liberal Arts University Nursing Program, Rita M. Amerio

Educational Leadership & Workforce Development Theses & Dissertations

The United States is bracing for the largest shortage of registered nurses that the United States health care system has ever experienced. As the population of "baby boomers," those born between 1946 and 1960, turns 65 beginning in 2011, the nation will be faced with providing health care services to the largest group of elderly Americans in history. Unlike previous generations, this group has had the advantage of advanced medical care that will allow them to live well into their 80s and even 90s.

The purpose of this study was to conduct a preliminary investigation to identify predictor variables that …

Life Drawing With Gross Anatomy Medical Students And Implications For Art Therapy, Elliott Addesso

EVMS School of Health Professions Theses & Dissertations

It is important to incorporate humanities training into medical education in order to enhance the potential for humane and ethical interactions among physicians. In this study, a life drawing studio course was led by an art therapy graduate student to explore the effects of a life drawing course on medical students concurrently enrolled in Gross Anatomy. Based on students’ perceptions of their experience in the life drawing class, theoretical implications for the practice of art therapy in studio applications were discussed.

Five medical students participated in the course on a voluntary, non-credit basis. The course consisted of seven meetings and …

The Advanced Dental Hygiene Practitioner At The Master's-Degree Level: Is It Necessary?, Michele Leonardi Darby

Dental Hygiene Faculty Publications

The article reflects on the Advanced Dental Hygiene Practitioner (ADHP) curriculum proposed by the American Dental Hygienists' Association at the master's degree level. It is stated that dental hygienists and ADHPs can collaborate with other health care professionals for contributing towards the advancement of quality health care to the most vulnerable populations. It is mentioned that preparation at the master's degree is a logical pathway to the expanded scope of practice.

Improving Oral Health In Pakistan Using Dental Hygienists, Musarrat Anjum Shah

Dental Hygiene Master's Papers and Projects

This document presents a review of the literature addressing education, healthcare, healthcare delivery and finance in Pakistan and the oral health status of the Pakistani people. Considering the enormous unmet oral health needs, the insufficient supply of dental professionals and the current unstructured dental hygiene curriculum in Pakistan, this document offers a mission, vision, and goals for the new dental hygiene theoretical framework for Pakistan. Moreover, it offers recommendations for competency-based dental hygiene education and practice, professional licensing, a practice act, and a dental hygiene scope of practice to help protect the welfare of the Pakistani public, i.e., increasing the …

Visual Journaling: An Intervention To Influence Stress, Anxiety And Affect Levels In Medical Students, Amanda Patton

EVMS School of Health Professions Theses & Dissertations

Research has shown that medical students suffer from higher levels of stress and anxiety than the general population, increasing their risk of health problems, mental illness and suicide. This study looked at the effects of visual journaling as a possible stress reduction technique. Visual journaling combines written journaling, which has been shown to reduce stress and anxiety, and artmaking, which has been shown to improve mood. Five students and five staff members attending or working at Eastern Virginia Medical School participated in the research. The study consisted of an initial session, which involved participants completing pretests of the State-Trait Anxiety …

Real-Time Ultrasound Simulation For Medical Training And Standardized Patient Assessment, Bo Sun

Computational Modeling & Simulation Engineering Theses & Dissertations

With the increasing role played by ultrasound in clinical diagnostics, ultrasound training in medical education has become more and more important. The clinical routine for ultrasound training is on real patients; therefore monitored and guided examinations involving medical students are quite time-constrained. Furthermore, standardized patients (SPs), who are increasingly used in medical school for teaching and assessing medical students, need to be augmented. These SPs are typically healthy individuals who can not accurately portray the variety of abnormalities that are needed for training especially when medical examinations involve instrument interactions. To augment SPs in a realistically effective way and also …

Application Of The Interactional Model Of Cultural Diversity To Identify Diversity Climate Factors Associated With Organizational Effectiveness In Accredited U.S. Physical Therapist Education Programs, Elizabeth Francis Giles

Health Services Research Dissertations

Accredited U.S. physical therapist education programs are responsible for the preparation of its graduates to provide culturally sensitive care to meet the physical therapy needs of an increasingly diverse population. While the importance of workforce diversity has been articulated, the effect of diversity climate on organizational effectiveness within accredited U.S. physical therapist education programs has not been described. The purpose of this study was to evaluate the effectiveness of the Interactional Model of Cultural Diversity (IMCD, Cox, 1993) as a theoretical framework to identify diversity climate factors associated with organizational effectiveness in accredited U.S. physical therapist education programs. A descriptive, …

Debate: A Teaching-Learning Strategy For Developing Competence In Communication And Critical Thinking, Michele Darby

Dental Hygiene Faculty Publications

The article highlights key benefits from debate as a teaching-learning strategy for developing critical thinking and analytical skills while fostering teamwork and communication. According to the author, it is an effective pedagogical strategy because of the level of responsibility for learning and active involvement required by all student debaters. She also notes that the debate strategy can be used as a method to achieve competencies in baccalaureate and graduate dental hygiene programs.