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- Internet Journal of Allied Health Sciences and Practice (7)
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Articles 31 - 60 of 86
Full-Text Articles in Occupational Therapy
Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,
Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,
Library Philosophy and Practice (e-journal)
Background: As technology continues to advance, individuals' interactions with digital platforms have become integral to daily life. Amidst this technological evolution, a novel concern emerges—Digital Phobia, hereafter referred to as “Digiphobia.” This phenomenon, although not previously explored in scholarly literature, necessitates an in-depth investigation due to its potential impact on individuals' well-being. Our research employs a two-step methodology to investigate its existence, implications, and manifestations.
Introduction: This research paper introduces and proposes the term "Digiphobia" as a comprehensive conceptualization of anxiety arising from interactions with digital spaces, applications, and environments. The proliferation of digital technologies has led to the emergence …
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White
Doctor of Nursing Practice (DNP) Scholarly Projects - Archive
Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).
Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …
A Mixed Methods Study Of Physical Activity In The Intensive Care Unit And Post-Intensive Care Unit Hospital Stay: Patient Characteristics, Symptom Burden, And Experiences Of Postoperative Adults, Christina Bach
Theses & Dissertations
Background: Physical activity (PA) beginning early in the intensive care unit (ICU) can reduce adverse outcomes commonly experienced by individuals after ICU discharge. Patient-centered approaches to PA in the ICU and reliable activity evaluations are essential for understanding PA's impact on patient outcomes.
Objective: This dissertation sought to evaluate patient-related factors associated with PA in the ICU and post-ICU hospital stay.
Methods: The purpose of the dissertation was to conduct: 1) a concept analysis to define ICU survivorship and identify critical care aspects important for patient recovery; 2) an integrative literature review to assess early mobility (EM) interventions with physical, …
Nursing Education On Pediatric Feeding Therapy, April Ng
Nursing Education On Pediatric Feeding Therapy, April Ng
Nursing | Student Research Posters
No abstract provided.
The Effectiveness Of An Educational Video Intervention For People With Amyotrophic Lateral Sclerosis Prior To Power Wheelchair Evaluations, Mark Blanchard, Kelly Connelley, Emily Copeland, Quinn Malbrough, Sara Pendleton, Ingrid Franc
The Effectiveness Of An Educational Video Intervention For People With Amyotrophic Lateral Sclerosis Prior To Power Wheelchair Evaluations, Mark Blanchard, Kelly Connelley, Emily Copeland, Quinn Malbrough, Sara Pendleton, Ingrid Franc
Journal of Interprofessional Practice and Collaboration
PURPOSE: Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that ultimately requires a power wheelchair (PWC) as the main source of mobility. The purpose of this project was to determine the effectiveness of an educational video to prepare a client for a PWC assessment by addressing four themes: PWC features, home environment, transportation, and client self-efficacy.
METHODS: An educational video was created and used in an ALS Multidisciplinary Clinic to better prepare clients for the PWC evaluation process. The effectiveness of this video was measured using a seven-question Likert scale survey focusing on the themes of the video. Individuals living …
Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, Tanya G. Schlemmer
Impact Of Strokes: The Burden Of Care, Post-Cva Fatigue & Caregiver Role Strain, Tanya G. Schlemmer
Nursing Faculty Publications and Presentations
Strokes and cerebral vascular accidents (CVAs) and related disease events are an unfortunate circumstance that inflicts individuals around the world and impacts people every day as individuals and their caregivers. The consequences of these strokes or CVA events are life-changing for all those involved. As a result of long-term disability related to strokes, the caregiver may undergo many emotional, psychological, and physical factors that impact their daily lives. There is a relatively short period of time to react to the necessary change and as a result there may be differences in coping associated with these unexpected health circumstances. Many stoke …
The Home Modification Process Through The Lens Of An Ot, James C. Nichols
The Home Modification Process Through The Lens Of An Ot, James C. Nichols
OTD Capstone Projects
This doctoral capstone project was completed through partnership with FiftyForward and The Home Connection. Both of the organizations serve as a resource for the aging in place population throughout Middle Tennessee. The focus of this project was to provide the OT perspective on the home modification project. Throughout this project, over 15 home evaluations were completed, 1 ramp was built, and 5 homes were modified for increased functionality. Additionally, the creation of systematic guide on how to prepare to age in place, and a 20 page comprehensive resource list was developed with active links to technology, adaptive equipment, DME, and …
Family Caregivers Of Older Adults With Physical Disabilities In Rural Thailand, Denis Tuttle, Jiranan Griffiths, Anuchart Kaunnil
Family Caregivers Of Older Adults With Physical Disabilities In Rural Thailand, Denis Tuttle, Jiranan Griffiths, Anuchart Kaunnil
The Qualitative Report
Thailand is one of many countries experiencing changes in the demographics of its population. People are living longer and having fewer children resulting in an increasing percentage of older adults in the general population. This presents a challenge in providing care for older adults, especially in countries where there is a culture of family caregiving. This study aims to investigate the experience of family caregivers, exploring the problems of caring for older people with physical disabilities and the needs of family caregivers. This is done to better understand ways to support caregivers. Using a descriptive qualitative approach, 15 family caregivers …
Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price
Barriers To Early Patient Mobilization Among Acute Care Nurses, Occupational Therapists, And Physical Therapists, Elena Crooks, Carly Ruggles, Emily Carlson, Tyler Powell, Teresa Bigand, Tiffanie Rampley, Crystal Billings, Danell Stengem, Jennifer Hoople, Rylee Price
Articles, Abstracts, and Reports
No abstract provided.
