Interprofessional Education Commons^™

How Do Health Systems Approach Patient Experience? Development Of An Innovative Elective Curriculum For Medical Students, Jordan Silberg Md, Michael Bennick Md, Ma, Agaf, Facp, Cpxp, Kelly Caverzagie Md, Facp, Fhm, Sarah Richards Md, Facp

Patient Experience Journal

Medical students currently learn about patient-centered care and practice communication skills via a variety of curricula. However, there is little in the published literature describing a standardized approach for training future physicians how health systems approach and work to improve patient experience. The [Anonymous1 and Anonymous2] Schools of Medicine designed a plan to pilot a two-week elective for medical students in their clinical years. The curriculum is designed to help students understand and appreciate the key elements of the patient experience across the continuum of care and prepare students to impact the patient experience either as a practicing physician and/or …

Implementing Inter-Professional Patient-Family Centered Plan Of Care Meetings On An Inpatient Hospital Unit, Nicolas Hernandez, Alice Fornari, Sage Rose, Leanne Tortez

Patient Experience Journal

Inpatient plan of care meetings support efforts to encourage collaborative practice and patient-family centered care and result in an effective strategy to enhance communication and patient satisfaction. Clinical team members participated in patient/family centered plan of care meetings at a community hospital in a selected inpatient unit with full time hospitalist physicians. Quantitative data were gathered pre/post implementation from the external Hospital Consumer Assessment of Health Care Providers (HCAHPS) survey. HCAHPS data were collected independently, specifically for questions related to communication between patients, family members/guardians and the medical team and also the effects of care transition. There was a slow …

Continuous Glucose Monitors To Decrease Hypoglycemia, Sara B. Woodcock

MSN Capstone Projects

Diabetes is a disease that affects millions of people from children to older adults. There is no cure, although it can be managed to prevent complications. Education of student nurses is where they are born and raised to become nurses who save and change lives. Teaching student nurses in depth about diabetes as a disease and the treatments that best fit their specific needs is where educating patients begins. Learning about a secondary option for blood glucose checks can make all the difference for several patients. Multiple finger sticks daily has been the leading way to check blood sugar for …

The Influence Of End Of Life Education On Stress, Anxiety, And Attitude Of The Healthcare Profession Student, Chiquesha Davis

DNP Final Reports

Providing comfort and support to the dying patient is a significant part of the dying process. When soothing a patient, who is dying, the goal is to prevent or relieve suffering as much as possible. Respecting the patient's health and quality of life goals and decisions is essential. Healthcare profession students can experience multiple levels of anxiety, stress, and a negative attitude while taking care of the dying patient. The implementation of a successful intervention is at the cornerstone of helping reduce stress, anxiety, and attitude change in healthcare profession students. The application can also have a positive impact on …

Reducing Pressure Injuries In The Intensive Care Setting: Nursing Knowledge And Best Practices Approach, Michelle Harvey

Doctor of Nursing Practice Projects

Background: For many health care organizations, pressure injury (PI) prevention strategies have become a priority focus to improve patient outcomes and associated costs.

Problem: A rural community hospital located in the Eastern U.S. experienced an increase in hospital acquired pressure injuries (HAPIs), predominantly in the intensive care unit (ICU). In 2018, 17.4% of HAPIs occurred in the ICU.

Approach: Implementation of a Quality Improvement project in an adult ICU, providing education and on-going learning activities to nursing staff, and applying a standardized plan of care “bundle” for prevention interventions.

Outcomes: The approach resulted in improved documentation of flotation of heels, …

Group 17 Ipe Pain Conference With Une Students Of The Colleges Of Pharmacy, Physical Therapy, Social Work, And Osteopathic Medicine, Beatrice Byrne, Michael Cornea, Rebeccah Durant, Abigail Gomo, Madison Lostra, Vanessa Macoy, Fanie Wabwende

CECE Spring Poster Session 2020

Research poster describing the following:

Chronic pain is a serious health problem that continues to grow in prevalence. A study based on the 2008 Medical Expenditure Panel Survey indicated that chronic pain affects about 100 million adults in the United States, with an estimated annual cost that ranges from $560 to $635 billion. Current medical education on pain management is extremely limited, which in part leads to insufficient pain care by post-graduate health care providers. The program “Supervised Student Chronic Pain Clinic” is designed to help train health professional students to improve their abilities and provide them with experience in …

The Impact Of Interprofessional Simulation On Future Healthcare Professionals, Trevor Branch, Kristyn Gordon, Jennifer Hammond, Stephanie Hardy, Jordan Sanders, Hope Turner

CECE Spring Poster Session 2020

Research poster describing investigation of the question: Do simulated interprofessional client encounters impact the likelihood and confidence of future healthcare professionals to work interprofessionally in practice?

