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Launching a Neonatal Resuscitation Escape Room to Combat High Infant Mortality Rates in South India: A Quality Improvement Project
Get PDFBackground: In South India, infant mortality rates are high, and nurses require advanced training to respond to infants in fetal distress. Evidence shows that improved nurse competency in neonatal resuscitation and the ability of students to recognize and respond to distressed infants have led to decreased infant mortality rates.
Purpose: The purpose of this quality improvement project was to design and implement a simulated escape room to improve neonatal resuscitation outcomes among undergraduate students in South India.
Methods: A quantitative descriptive design was used. N=310 undergraduate nursing students from six schools in India participated in a simulated neonatal resuscitation (NNR) escape room in a simulation lab in South India, following completion of an asynchronous maternal/fetal nursing course.
Results: 77.5% of students completed the neonatal resuscitation steps with minimal assistance, and 95.8% of students reported that the escape room experience helped them develop team-based skills and collaborate positively on a clinical team.
Findings: This article provides an overview of the quality improvement project in which an NNR escape room was implemented as an innovative learning activity for nursing students in South India
Empowering Teen Mothers
Get PDFThis project was developed in partnership with YoungLives, a Christian ministry dedicated to supporting and discipling teen mothers. The project had a goal of equipping these mothers with accessible tools to foster their children’s development. The final product is a comprehensive, user-friendly document that outlines cost-effective and developmentally appropriate activities designed to target developmental milestones. In addition, a document was created that lists free resources and events available in the Nashville area, aimed at promoting engagement and learning. This project seeks to empower teen moms with the confidence and knowledge to actively support their children\u27s growth, while also building a strong, supportive community around them
In the Collegiate Voice Studio: A Pedagogical Analysis of Distinctive Works by Fanny Mendelssohn Hensel, Lili Boulanger, and Libby Larsen
Get PDFIn the Collegiate Voice Studio: A Pedagogical Analysis of Distinctive Works by Fanny Mendelssohn Hensel, Lili Boulanger, and Libby Larse
Bridging Resources for Occupational Therapists and Children at Mckenna Farms
Get PDFMckenna Farms Therapy Services is a therapeutic riding center that offers hippotherapy and therapeutic riding services. They also offer therapy services such as: physical therapy, occupational therapy, and speech therapy as well. This project focused on creating online occupational therapy resources (e.g., activities, worksheets, handouts). This project also included making a pamphlet that provided inclusive experiences in the Northwest Georgia area for children/families. The deliverables of this project are the online occupational therapy resource binder easily accessible in a google drive, and the physical pamphlet with information on inclusive experiences
Empowering Coaches: Building a Resource Hub for Accessibility, Inclusion, and Preparedness
Get PDFFlip for Function is a therapeutic gymnastics and adaptive athletics organization that incorporates occupational therapy throughout to promote self-confidence and play for children with disabilities. The purpose of this doctoral capstone was to create a resource guide and kit to assist coaches in being prepared in an inclusive environment. This capstone project focused on creating a physical and electronic deliverable of gymnastics drills and strategies, and a coach’s kit. The physical deliverable contained a list of drills for various gymnastics skills on vault/trampoline, bars, beam and floor with explanations on how to complete each drill and adaptations, as well as behavior and sensory strategies to use during a session. The electronic deliverable included of videos of each gymnastics drill to aid coaches in teaching proper technique and equipment set up. The coach’s kit contained various sensory and safety items in a wearable crossbody bag to further prepare coaches during sessions with items they might need. The goal of this project was to increase coaches’ preparedness and provide items to enhance the overall experience for the coach and student
Promoting Safe Caregiving for Parents with Cognitive and Intellectual Challenges at Nurses for Newborns
Get PDFThis doctoral capstone project was completed through a partnership with Nurses for Newborns of Tennessee. Nurses for Newborns is a nonprofit organization that provides critical healthcare services to infants, new mothers, and expecting mothers who experience a wide range of medical, economic, environmental, and social risks. Registered nurses serve families using an evidence-informed, home visiting model. The aim of this project was to increase support for new mothers who have cognitive or intellectual challenges by providing resources and training staff on how to best serve these clients. The resources included customizable visual schedules, a safe sleep checklist, sensory modifications for daily caregiving activities, and self-regulation strategies
The Impact of High Deductible Health Plans on Mental Health Treatment
Get PDFBackground and Rationale: High Deductible Health Plans (HDHPs) are designed to reduce overall healthcare spending by shifting more upfront costs to patients to discourage overutilization of care, yet HDHPs often increase financial burden, particularly in outpatient mental health care. Patients covered by HDHPs often face substantial out-of-pocket costs before reaching their deductible. This can lead to potential delays or discontinuation of psychiatric treatment. Financial transparency interventions by the mental health provider may mitigate these barriers through more-informed patient decision-making regarding payment options. This project evaluates the impact of a financial transparency intervention on reducing payment responsibility for HDHP patients in an outpatient psychiatric practice in Nashville, Tennessee.
SMART Aim: By December 31, 2024, 95% of patients aged 12 to 80 with HDHPs at A nurse practitioner owned private practice in Tennessee will experience a reduction in out-of-pocket costs through financial transparency interventions.