Access To And Utilization Of Primary Care: A Synthesis, Klaire M. Johnson
Access To And Utilization Of Primary Care: A Synthesis, Klaire M. Johnson
Kentucky Journal of Undergraduate Scholarship
Barriers to access and utilization of primary care affect nearly 9% of the nation’s population (USDHHS, n.d.a). These barriers are important to evaluate for members of the aging population due to increased need for health care as a result of chronic conditions and falls. Research indicates that access for the aging population is affected by a variety of factors, including: transportation, non-financial barriers, and internal factors. Issues surrounding current delivery of care, such as a workforce shortage of primary care physicians, have compounded the problem even further. While this issue has begun to be addressed through the Affordable Care Act, …
Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci
Health Profession Students' Interprofessional Socialization And Values Toward A College-Based Virtual Interprofessional Education Activity, Denise Claiborne, Praveen Durgampudi, Anne C. Dumadag, Emily J. Hawkins, Patricia Laverdure, Amy Laurie Meeker, Barbara Kraj, Angela Wilson, Muge Akpinar-Elci
Dental Hygiene Faculty Publications
Purpose: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used.
Methods: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was …
The Road Ahead: An Occupational Therapy Manual To Infant Development For Parents In The Nicu, Nicole Suzuki-Uyeno
The Road Ahead: An Occupational Therapy Manual To Infant Development For Parents In The Nicu, Nicole Suzuki-Uyeno
UNLV Theses, Dissertations, Professional Papers, and Capstones
Occupational therapists have been collaborating with the parents of our tiniest patients in the neonatal intensive care unit (NICU) for quite some time. They have a wealth of information and expertise in the area on infant development and parent education. Admitting a baby to the NICU is a shock for most parents and can take a toll on a family. The role of the occupational therapist is to help educate the family and to provide the tools to safely take care of their baby and to smoothen the transition from the hospital to home.
In the NICU, the OT has …
Promoting Client-Centered Learning And Education Of Teenage Mothers, Katie R. Hartline
Promoting Client-Centered Learning And Education Of Teenage Mothers, Katie R. Hartline
OTD Capstone Projects
This doctoral capstone project was completed through a partnership with Nurses for Newborns, a nonprofit organization that sends registered nurses to the homes of families who have a greater risk of infant mortality. By delivering prenatal/postnatal care, education, infant developmental assistance, educational resources, community resources, and facilitating long-term plans with the families, Nurses for Newborns takes active measures to prevent child abuse, neglect, and infant mortality. This project was driven by the organization’s need to increase engagement, participation, and learning outcomes by their teen mother clientele. The primary focus of this project was to create a client-specific booklet to promote …
Analysis Of Zero Balancing Case Studies Through An Occupational Therapy Lens, Deanna Waggy Otr, Msa, Czb, Csla
Analysis Of Zero Balancing Case Studies Through An Occupational Therapy Lens, Deanna Waggy Otr, Msa, Czb, Csla
Journal of Transformative Touch
Does Zero Balancing positively impact occupational performance? This is a question many Occupational Therapists (OTs) ask when discerning if Zero Balancing (ZB) is an evidence-based treatment modality. Case studies from the book Experiencing the Power of Zero Balancing: Case Studies of Journeys to Health and Wholeness (Quarry & King, 2016) were reviewed and compared to the Occupational Therapy domain of practice to show clear evidence that each case study had a positive impact on occupational performance. A comparison chart shows a direct link between the occupational categories and documented evidence of improved occupational performance through practitioner observation and client feedback …
Interprofessional Collaboration Practice Between Nurses And Occupational Therapists, Kimberly Lamke
Interprofessional Collaboration Practice Between Nurses And Occupational Therapists, Kimberly Lamke
Occupational Therapy Doctorate Capstone Projects
Background: There is limited research on the interprofessional relationship between occupational therapists and nurses in pediatric outpatient settings, as well as the understanding nurses have of occupational therapy. Interprofessional collaboration is a key component in pediatric client care, regardless of the setting. Interprofessional collaboration is imperative to ensure that health care teams are efficient and able to provide clients with the highest quality of care (Loy et al., 2015).
