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Pain Management Series for Stroke: Identifying Teaching Methods to Increase Clinical Self-Efficacy for Occupational Therapy Doctoral Students
No full textPurpose
Post-stroke pain has been identified as a significant challenge for individuals experiencing a stroke. Occupational therapists play a crucial role in the complex treatment of post-stroke pain but often face challenges due to a lack of self-efficacy in implementing treatments for stroke-related pain. This project’s purpose was to,1) to identify which teaching methods are effective for increasing clinical self-efficacy in doctoral occupational therapy students for implementing pain management treatment for individuals’ post-stroke and 2) to increase reported clinical self-efficacy levels among these students following the completion of a pain management educational program for stroke pain.
Methodology
This project recruited a total of eight participants from a university in the southwest region using the quality improvement project design. The Program Feedback Questionnaire collected responses for instructional methods. The Modified Physiotherapist Self-Efficacy collected reported self-efficacy levels. The Wilcoxon Signed Rank Test and a thematic coding process was used to analyze data.
Results
The most effective teaching method for self-efficacy was manual application, often referred to as “hands-on” instruction which allows learners to apply what was taught by performing a task or activity physically. There was a statistically significant outcome in clinical self-efficacy scores for participants ( p \u3c 0.001), concluding the effectiveness of the program to increase clinical self-efficacy
Tummy Time Toolkit: Incorporating Social-Emotional Strategies to Increase Caregiver Home Programming Compliance
No full textTummy time is a crucial developmental activity for infants. However, many infants are not receiving the recommended amount of time in prone positioning. This doctoral capstone project aims to address this gap through the implementation of an occupational therapy (OT) based tummy time educational resource titled Bonding Through Tummy Time: A Caregiver’s Guide. The resource, a tummy time toolkit, focuses on caregiver and infant interaction during the co- occupation of play using social-emotional developmental strategies as a driving force to complete more tummy time in the home environment. Recruitment of caregivers was done through purposive sampling and participants were surveyed to assess changes in tummy time practices before and after receiving education. Survey results indicated that the educational resource was well-received, and caregivers and their infants increased the quality and quantity of time spent in tummy time. The infant population and OT profession would benefit from further research in this area to contribute to the body of knowledge of caregiver education on tummy time practices
Students’ Learning about Occupation in an Occupational Therapy Program
No full textObjective: Describe the learning activities that occupational therapy students found helpful for learning the concept of occupation and describe what students know about the concept of occupation.
Design: Descriptive correlational
Setting: Occupational therapy program in the U.S
Participants: Occupational therapy students
Measure: Survey
Results: These students had a general understanding of occupation and its relationship to health, however, lacked the more conceptual understanding of occupation found in occupational science. Participants reported that activities such as fieldwork, group discussion, and lecture helped them understand the concept of occupation.
Conclusion and Relevance: These students missed aspects of occupation and would benefit from more occupation-centered curricula to increase their understanding. Students prefer experiential learning activities and certain didactic learning activities for understanding the concept of occupation. Future studies should research a broader range of students to understand their understanding of occupation and what learning activities they found useful
A Systematic Study of Planetary Envelope Growth with 3D Radiation-Hydrodynamics Simulations
No full textIn the core accretion model of planet formation, envelope cooling regulates the accretion of material and ultimately sets the time-scale to form a giant planet. Given the diversity of planet-forming environments, opacity uncertainties, and the advective transport of energy by three-dimensional (3D) recycling flows, it is unclear whether one-dimensional models can adequately describe envelope structure and accretion in all regimes. Even in 3D models, it is unclear whether approximate radiative transfer methods sufficiently model envelope cooling, particularly at the planetary photosphere. To address these uncertainties, we present a suite of 3D radiation-hydrodynamics simulations employing methods that directly solve the transfer equation. We perform a parameter space study, formulated in terms of dimensionless parameters, for a variety of envelope optical depths and cooling times. We find that the thermodynamic structure of the envelope ranges from adiabatic to isothermal based on the cooling time and, by extension, the background disc temperature and density. By adopting a dimensionless framework, these models can be applied to a wide range of formation conditions and assumed opacities. In particular, we dimensionalize them to the case of a super-Earth and proto-Jupiter and place upper limits on the 3D mass accretion rates prior to runaway growth. Finally, we evaluate the fidelity of approximate radiative transfer methods and find that even in the most challenging cases more approximate methods are sufficiently accurate and worth their savings in computational cost
Developing a Stand-Alone Children’s Hospital in Southern Nevada: Improving Pediatric Care and Diversifying the Regional Economy
No full textSouthern Nevada is the largest metropolitan region in the country without a stand-alone children\u27s hospital. The absence of such a facility results in poor health outcomes for children, fragmented and inadequate specialized care, and a shortage of pediatric medical professionals. Currently ranked last in clinical care nationwide, Nevada urgently needs a centralized, academic-based children\u27s hospital to improve health services.
