Medical Education Commons^™

Fortifying The External Peer Review: An Editorial Perspective, Saba Sohail

Department of Radiology

No abstract provided.

Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor

Honors Theses

Around 400,000 people tear their anterior cruciate ligaments (ACLs) every year in the United States. The majority of these injuries occur during athletics, and most commonly to females. Their neuromuscular abilities, anatomies, and hormones put female athletes at a much higher risk of ACL injury than male athletes. The current gold standard of treatment, ACL reconstruction, is an imperfect technique at best. It leaves patients with much higher risk of both ACL reinjury and early onset of osteoarthritis. Prevention programs, aimed at reducing the neuromuscular risk factors in female athletes, have proved to effectively reduce the number of noncontact ACL …

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%). …

Transition: A Concept Of Significance To Nursing And Health Care Professionals, Nabeel Al-Yateem, Charles Docherty

Centre for Innovation in Medical Education

The concept of transition has growing significance within the healthcare settings. Healthcare professionals’ encounters with patients and family during periods of health-illness transitions in addition to other transitions (e.g., developmental) can be significant. Therefore healthcare professionals should be aware of the meaning and the process of transition, to ensure efficient and competent provision of care. This paper will explore the concept of transition in the context of healthcare, and will suggest strategies to enable professionals to manage transition effectively.

Navigating Independent Double Checks For Safer Care: A Nursing Perspective, Danielle D. Grant

Honors Theses and Capstones

Abstract

The purpose of this study was to explore registered nurses’ understanding and practice of “independent double-checks” prior to administration of high-alert medications. The study used a qualitative descriptive design for data collection and data analysis. It included thirteen participants from a hospital located in southern New Hampshire. Results of the study revealed a core theme of navigating independent double checks (IDC) for safer care. Two major themes stemming from the core theme were also uncovered. Navigating IDC through knowing and navigating IDC through nurse partnership both focused on the perception and practice on IDC prior to administration of high …

A Randomized Prospective Study On Outcomes Of An Empathy Intervention Among Second-Year Student Pharmacists, Kajua B. Lor, Julie T. Truong, Eric J. Ip, Mitchell J. Barnett

Faculty Publications & Research of the TUC College of Pharmacy

Objective. To determine the impact of a single, 3-day intervention on empathy levels as measured by the validated Jefferson Scale of Empathy-Health Profession Students version (JSE-HPS).

Methods. Forty second-year student pharmacists were recruited to participate in a non-blinded prospective study. Subjects were randomized to an intervention group (n=20) or control group (n=20) and completed the JSE-HPS at baseline, 7 days postintervention, and 90 days postintervention. The intervention group consisted of a 3-day simulation, each day including a designated activity with loss of dominant hand usage, vision, and speech.

Results. The 3-day simulation increased empathy levels in the intervention group compared …

Mood Disorders Team-Based Learning Exercise, Brenda J. Roman, Lisa Anacker, Dean Parmelee

Medical Education Faculty Publications

Abstract Introduction: This exercise is used in a second-year medical course titled “The Mind.” The purpose of this 3-week long course is to provide an introduction to psychiatric illnesses, including diagnoses, neuroscience correlates, and basic treatments for psychiatric illnesses, including psychopharmacology. The authors of this exercise have extensive experience developing and facilitating TBL modules. This TBL session focuses on case vignettes with the following subject matter: a bipolar woman on an inpatient psychiatric ward who is actively manic and a young woman, also on an inpatient psychiatric ward, who has been hospitalized for major depression. Methods: Learning involves preclass reading …

The Association Between Asthma Management And Routine Posture Exercise, Anne-Marie Lydie Coleman

Walden Dissertations and Doctoral Studies

Asthma cannot be cured, but it can be managed. Asthma management is a public health issue that is complex. Medication, asthma triggers, age, and the environment are all factors that impact asthma management. There is a gap in research in terms of what lifestyle characteristics need to be in place in order for adults to manage asthma. Shaw found that posture care is a lifestyle variable that should be explored as it relates to asthma management in older adults. The Life University Clinic (Marietta, GA) sees asthmatic patients daily and teaches them about a posture care routine through a program …

A Pharmacist’S Role In The Prevention And Management Of Perioperative Atrial Fibrillation And Flutter, Amanda Harmon, Bethany Smith, Laura Tsu

Pharmacy Faculty Articles and Research

This home-study CPE has been developed to educate pharmacists about recently published guidelines for perioperative atrial fibrillation and flutter management and prevention, and discuss the role a pharmacist can have in the care of these patients.

Comparing The 2013 Acc/Aha & 2014 Nla Dyslipidemia Guidelines And Their Impact On Clinical Decision Making, Alexander Forbes, Kevin Grimes, Jocelyn York, Laura Tsu

Pharmacy Faculty Articles and Research

This home-study CPE activity has been developed to educate pharmacists on the similarities and differences between the 2014 NLA Recommendations for Dyslipidemia Management and the 2013 ACC/AHA Guidelines for Treatment of Blood Cholesterol.