Purpose: The purpose of this Capstone is to determine how nursing students perceive occupational therapy in a pediatric setting and to examine their perceptions of the interprofessional relationship. Further, it will …
Understanding Ot’S Role In Fall Prevention And Analyzing The Perceived Barriers From Nurses And Occupational Therapists In An Inpatient Setting, Kyle B. Esguerra, Becki Cohill, Susan Macdermott
Understanding Ot’S Role In Fall Prevention And Analyzing The Perceived Barriers From Nurses And Occupational Therapists In An Inpatient Setting, Kyle B. Esguerra, Becki Cohill, Susan Macdermott
Fall 2021 Virtual OTD Capstone Symposium
The aim of this project was to analyze current fall prevention strategies, work and environmental-related barriers, and OT’s role in fall prevention in a hospital setting. Two online surveys consisting of quantitative questions (multiple-choice, select-all-that-apply, and Likert scale) with the option for open-ended answers were given to OT practitioners and nurses with inpatient experience. A total of 341 OT practitioners and 21 nurses completed the survey. The results were transferred to a password-protected Microsoft Excel document in preparation for analysis. Data analysis derived several themes including lack of resources, lack of training, inter-professional collaboration, workload, work culture, cognitive and physical …
Zero Balancing In The Chiropractic Practice, Michele Doucette Dc
Zero Balancing In The Chiropractic Practice, Michele Doucette Dc
Journal of Transformative Touch
Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields …
Incorporating Reminiscence Therapy Into Traditional Ot Practice For Adults With Adrd Residing In A Snf/Ltc, Natasha Menard, Becki Cohill, Susan Macdermott, Karen Park
Incorporating Reminiscence Therapy Into Traditional Ot Practice For Adults With Adrd Residing In A Snf/Ltc, Natasha Menard, Becki Cohill, Susan Macdermott, Karen Park
Spring 2021 Virtual OTD Capstone Symposium
As the population diagnosed with Alzheimer’s disease and related dementias (ADRD) raises from 5.3 to 12.7 million over the next three decades, this calls for a demand for treatments to address this population (Alzheimer’s Association, 2021; Atchinson & Dirette, 2017). While traditional practice often focuses on symptom management, the inclusion of functional activities alone does not fully address the negative side effects of ADRD (Kok et al., 2013; Lepore et al., 2017; Mayo Clinic, 2019). Both occupational therapy (OT) and reminiscence therapy have been shown to be effective methods to treat the ADRD population separately, but there is limited evidence …
Interprofessional Reflective Journals: Content Themes And Self-Regulated Learning, Joan M. Tunningley
Interprofessional Reflective Journals: Content Themes And Self-Regulated Learning, Joan M. Tunningley
Journal of Occupational Therapy Education
Self-reflection has been linked with clinical reasoning, academic, and clinical outcomes. The purpose of this study was to examine self-reflective journal entries from thirty students for interprofessional core competencies and for self-regulated learning components. The text data was analyzed using an in-depth three cycle coding process, thoroughly described in the methods. The findings were structured into two themes confirming interprofessional content learning: collaboration, team, and communication; and respect and roles. One additional theme emerged, transformation and relatedness, which indicated self-regulated learning components as well as supporting transformative learning. This qualitative case-study contributed to the research of occupational therapy students’ self-reflection …
Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton
Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton
OTD Capstone Projects
This experiential component or doctoral capstone project involved a partnership with Habitat for Humanity of Greater Memphis. Through this agency, projects were completed based on identified needs of the Aging in Place and CAPABLE programs. The Aging in Place (AIP) program provides critical home repairs to low-income adults aged 60 years and older. The CAPABLE program provides the same critical home repairs along with a select number of visits from a registered nurse and an occupational therapist to help the older adults age in place safely.