Healthcare, Better Together, Briana Hailey, Brandon Hazelton, Rachel Mckinney, Lisa Rosen

CECE Spring Poster Session 2020

Research poster addressing the question: Is a patient-centric approach more effective than a problem-centric approach when treating a patient in an interprofessional health setting?

Stop The Bleed: A Community Event, Brittnie Fredenburg, Hadley Warner

CECE Spring Poster Session 2020

Research poster discussing a Stop the Bleed event held at UNE. Stop the Bleed is a national awareness campaign that was introduced by the White House in 2015 in response to the tragedy of the Sandy Hook shooting in 2012. The campaign emerged as a way to improve survival rates by providing bystanders with adequate training to know how to stop the bleed.

Understanding An Interprofessional Team Through The Lens Of The Intentional Relationship Model (Irm), David Bach, Emma Canducci, Bailey D'Antonio, Vanessa Dufford, Marissa Paquette, Jonathan Wermers

CECE Spring Poster Session 2020

Research poster describing the following process: The Intentional Relationship Model (IRM) is designed to explain the therapist's roles and demands in both establishing and maintaining a therapeutic relationship with a patient. While based in occupational therapy, this model has wide implications on being applied in many contexts, including an interdisciplinary team. While based in occupational therapy, this model has wide implications for the application to health care interdisciplinary teams. The objective for our team was to analyze our own interactions with Alex and identify how our ability to use different modes of the IRM and mode-shift made an impact on …

Importance Of Sbirt Training In Undergraduate Curriculum, Jessica Collins, Chelsea Kimball, Shannon Keavy, Laurel Pearson, Gillian Turco

CECE Spring Poster Session 2020

Research poster detailing investigation of the question: What is the significance of Screening, Brief Intervention and Referral to Treatment (SBIRT) and why is it important to implement in undergrad curriculum?

Healthcare Provider Overlap On Evidenced-Based Practice In Intubated Patients Using The Theoretical Domain Framework: A Case Study, Katie Bull

CUP Ed.D. Dissertations

Intubation by endotracheal or tracheostomy means is a common life-saving intervention bearing significant, yet preventable risk. Evidence-based practice (EBP), intended to mitigate risk, is often inconsistently adhered to by healthcare providers (HCPs) due to a variety of factors, leaving patients vulnerable to adverse outcomes such as ventilator-associated pneumonia or tracheostomy-related stenosis. A review of the literature identified socially related barriers resulting from overlapping roles and expectations of primary HCPs. Little research has been conducted to understand the impact of overlap on EBP adherence. Using the Theoretical Domains Framework (TDF), this case study explored HCP overlap in one critical care unit …

Augmenting The Access And Involvement Of Student Pharmacists In Research Opportunities Through Engaging Programming At An Academic Institution, Samantha Gruber

Honors Capstone Enhancement Presentations

A research study completed by Kritikos et al. investigated student pharmacists and their characteristics in order to find a relationship with their views of research and attitudes towards pharmacy practice research. The study also recognized perceived barriers to pursuing or completing pharmacy practice research and identified ways that pharmacy educators could promote research interest in pharmacy practice. The research study concluded that student pharmacists perceive a lack of awareness of the needs, benefits, and career opportunities associated with pharmacy practice research. In addition, the Accreditation Council for Pharmacy Education (ACPE) mentions in section 6.3 of the 2016 Standards that PharmD …

Literature Review Of Prehabilitation Interventions And Outcomes For Gastrointestinal Cancers, Joseph Boegemann, Kelsey Dumond, Samantha Gagne, Thai Ho, Alex Joseph, Dahne Yaitanes, Amy J. Litterini

CECE Spring Poster Session 2020

Research poster describing: Prehabilitation (prehab) is the stage of cancer rehabilitation between diagnosis and acute intervention that utilizes targeted physical activity to “reduce severity of current and future impairments.” The purpose of this literature review was to develop a theoretical framework for future research and guidance for implementation of effective prehab for gastrointestinal cancer survivors undergoing surgical treatment in Maine.

Coffee Collaborators Creating Care- Ipti Reflection, Jessica Stewart, Lea Martin, Janet Lavrich, Cammy Macomber, Casey Imelio, Katherine Buscemi, Nicholas Shellenberger

CECE Spring Poster Session 2020

Poster documenting collaborative case reflection among students in the Occupational Therapy, Physician Assistant, Osteopathic Medicine, Nursing, Pharmacy, Dental Hygiene, and Social Work fields.

