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Expanded Cross-Sectional Testing of Psychometric Properties of the Kiersma Chen Empathy Scale in Health Professions Students
ABSTRACT
Purpose: Empathy is important in providing healthcare and should be formed and evaluated during healthcare education. The purpose of these studies was to assess reliability and validity of a no-cost empathy scale and its cognitive and affective subscales in health professions students. Method: For reliability, students in six programs received two administrations of the Kiersma-Chen Empathy Scale (KCES). A blind researcher analyzed data, using Cronbach’s α to assess homogeneity for total and subscale scores, and Pearson correlation to assess association between subscales and total scores. Two-way intraclass correlation coefficients with random effects were used to determine total and subscale score reliability. Minimum detectable change was calculated for total and subscale scores. For validity, students in eight programs were invited to complete the KCES, the Jefferson Scale of Empathy – Health Professions Students (JSE-HPS), and a demographic questionnaire. Statistical significance was considered at pResults: KCES total score demonstrated good internal consistency and reliability. Both subscales demonstrated fair internal consistency and reliability. Subscale scores demonstrated significant and strong correlations with the total score, but significant and fair correlations with each other. Total and subscale scores demonstrated moderate test-retest reliability. The KCES and JSE-HPS are internally consistent; only 3 KCES items and no JSE-HPS items demonstrated robust item-total correlation. Adjusted total scores for KCES and JSE-HPS were significantly correlated, suggesting high concurrent validity. KCES and JSE-HPS scores were significantly correlated for KCES cognitive subscales. Conclusion: The KCES is a reliable and valid no-cost option to measure empathy of health professional students
Long-Term Relief: Sustained Benefits and Strategies of PNF Techniques for Plantar Fasciitis with Restricted Dorsiflexion: A Kinovea – Software Based Gait Analysis
Objective: This prospective longitudinal study aimed to investigate the long-term effectiveness and maintenance strategies following proprioceptive neuromuscular facilitation (PNF) technique interventions in individuals with plantar fasciitis and limited dorsiflexion which is one of the conditions affecting the community. The primary objectives included quantitatively comparing pain levels, functional mobility, and patient adherence to prescribed strategies over an extended follow-up period. Methods: A cohort of 120 participants with plantar fasciitis and limited dorsiflexion, previously treated with PNF interventions, were enrolled in the study. Follow-up assessments were conducted at three-month intervals over a one-year period. Pain levels were measured using a Visual Analog Scale (VAS), functional mobility was assessed using the Foot and Ankle Ability Measure (FAAM), and patient-reported outcomes were recorded. Qualitative insights into maintenance strategies were obtained through in-depth interviews, covering aspects such as home exercise programs, lifestyle modifications, and adherence to recommendations. Also Kinovea software was used for analysing the dorsiflexion of the foot during gait. Results: Statistical analysis revealed a statistically significant (p \u3c 0.05) reduction in pain levels and improved functional mobility over the study period. Recurrence rates were found lower than baseline, with only 15% of recurrence. Logistic regression analysis identified factors contributing to sustained outcomes, including consistent adherence to prescribed home exercises (p = 0.021) and proactive lifestyle modifications (p = 0.035). Conclusion: This study provides the sustained effectiveness of PNF technique in plantar fasciitis individuals with limited dorsiflexion. The identified maintenance strategies, supported by statistically significant findings, offer practical implications for clinicians and patients, enhancing long-term maintenance strategies for outcomes in this specific patient population
Functional Foods in Society
This booklet captures highlights from our Functional Foods in Society in-person activities, where NSU Graduate Nutrition students explore food as medicine through hands-on learning.
Inside, you\u27ll find simple, nourishing dishes and activities using ingredients like anti-inflammatory spices, phytonutrients, quality proteins, and healthy fats.