An Interprofessional Clinical Placement In A Primary Healthcare Setting: A Pilot Study, Christina Aggar, Beth Mozolic-Staunton, Renee Joyce Lovi, Maggie Scorey, Melissa Kemp, Tara Walker, Sian Lewis
An Interprofessional Clinical Placement In A Primary Healthcare Setting: A Pilot Study, Christina Aggar, Beth Mozolic-Staunton, Renee Joyce Lovi, Maggie Scorey, Melissa Kemp, Tara Walker, Sian Lewis
Internet Journal of Allied Health Sciences and Practice
Purpose: Internationally, and in Australia, interprofessional education (IPE) is becoming typical in primary healthcare delivery and is core to delivering patient-centred care. It is essential that primary healthcare education develop interprofessional capacity in order to produce a skilled workforce. An IPE clinical placement for undergraduate health students was developed and piloted in primary healthcare settings. The aim of this study was to evaluate the impact of the IPE clinical placement in a primary healthcare setting on students’ perceptions of interprofessional education. Method: A pre-post placement validated questionnaire (n=19) indicated overall perceptions of IPE significantly increased over the course of …
What Can Be Achieved With An Interprofessional Class?, Kitsum Li, Olivia Catolico
What Can Be Achieved With An Interprofessional Class?, Kitsum Li, Olivia Catolico
Occupational Therapy | Faculty Scholarship
Introduction Recently, educators advocated for interprofessional education to better prepare entry-level healthcare workers for efficient, effective, and respectful teamwork to lower the cost of healthcare and improve the delivery of collaborative quality patient care. This article describes the results of an educational program evaluation of an interprofessional class (IPC) taught over a five-year period between nursing and occupational therapy (OT) departments at a small private university.
Methods During the IPC sessions, a small group of nursing and OT students observed a simulated patient care scenario in which a nursing and an OT student provided care related to their respective discipline. …
Bringing Upstairs Care Downstairs; Integration Of Rehabilitation Medicine, Care Management, And The Hospital Elder Life Program (Help) Into An Emergency Department., Robert Anderson, Molly Anderson, Rhonda Babine, Farid Feghali, Elizabeth Dunstan, Matthew Glazer, Susan Horton, Stephanie O'Brien, Elizabeth Pontius, David Smith, Megan Viens, Heather Williams
Bringing Upstairs Care Downstairs; Integration Of Rehabilitation Medicine, Care Management, And The Hospital Elder Life Program (Help) Into An Emergency Department., Robert Anderson, Molly Anderson, Rhonda Babine, Farid Feghali, Elizabeth Dunstan, Matthew Glazer, Susan Horton, Stephanie O'Brien, Elizabeth Pontius, David Smith, Megan Viens, Heather Williams
Journal of Maine Medical Center
Introduction: Services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), social work (SW), care management, and elder life specialists have long been an established part of care for patients admitted to Maine Medical Center (MMC) but not for patients in the Emergency Department (ED). Methods and Results: Driven in part by changes in Medicare reimbursement models, care management established a presence in the Emergency Department (ED) in 2003 with a focus on care planning and cost avoidance. In recent years PT, OT, SLP, SW, and the Hospital Elder Life Program (HELP) have increased their ED involvement substantially. …
Collaborative Care Best Practices Model (Ccbpm) Development For Nursing And Occupational Therapy Assistant Interprofessional Simulation, Carrie M. O'Reilly, Lisa P. Simmons, Mary L. Romanello
Collaborative Care Best Practices Model (Ccbpm) Development For Nursing And Occupational Therapy Assistant Interprofessional Simulation, Carrie M. O'Reilly, Lisa P. Simmons, Mary L. Romanello
The Open Journal of Occupational Therapy
The use of simulation as a teaching and learning stratagem is well supported in the professional literature. The development of a collaborative care best practices model (CCBPM) was undertaken to help the creation and implementation of an interprofessional education (IPE) learning strategy between occupational therapy assistant (OTA) and pre-licensure nursing students at a private liberal arts college. The project goals and outcomes involved faculty development, CCBPM development, and OTA and nursing novice student competency acquisition in their respective professions. Twenty-three students (10 OTA and 13 nursing) completed the IPE learning simulation exercise. A mixed-method approach to data analysis was used …
Using Mobile Augmented Reality To Enhance Health Professional Practice Education, Bernie M. Garrett, Joseph Anthony, Cathryn Jackson
Using Mobile Augmented Reality To Enhance Health Professional Practice Education, Bernie M. Garrett, Joseph Anthony, Cathryn Jackson
Current Issues in Emerging eLearning
The use of augmented reality (AR) as a new multimedia networking technology is increasing. An investigation was made of the value of using AR as a tool to support the teaching of clinical practice skills. A series of mobile AR resources were created for use on tablet computers and smartphones to supplement clinical skills teaching in the laboratory (using image recognition), and clinical practice (using geolocation). Undergraduate students in nursing, physiotherapy, and occupational therapy tested these resources in lab sessions, a location-based campus exercise, and during clinical practice experiences. Following this, a post-exposure web survey and focus group interviews were …
Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith
Journey Interrupted: A Phenomenological Exploration Of Miscarriage, Marit A. Watson, Vanessa D. Jewell, Sarah L. Smith
The Open Journal of Occupational Therapy
Background: Miscarriage is a significant life event that impacts occupational performance, identity, and competence and that influences perceptions of motherhood. Because of the lack of social rituals often attributed to the death of a loved one, miscarriages may result in disenfranchised grief, which impedes coping.