An Innovative Collaboration Of An Academic Institution With A Community Recovery Center, Sydney Charles, Jennifer Ritchie, Brian Ruby, Julie Sullivan, Curtis Warren, Nathaniel Whitten, Dahne Yaitanes, Amy J. Litterini

CECE Spring Poster Session 2020

Research poster documenting the following project: The University of New England (UNE) collaborated with local recovery centers to create an interdisciplinary service learning partnership. Students in the Doctor of Physical Therapy (DPT) program explored the role of PT in Substance Use Disorder (SUD) recovery in an elective course. Three interactive PT related sessions were developed for the Intensive Outpatient Program (IOP) at Pinetree Recovery Center with the purpose of providing tools for physical activity to aid in the SUD recovery process.

Interprofessional Care Plan For Alex Simpson, Michael Harris, Sujaay Hari Jagannathan, Michelle Morales, Alyssa White

CECE Spring Poster Session 2020

Poster documenting an interprofessional approach among Social Work, Osteopathic Medicine, Dental Medicine, and Pharmacy students to provision of care for an uninsured patient with multiple health needs.

Addressing Alex From A Dynamic Team Approach, Julia Busiere, Brianna Fitzgerald, Heather Putnam, Ali Ross, Shannon Yoo, Hadley Warner

CECE Spring Poster Session 2020

Research poster describing investigation of the question: How is collaboration essential or vital to patient-centered care?

Eagala Inter-Professional Team Development, Crystal Clendennen-Peirce, V. S. Thieme

CECE Spring Poster Session 2020

Equine Assisted Growth and Learning Association (EAGALA) is a team approach to problem solving in which a group or team interacts with horses to accomplish various tasks. The horses are not ridden but instead worked in an open setting to allow reflection and understanding between team members. EAGALA has been used in multiple settings, such as, combatting compassion fatigue in community care workers. (Black 8-13) EAGALA uses experiential learning to realize the goals of the participants This offered an opportunity for interprofessional collaboration between the COM, Nursing, and Social Work students with a technique that has been suggested to reduce …

Caring For Caregivers Of A Loved One With Als, Gabriella Timuscuk, Olivia Ryding, Erin Mccormack

CECE Spring Poster Session 2020

Research poster describing the following project: Supply caregivers that attended the Caring for Clients with Amyotrophic Lateral Sclerosis (ALS) workshop with a care package. This care package provided tools and resources to help relieve stress and ease the burden that caregivers may be experiencing by promoting self care. Fifteen packages were distributed after the facilitation of an all day workshop on November 16, 2019. Each recipient was sent home with a survey that was to be sent back a month later to provide feedback about the contents.

Ccj Corrections Officer Education Program: Medication Assisted Treatment In Jail, Jasmine Edwards, Kristin Gallagher, Arianna Parent, Kristin Demayo

CECE Spring Poster Session 2020

Research poster describing project with goal of improving perceptions of Substance Use Disorder (SUD) and expanding knowledge surrounding the use of Medication Assisted Treatment (MAT) in corrections officers at the Cumberland County Jail.

Bearings House: Community Reintegration Project, Avery Alberghini, Emma Chabot, Laura Garrard, Alyssa Germanos, Abigail Higgins, Madison Kirchner, Maighan Leblanc, Emily Spencer, Haley Ruth, Carly Mckenna, Frank Brooks, Jan Froehlich

CECE Spring Poster Session 2020

Research poster documenting the following project: Long Creek Youth Development Center offers a variety of activities, an education, mentorship, and structure for Bearings House residents. In addition to those programs, we hoped through building a relationship with residents we could identify their occupational interests and assist in their transition to life in the community. We strived to support residents through their transition to Bearings House and give them an opportunity to further explore their interests as well as expose them to new occupations they may have not previously participated in order to help as they reintegrate into the community.

Together We Stand, Divided We Fall: Formulating An Interprofessional Care Plan For Alex Simpson, Julia Bousquet, Elena Grace, Alyssa Hall, Abigail Hatch, Hannah Pham

CECE Spring Poster Session 2020

Research poster documenting the following project: Utilizing interprofessional team immersion to develop interprofessional skills among other health care professions to plan for the best course of care for our patient, Alex Simpson.