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

The Influence Of Positive And Negative Death Attitudes On Medical Students' Empathy And Attitudes Toward End-Of-Life Care, Elizabeth Palumbo

PCOM Psychology Dissertations

This quantitative study employed a cross-sectional survey research design in order to examine the relationships between medical students’ death attitudes, empathy, and attitudes toward end-of-life care. The participants were 206 medical students currently enrolled in the Doctor of Osteopathic Medicine program at the Philadelphia College of Osteopathic Medicine, Philadelphia campus. Results indicated that there were no significant differences in the level of empathy between medical students who held strong positive death attitudes and medical students with strong negative death attitudes. However, results indicated that significant differences existed in attitudes toward end-of-life care between medical students who held strong positive death …

The Psychometric Properties Of The Professionalism Assessment Rating Scale, Jennifer K. Olivetti

PCOM Psychology Dissertations

The issue of professionalism in the training of medical students has become a major focus within the field of medical education. For years, the Philadelphia College of Osteopathic Medicine (PCOM) has measured the quality of osteopathic medical students (DO students) interpersonal and communication skills through SP (SP) encounters in which SPs rate the DO students relative to eight criteria (items) which, in aggregate, are known as the Professionalism Assessment Rating Scale (PARS). These criteria are linked in the literature to patient outcomes, patient adherence, patient satisfaction, and malpractice. This study investigated the psychometric properties of the PARS, based on data …

Department Of Education: Fy2015 Annual Report, Lehigh Valley Health Network

Department of Education

No abstract provided.

The Association Between Dietary Sodium, Salt, And Elevated Blood Pressure Among Hispanic Adults In El Paso, Texas, Cynthia Chacon

Open Access Theses & Dissertations

Introduction: High blood pressure (hypertension) is the leading cause of cardiovascular disease (CVD) which represents a worldwide public health concern, and continues to be the number one cause of death among both men and women affecting 1 out of 3 adults in the United States. Furthermore, there is evidence suggesting that high levels of dietary sodium and salt consumption intake can not only increase an individual's blood pressure level, but also their risk for CVD, heart attack, or stroke. Objective: To conduct a secondary data analysis to assess the association between sodium and salt intake and blood pressure among Hispanic …

Are Type 2 Diabetes Patients Receiving Diabetes Self-Management Education In The Primary Care Setting?, Erica Mahone

DNP Projects

Diabetes is a growing health concern in the United States, with approximately 1.7 million new cases diagnosed yearly. A management option to help patients gain glycemic control is the participation in diabetes self-management education (DSME). DSME aims to teach patients how and why they need to perform self-care, and not solely rely on medications to manage diabetes. A literature review of 10 studies between 2007 and 2014 was conducted and found favorable health outcomes for participants of DSME. Patients who participated in DSME had improved glycemic control, achieved blood pressure and cholesterol goals, and lost weight. An analysis of the …

Let's Talk About Sex: The Failure Of Abstinence-Only Policies In America's Public Schools, Sloan Caldwell

CMC Senior Theses

Sexual education has been a much-debated topic in the United States since it was instated in light of the HIV/AID pandemic of the 1980s. The debate has always centered on the role of sexual education: should it act to objectively relay the facts about sexual health? Or should it be utilized as a moral purveyor of teen’s sexual behavior? During the second Bush Administration it seemed as if the conservative right had won and sexual education adopted a role policing teen’s morality with $1.5 billion in federal funding for abstinence-only education. This study aims to provide evidence against abstinence-only education …

The Silent Dimension Of A Healthcare Narrative: How Patients Perceive Practitioners’ Nonverbal Cues, Sarah Steele

Communication & Leadership Dissertations and Theses

This study examines patient perceptions of medical practitioners’ nonverbal behavior. The philosophical framework is based on Buber’s (1923/1958) work on “dialogic ethics,” and grounded in Giles’ (1987) communication accommodation theory. Both quantitative and qualitative data were gathered by means of survey research, and examined through correlational and content analysis. Results show a significant positive correlation between patient perceptions of practitioner nonverbal immediacy and subsequent satisfaction. Analysis of survey comments revealed listening as the nonverbal behavior most valued and noted by patients. These findings serve to inform medical professionals on how to maximize patient satisfaction and care through effective use of …

Faculty Publications 2014, Lsu Health Sciences Center New Orleans

Historical Faculty Publications

This Faculty bibliography contains 898 publications.

Changes In Malaria Prevention And Incidence Due To Political Restructuring Of Mozambique And South Africa, Nirmala K. Shivakumar

Undergraduate Research Posters

The UN’s current Millennium Development Goal puts pressure on many countries to decrease malaria incidence by 2015, including Mozambique and South Africa. While Mozambique and South Africa have continually worked to decrease malaria incidence for the last five decades, neither country can claim elimination of disease by UN standards. This study analyzes the changes in political structure and the simultaneous changes in the malaria prevention programs of Mozambique and South Africa after the end of their respective civil wars in 1992 and 1994. This study analyzed public health, historical, and social science journal articles. This study examined political power distribution, …