The Lincy Institute hosted a community forum to release the findings of a new report conducted by Tripp Umbach detailing why Southern Nevada needs a stand-alone children’s hospital. Tripp Umbach is a recognized industry leader, with 30 years of successful partnerships turning ideas into actionable outcomes for hundreds of clients across healthcare, higher education, industry and tourism fields throughout the United States and globally.
The Tripp Umbach report assesses how a stand-alone children’s hospital will enhance the existing pediatric care continuum and examines the economic benefits that such a facility will produce. Beyond economic gains, a children’s hospital will reduce outmigration of patients seeking care elsewhere, saving Nevada families millions in healthcare costs annually. By also attracting out-of-state patients, a children’s hospital will stimulate local spending and bolster Nevada\u27s growing healthcare infrastructure. The proposed hospital developed through robust partnerships represents a pivotal shift towards integrated pediatric care, promising better health outcomes through collaborative, community-focused efforts.
Following the presentation of research findings, a panel of experts and policymakers discussed how a children’s hospital will transform Southern Nevada\u27s healthcare landscape, positioning the region as both a healthcare hub and an economic driver for the state
UNLV Mental Health Initiatives: Unifying Through Innovation and Collaboration
No full textNevada persistently ranks at or near the bottom in the country for overall access to mental health services despite the need (Mental Health America, 2015-2023). UNLV faculty are developing initiatives to change this unacceptable situation. The Lincy Institute, in partnership with UNLV PRACTICE, BeHERE Nevada, and researchers from the Department of Psychology, offered a community forum showcasing three mental health initiatives harnessing faculty collaboration and innovation to drive overdue changes in Nevada’s mental-health landscape. Following the presentations policymakers engaged in open discussion with UNLV presenters and the audience. The three main initiatives showcased in this forum are:
UNLV PRACTICE Strategic Plan: This effort strategically unites UNLV’s graduate mental and behavioral training programs for the greatest impact in addressing Nevada’s mental health crisis, providing accessible, effective, and research-informed community mental and behavioral healthcare today while preparing the next-generation workforce of tomorrow.
BeHERE Nevada: The Behavioral Health Education, Retention, and Expansion Network of Nevada (BeHERE NV) is a new statewide initiative aimed at increasing the number of behavioral health care providers in Nevada. Established in response to critical workforce shortages, BeHERE will recruit, educate, and retain mental health practitioners across the state, with the Kirk Kerkorian School of Medicine at UNLV serving as its administrative hub.