Utilization Of A Concurrent Query Form To Improve Clinical Documentation In A Va Facility For Patients With Stroke Or Tia, Lisa A. Keefner

Electronic Theses and Dissertations

Caring for stroke patients diagnosed with acute ischemic stroke (AIS) and transient ischemic attack (TIA) at Veterans Health Administration (VHA) acute care hospitals is a very complex process that centers on accurate documentation. Inaccurate or missing documentation leads to patient safety issues, lower quality care, and inaccurate Veteran Equitable Resource Allocation (VERA) classification for reimbursement. This pilot project’s 3 problems of interest include improving provider response to clinical queries about documentation, capturing national metrics collected by the VHA, and accurately representing veterans in VERA classification. Based on a review of the literature available on patient treatment file (PTF) accuracy and …

A Phenomenological Inquiry Into Vision Loss: Investigating The Lived Experiences Of Adventitiously Blinded Adults, Jennifer Perry

Electronic Theses and Dissertations

The purpose of this study was to share the lived experiences of four adventitiously blinded individuals. The researcher interviewed participants regarding the events surrounding their vision loss. The researcher used a descriptive phenomenological method to analyze the results.

Through analysis, seven themes emerged as essential experiences for experiencing adventitious vision loss: Medical Dysfunction, Others’ Reactions, Ancillary Losses, Rehabilitation, Sensory Enhancements, Benefits of Vision Loss, and Participants’ Advice.

The study indicated that participants’ experiences are influenced by how others in society understand blindness. Suggestions included providing a greater awareness to the public for blindness, its effects, and its available rehabilitation options.

The Unique Demands Of Playing Posture On Youth Violinists And Violists, Liam Carroll

Honors Program: Senior Projects (Public)

The high prevalence of performing arts injuries is an acknowledged challenge facing the performing arts medicine community. The injuries seem to affect string players the most among orchestral musicians, specifically violinists and violists. The asymmetrical posture, head and neck displacement, and spinal displacement required by the posture to play violin and viola can lead to discomfort or injury in the performer. Performance related musculoskeletal disorders (PRMDs) can have an adverse impact on the life of a musician, preventing them from performing or making it uncomfortable. While there is a large body of research on PRMDs relating to adult musicians, there …

The Great Imitator Strikes Again: A Case Of A Lupus Flare-Up Presenting Like An Acute Abdomen, Emmanouil Kiriakopoulos, Vanessa Perez, Robyn Hoelle

HCA Healthcare Journal of Medicine

Systemic lupus erythematosus (SLE) is an autoimmune disease affecting all age groups and can manifest in various forms, often making the initial or successive presentations difficult to diagnose. Peritonitis secondary to lupus is a rare manifestation of this disease and the prevalence is said to be much lower in children. We present a case report of an adolescent male with a known history of lupus who presented to the emergency department with a clinical picture consistent with an acute surgical abdomen and underwent an appendectomy. Subsequent workup identified the culprit as a lupus-related peritonitis requiring corticosteroids for resolution.

A Brief Tutorial On Manuscript Preparation: From Journal Selection To Manuscript Review, Christopher N. Ochner, Jocelyn N. Mineo

HCA Healthcare Journal of Medicine

This article is designed to introduce the novice researcher to the process of journal selection, manuscript submission and manuscript review. PubMed indexing, journal readership, scope, focus, impact factor, fees and acceptable manuscript types are discussed in the first section. The remainder of this article focuses on manuscript preparation, submission and review, including formatting, pre-submission inquiry, submission portals, and the manuscript review process. Specific recommendations are provided to assist the reader in navigating these stages.

Program Evaluation In Women's Health Integration For Podiatric Residents, Nilin M. Rao Dpm, Carol A. Stamm Md, Elizabeth Ihler Md, Dustin Kruse Dpm, Paul A. Stone Dpm, Facfas

Podiatry

As the podiatric profession strives for professional and financial parity with allopathic and osteopathic colleagues, podiatric medical education has been transformed at both undergraduate and graduate levels to more closely align in important ways. The purpose of this program evaluation is to share the benefits of including a women’s health rotation into the required graduate medical training curriculum, share the initial experience of the first resident cohort receiving this training, and provide ideas to other programs that may be interested in providing similar program implementation for their residents.

The Effect Of Physician Held Stigmas And Bias On The Health Outcomes Of Patients With Obesity: A Review Of The Literature, Rachel Cohen, Catherine Jones

Journal of Health Disparities Research and Practice

Obesity is a growing epidemic that continues to garner attention throughout healthcare. The goal of this study was to review the literature on physician bias and stigmas surrounding obesity to assess the current state of research on connections between obesity-related stigma and the health outcomes and care of patients with obesity. A specific search string was used to obtain articles via PubMed and psychINFO, yielding 14 studies found that investigate these connections. The studies were categorized into three distinct pathways leading from physician stigma and biases to differing health outcomes of patients with obesity. These three pathways- perceptions, patient interaction, …