We hope this inspires you to bring more intention, joy, and nourishment into your everyday meals!https://nsuworks.nova.edu/hpd_com_facbooks/1044/thumbnail.jp
Analyzing Focus Groups Through Poetic Dialogues: Enhancing Participant Engagement and Representation in Program Evaluation
Evaluating programs in rural communities can present challenges when large, observable successes, such as infrastructure additions, are limited due to resource challenges. These successes are often quantifiable and easily identified by external stakeholders. However, there are often intangible and social impacts that should be captured as successes of rural community-focused programs that may not fit the more quantitative methodology. Arts-based methodologies, like poetic analysis, can help capture the diverse impacts of a program, while also centering the voices of program participants in the evaluation itself. This study examined the use of poetic dialogues, an application of poetic transcriptions for focus group data, to highlight the socio-cultural, and sometimes intangible, program impacts from a rural food access and health promotion program. We collected data through focus groups with community coalitions implementing the program in four rural Georgia counties. We then crafted poetic dialogues to capture program impact, both for program evaluation as well as community engagement efforts. Merging a user-focused and appreciative evaluation approach with arts-based analysis allowed us to capture and communicate impacts that were intended to be more responsive to the individual and collective identities of rural community members impacted by the health promotion program. Implications for using poetic dialogues are discussed, as well as potential avenues for future research to expand this research area
Navigating Cultural Barriers in Clinical Education: Unique Experiences and Insights from Culturally and Linguistically Diverse (CALD) Physiotherapy Students, Non-CALD Students, and Clinical Educators
Purpose: Culturally and Linguistically Diverse (CALD) students commonly face cultural barriers in the clinical learning environment that can impact on the success of clinical education experiences. Lack of effective strategies to facilitate clinical learning can be challenging for students and clinical educators alike. This study aimed to explore the issues impacting on clinical learning from the perspectives of CALD physiotherapy students and their clinical educators, and seeks suggestions from both participant groups to improve the clinical education experience. Methods: Qualitative descriptive design using grounded theory principles was utilised to gain insights from physiotherapy students and clinical educators regarding their clinical education experiences. Four focus groups were each held for CALD students (n=22), non-CALD students (n=17), and clinical educators (n=23). The data were transcribed verbatim, coded, and analysed using grounded theory principles to ascertain emerging categories and sub-categories to formulate final themes. Results: Three main themes were identified: mismatch in placement expectations, communication and language barriers, and cultural barriers. The theme of mismatch in placement expectations had sub-themes of roles, learning needs, and expected behaviours, which were universal to all physiotherapy students. The theme of communication and language barriers had sub-themes of verbal and non-verbal communication such as accent and pronunciation, vocabulary, processing time, and decoding hidden meanings, which applied additionally to CALD students. The theme of cultural barriers had sub-themes related to teaching and learning, respect, and saving face, which applied additionally to CALD students. Differences in the understanding of roles, learning needs, and expected behaviours between CALD students and clinical educators were perceived as barriers to effective learning outcomes. A lack of access to training resources was identified in preparing clinical educators for CALD student supervision. Conclusion: Identifying and understanding the contextual influences that shape CALD physiotherapy students’ experiences of learning during clinical education experiences can assist workplaces and universities to tailor the training and support provided to improve preparation for clinical education experiences. The research findings highlight the importance of creating a clinical learning environment where cultural and language differences can be openly discussed and sensitively managed. Physiotherapy clinical educators and CALD students can benefit from formal communication and cultural awareness training to optimise the clinical education experience
A Policy Analysis of Performance Based Funding in Colorado
The researcher used a quantitative approach to examine the effects of performance-based funding policies in Colorado. Specifically, the researcher focused on postsecondary access for Pell-grant eligible and underrepresented minority students. Using a doubly robust difference-in-differences design, the study compares two PBF policy iterations (2.0 and 3.0) to assess the effectiveness of those polices on public four-year degree granting universities in Colorado. The researcher assessed from the data that PBF has no significant impact on Pell-eligible postsecondary accessibility, but PBF has a slightly significant impact on URM accessibility.
The research is grounded in institutional theory and resource dependence theory. The research theories are framed to consider the broader influence of neoliberal policy design and policy entrepreneurship. The student also evaluates possible cream-skimming behavior among flagship institutions and growing disparities between the better-resourced competitive institutions and the smaller regional public universities. Additionally, the researcher addresses how emerging federal guidance surrounding diversity, equity, and inclusion (DEI) efforts may threaten the viability of equity-based PBF metrics. Recommendations include the reconsideration of weighted metrics, legal safeguards for access-based initiatives, and further research into longitudinal equity outcomes and institutions funding disparities.
The researcher accounted for the periods of non-implementation as a way to pretest the accessibility conditions for postsecondary education in Colorado. Additionally, the researcher addressed the policy concerns raised by smaller regional schools when leaders from those schools questioned the motivation of iteration 2.0 and how that policy was strongly guided by leaders from the larger headcount schools. Furthermore, the researcher provides detailed guidance for further research based on the findings of Pell-grant eligible and underrepresented minority student accessibility. The researcher made recommendations for navigating potential policy concerns regarding diversity, equity, and inclusion for future PBF iterations.
An analysis of the data revealed that Pell-grant eligibility likely has too many external variables impacting accessibility for lawmakers to use Pell-grant accessibility as a metric. However, underrepresented minority accessibility is something an institution can impact, still any future considerations for URM populations should account for DEI policy impacts at the federal level, and consider broadening the definition of URM to avoid an issue with giving preferential treatment to any population on the basis of race or ethnicity
Bell Pepper
Artist Statement
This was an assignment in one of the classes I had to take. In the beginning of class we just had to quickly paint whatever object was on the table before time ran out, and what was in front of me was a fake bell pepper on purple paper. It’s simple but I ended up liking the end result a lot