Methods: This phenomenological study explored the impact of miscarriage on relationships, perceptions of motherhood, and the meaning of occupation in the context of grief. Data was collected through semi-structured interviews (N = 4) and completion of a brief demographic questionnaire. The interviews were digitally recorded, transcribed verbatim, and reviewed to ensure accuracy. Using inductive thematic …
Evaluating The Effectiveness Of A Formal Dementia Care Training Program: Abilities Care Experts™, Carmen Joaquin, Michelle D'Amato, April Perez, Louiza Alexandria Villarina, Sophie E. Miller
Evaluating The Effectiveness Of A Formal Dementia Care Training Program: Abilities Care Experts™, Carmen Joaquin, Michelle D'Amato, April Perez, Louiza Alexandria Villarina, Sophie E. Miller
Dissertations, Masters Theses, Capstones, and Culminating Projects
Overview: Abilities Care Experts™ (ACE™) is an educational training program for nursing staff who care for individuals with dementia in skilled nursing facilities (SNF). The objective of the program is to provide the nursing staff with knowledge, and methods to engage residents’ remaining abilities in order to maximize occupational participation using a stage-specific dementia care approach. ACE™ training has yet to be evaluated for effectiveness in a controlled study design.
Objectives: This study sought to evaluate the effectiveness of the ACE™ training.
Design: The study employed a quantitative, cross-sectional, quasi-experimental design.
Participants: A total of 29 CNAs, 13 ACE™ trained …
Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor
Measuring Physiological Responses To Sensation In Typical Adults, Sarah Button, Kristen Christensen, Emily Minor
Dissertations, Masters Theses, Capstones, and Culminating Projects
Objective: Sensory processing issues can have a large negative impact on the ability to participate in daily occupations such as ADLs, access to work, school and leisure environments, and social interactions (Dunn, 2001). The evidence documenting sensory processing issues in adults is sparse. Physiological information can be used as objective evidence to support the claim that those with over-responsivity to sensations are experiencing their environment differently than the typical population. Understanding more about sensory processing in adults may lead to increased recognition of the problem and more opportunities for intervention to increase occupational participation. The purpose of this quantitative study …
We Are The Medicine, Madalynn Wendland, Toni Speed
We Are The Medicine, Madalynn Wendland, Toni Speed
Interprofessional Education
We are all healers— to ourselves, each other and the world around us. Whether you are on the path of becoming a health professional, or have been in practice for a long time, this half-day workshop will help you to view healing from a holistic perspective that draws from the ancient traditions while respecting contemporary science.
Cotter Preceptor Selection Instrument (Cpsi), Elizabeth Cotter Ph.D, R.N.
Cotter Preceptor Selection Instrument (Cpsi), Elizabeth Cotter Ph.D, R.N.
Nursing Research Instruments, Tools, and Tutorials
Using a valid and reliable instrument to help identify and select an appropriate nurse preceptor supports the success of both the preceptor and the new nurse graduate. The 14-item Cotter Preceptor Selection Instrument was developed to assess attributes of potential preceptor candidates. Use of a robust and user-friendly instrument can provide nursing leadership with a consistent, measurable, and collaborative process for selecting preceptors.