Methods: This quality improvement project followed the Iowa Model for evidence-based practice change and included a retrospective review of charts between August and December 2024. Data were collected from 145 patients who established care at A nurse practitioner owned private practice in Tennessee between January 1 and June 30, 2024, with a subset of 21 patients (14.5%) identified as having HDHPs. Financial transparency interventions included structured discussions led by a psychiatric nurse practitioner on insurance utilization, cash-pay options, and deductible impacts. Key outcome measures included the percentage of HDHP patients who experienced a reduced out-of-pocket (OOP) financial burden, provider time spent on financial transparency, and patient retention for the HDHP cohort.
Outcomes: Among HDHP patients, 81% (17 of 21) successfully reduced their payment responsibility, while 19% (4 of 21) did not meet the aim. Of those who did not meet the aim, three patients chose to continue using insurance despite higher OOP costs, and one discontinued care due to financial constraints. Financial transparency discussions accounted for 20.6% of provider working hours (95 out of 462 total hours). In 81% of cases, patients who opted for cash-pay over insurance achieved comparable or lower costs. One HDHP patient did not receive a financial transparency consultation and was therefore not included in the final data analysis.
Conclusion: While the project AIM was not met, the majority of HDHP patients at A nurse practitioner owned private practice in Tennessee experienced a reduced OOP payment responsibility following the financial transparency intervention. Barriers could remain for some HDHP patients who default to insurance-based payment or discontinue care due to cost concerns, while other HDHP patients could pay less over the course of the year due to meeting the deductible. These findings underscore the importance of financial literacy in mental health treatment. Mental health providers can play a key role in supporting patient decision-making and insurance utilization through financial transparency
Reasons For Living, Spirituality, and Suicidal Ideation in a Spiritually Integrated Inpatient Program
No full textParallel lines of research suggest reasons for living (RFL) and spirituality often reduce risk for suicide in psychiatric patients. However, research has not examined the links and probable interplay between RFL and core aspects of patients\u27 spirituality that might buffer suicidal ideation in times of severe psychological suffering. In total, 242 adults entering an inpatient treatment programme in a spiritually integrated behavioural health centre (40% cisgender male; 57% cisgender female; 3.0% non-binary) completed validated measures of RFL (fear of social disapproval, moral objections of suicide, survival/coping beliefs, responsibility to the family, fear of suicide), spirituality (spirituality transcendence, transcendent accountability), suicidal ideation and other mental health symptoms (anxiety, depression). Moral objections to suicide and survival and coping beliefs were moderately to strongly linked with deriving a sense of transcendence and accountability from their spirituality and better mental health (lower depression symptoms and suicide ideation). Of the RFL factors, multivariate findings suggested survival and coping beliefs mitigate suicidal ideation independently from spirituality factors whereas moral objections to suicide might serve as a vital mechanism for the protective role of spirituality in reducing suicide risk in high-risk groups. In combination, these findings highlight the need for longitudinal research to ascertain the temporal sequence of these apparent pathways to suicidal ideation along with the value of inquiring about patients\u27 spirituality and RFL in routine assessment and intervention procedures in psychiatric settings
Selective Attention with Lyrical Music vs. No Music
No full textSelective attention refers to the brain’s ability to focus on relevant information while filtering out distractions. Research suggests that language cues and semantic context can shape how attention is directed, indicating that cognitive control is context-dependent (Reisman, 1964). Environmental factors such as background noise can also disrupt attention, leading to reduced accuracy on cognitive tasks (Pearson & Lane, 1984). In the present study, we examined music as both a linguistic and environmental variable influencing selective attention. Previous findings indicate that lyrical music can serve as a significant distractor, impairing attentional performance in both music and non-music majors (Darrow et al., 2006). Building on this concept, our study investigates how the presence or absence of music affects performance on cognitive tasks. We hypothesize that selective attention will be stronger in silence and weaker when participants are exposed to lyrical music. Specifically, we predict that participants will solve math problems more quickly and accurately in a silent environment compared to one with familiar lyrical music. Using a within-subjects design, participants completed two equivalent sets of math problems: one in silence and one with lyrical music playing. Completion time and accuracy were recorded as measures of attentional performance, and differences between conditions were analyzed using paired-sample t-tests. This research extends the work of Paéz-Maldonado et al. (2020) and Ahmad and Sultana (2021) by isolating auditory stimulation as an environmental factor affecting selective attention and academic performance. Understanding how music influences cognitive control can inform recommendations for study environments and strategies to enhance learning efficiency in higher education settings
Body Image in Athletes Compared to Non-Athletes
No full textThis current study examines the relationship between student athletes and body image. Current research demonstrates that body image has become a growing concern regarding young adults, yet few studies have investigated whether there is a relationship between body image and being a student athlete, specifically regarding their body dissatisfaction, negative eating behaviors, social comparison, and self-objectification. In this study, ninety (N= 90) students at Belmont University participated in a survey that assessed their body dissatisfaction, negative eating behaviors, social comparison, and self-objectification. Of our total participants, twenty eight (N= 28) reported to be part of a student athlete organization, while sixty one (N= 61) were not part of a student athlete organization. These surveys were provided by previously established measures. Results of independent samples t-tests indicated that there is no relationship between student athletes and body image. Limitations of the study are discussed