MTSS School-based Service Delivery: This project develops a community asset map of mental health services for youth in Clark County and implements a Multi-Tiered Systems of Support (MTSS) model. This includes assisting with screening for mental health and school attendance problems (Tier 1), providing in-house consultation and accommodation plans (Tier 2), and linking families to assessment and intervention options (Tier 3). The project will disseminate findings through public campaigns and engage policymakers for impactful change
How COVID-19 Changed Us: Compassion, Leadership, and Policy
No full textNevada was one of the hardest hit states during the COVID-19 pandemic. Over the past three years, researchers at The Lincy Institute and other institutions collected interviews from 80 Nevada leaders across sectors including elected officials, leaders in education, community organizations, government agencies, and the business community. Four years after the onset of the COVID-19 pandemic, our communities continue to build a resilient and healthy Nevada. This forum discusses how the crisis prompted us to rethink how we lead and how we can prepare for future challenges. Following a presentation of the project and its deliverables, leaders across sectors discuss lessons learned and opportunities for collaboration to enhance responsiveness
The Sun Goes Down in Juárez
No full textThe Sun Goes Down in Juárez is a historical fiction short story based on the Mexican Revolution (1910-1917). It follows the changing relationship between brothers Rudy and Jaime as they join a rebel army in their journey across Mexico to assist in one of the most pivotal battles of the revolution. As their values unalign and the trek continues, Rudy and Jaime are left wondering if they left the other back home. The story heavily focuses on duty and family, particularly pertaining to their importance in Mexican culture, and how these values influence one’s decisions and the consequences that follow. The Sun Goes Down in Juárez examines the traditional social values of early 20th century Mexico, specifically gender roles, and thereby shines a light on the sexism and misogny that women endured at the time. The overall purpose of the story is to accurately represent Mexican characters in historical fiction, while demonstrating realistic and human flaws through consequential events and reflection, as well as placing emphasis on the overlooked contributions of women to the war effort
Passing on Opportunity: The Attitudes to the Negative Impacts of Tourism on Residents’ Willingness to Work in the Hospitality Industry
No full textWhile prior hospitality and tourism research has shown interest in the impact of tourism on destination sustainability and residents’ perceptions, it remains unclear how these changes could affect residents’ attitudes toward hospitality employment. This study explores the relationship between residents’ attitudes to the negative impact of tourism and their willingness to work in the hospitality industry under the mediation effect of residents’ emotional exhaustion and psychological well-being. Furthermore, the boundary condition of residents’ destination management perceptions was also explored between attitudes to the negative impact of tourism and the aforementioned mediators. Results obtained through an online survey showed that while the influence between residents’ attitudes to the negative impact of tourism on their willingness to work in the hospitality industry is identified, emotional exhaustion and psychological well-being were not significant mediators. Moreover, the boundary condition of residents’ destination management perceptions was not shown to be a significant moderator when exploring residents’ attitudes to the negative impact of tourism on both emotional exhaustion and psychological well-being. Only residents’ psychological well-being was shown to significantly reduce residents’ willingness to work in the hospitality industry when negatively influenced
Enhancing the Relationships Between Students with Emotional and Behavioral Disorders and Their Teachers
No full textOutcomes of students with emotional and behavioral disorders (EBD) have failed to meet the standards of educators and educational researchers. For several decades, such students have had worse academic and postsecondary outcomes than any other student population. This has led to emphasis on implementation of evidence-based practices to combat the negative outcomes associated with educational diagnoses of EBD (i.e., behavioral outbursts, suspension, and expulsion). Despite this increased attention, little improvement has occurred, leading to the question of whether practices implemented for students with EBD have been addressing the underlying causes of these students’ negative outcomes. Student–teacher relationships could be an underlying cause of negative outcomes for students with EBD. Student–teacher relationships have a large impact on the academic and behavioral outcomes of students. When a positive student–teacher relationship is present, student motivation and engagement increase—this in turn leads to better academic performance and an increase in academic self-efficacy (Roorda et al., 2011; Sakiz et al., 2012). Teachers also offer more support to students with whom they perceive they have more positive relationships (Bergin, 2016; Upadya & Eccles, 2014). However, few researchers have studied the impact of positive student–teacher relationships on students with EBD. The point of this study was to determine whether a relationship-based intervention (dialogue journaling) improves student–teacher relationships between students with EBD and their teachers. An exploratory pre-/postintervention design was implemented across two classrooms (two teachers and 10 students). Improvements of student–teacher relationships were minimal. However, stronger positive student–teacher relationships developed when intervention fidelity was higher. The findings lay a foundation for future research on student–teacher relationships and students with EBD