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Providing Occupational and Physical Therapy Services in a Free Community-Based Interprofessional Primary Care Clinic
No full textInterprofessional care provided in a free community-based clinic that focuses on chronic health conditions and health promotion provides an innovative solution to improve societal health. Many existing clinics provide a range of professions but few include allied health services such as occupational and physical therapy. This paper provides a description of the development and implementation of an expanded faculty-guided student-led community based primary care clinic that includes occupational and physical therapists as part of an interprofessional collaborative practice model. A detailed description and explanation of the partners involved, the institutional missions that drive this work, the logistics completed that enabled the ‘doors to open’, faculty and student roles, and initial outcomes will be provided. A review of the service delivery model, lessons learned, and future directions for the clinic will also be offered
“Colorblind Racism in contemporary Germany: Immigrants, Black Germans and (de)racialization of the German State.”
No full textThe Toxic Triangle: A Qualitative Study of Destructive Leadership in Public Higher Education Institutions
Get PDFDestructive leadership is prevalent in organizations today and it produces harmful outcomes to both individuals and organizations. Destructive leadership is more than destructive behaviors exhibited by those in positions of authority within an organization; destructive leadership is a cocreational process involving a destructive leader, susceptible followers, and a conducive environment, or what is commonly referred to in the literature as the toxic triangle of destructive leadership. Institutions of public higher education seem an unlikely atmosphere in which destructive leadership would manifest and there is minimal research on destructive leadership in institutions of public higher education. This qualitative research gathered information from the perspective of followers who have experienced destructive leadership in public higher education in the United States. This information was collected in personal interviews with ten participants who self-identified as having experienced destructive leadership in institutions of public higher education in the United States. The findings from this qualitative study confirmed that followers were subjected to a wide range of harmful destructive leader behaviors, followers were operating in environments conducive to destructive leadership, followers reacted to the destructive leadership by trying to minimize its negative impact on employees and the institution, and followers were mostly harmed, both personally and professionally, by destructive leadership. Additionally, the findings provide evidence to support the toxic triangle framework and to support the argument that destructive leadership is a complex, socially-constructed process involving a destructive leader, a conducive environment and susceptible followers
The Impact of the COVID-19 Pandemic on the Minnesota Hospice Industry
Get PDFIn the year 2020, the respiratory virus SARS-CoV-2, also known as the novel coronavirus-2019, or COVID-19, had a significant impact on the nation’s health care system, of which the hospice industry is a part. Research about the specific impact of the virus on this industry is still emerging and to date, no known scholarly qualitative research examines the impact of the COVID-19 pandemic on the hospice industry of Minnesota. This qualitative research project collected the perspectives of hospice industry members in the state of Minnesota, in the form of 5 hospice leader interviews and a survey of 144 hospice industry staff, over the span of 3 months from June to September 2020. Four categories of findings emerged: Impact on Presence, Impact on Operations, Impact of Communication and Collaboration, and Impact on Morale. The Change Theory Model of Managing Transitions by William Bridges (1991) served as the theoretical framework to interpret the findings. As strong and effective leadership is critical for organizations to respond effectively to crisis, and toward a more promising future, recommendations and implications for leadership are provided
The Effect of Control-Based Group Games on Self-Controlled Behavior in a Primary Montessori Classroom
Get PDFThis action research study aims to determine the effect of control-based group games on self-controlled behavior in a Montessori primary classroom. The study took place over a period of four weeks and included 17 participants ages 35 months to 6 years. A control-based group game, such as Red Light/Green Light or Simon Says, was implemented daily. Both quantitative and qualitative data was collected from these games, as well as from observations of behavior in the classroom. Though the study found no significant correlation between game outcomes and self-controlled behavior in the classroom, the self-control skills needed to succeed in the games increased notably over the duration of the study. This drastic improvement in self-control skills suggests the need for future, more targeted research opportunities
The Impact of Extended Recess with Loose Parts Play on Montessori Primary Student Self-Regulation and On-Task Behaviour
Get PDFAbstract The purpose of this investigation was to study the impact of extended recess with loose parts play on student self-regulation at recess and on-task behavior after recess. The population for this action research study were students in grades one through three at a public Montessori elementary school in the Lower Mainland of British Columbia during a Covid-restricted school year. The intervention involved 45-60 minutes of extended recess with access to loose parts play for three weeks. Data collection included the following: loose parts play field observations, conflict type and frequency, on-task behaviors tally, and student self-assessments of on-task behaviors. As a result of the intervention, students experienced fewer conflicts at recess and more on-task behaviors after recess. Due to the findings, future actions include trying different schedules of extended recess with rotating access to loose parts and inviting more children to join
The Worker as Co-Creator with God : The Theology of Dorothy Day\u27s Unionism
Get PDFWhen contemporary admirers of Dorothy Day reflect on her work and that of the Catholic Worker, what usually comes to mind are the Movement\u27s charitable works for the poor and its pacifism. However, during the early years of the Movement many Catholic Workers, including Day, were heavily involved in the labor movement and in advocating for workers\u27 rights. Day, a fierce anti-capitalist, saw the struggle for the liberation of workers as central to the Catholic Worker\u27s mission and rooted her labor activism in a Catholic theology of unionism. In this paper I explore Dorothy Day’s unionism and how Day understood the labor movement theologically. I also put Day\u27s theology of unionism in conversation with other contemporary theologians and specifically highlight Day\u27s belief that the dignified work demanded by the social teaching of her Church requires that workers own the means of production
The Effects of Simulation with Cooperative Learning Strategies in a College Sonography Lab
Get PDFThis action research study investigated adding a combination of learning strategies to a sonography lab course and its impact on student performance. The study was conducted in a junior college level sonography lab with 20 female participants between the ages of 20 to 29. The duration of the study was six weeks. Both qualitative and quantitative data tools were utilized. A pre- and post-survey, instructor lab journals, peer review exercises, quizzes, and competencies scores were used to measure effectiveness. The findings indicated an increase in sonography competency scores when compared to the previous year and an increase in the students’ perceived value of the various strategies. The addition of simulation, rehearsal, and peer review exercises yielded positive results. The implications for results, study limitations and further research are discussed
Implementation of a Pilot Telehealth Training Module (TTM) for Clinical Preceptors: Facilitating Student Return to Clinic During COVID-19
Get PDFProblem: The COVID-19 pandemic led to the sudden and widespread implementation of the telehealth platform, changing health care forever. Telehealth is not a new concept, but health systems have been slow to adopt its widespread use due to strict regulations and low reimbursement rates. At the onset of the pandemic and with state executive orders, systems canceled traditional face-to-face visits or converted them to telehealth visits. In-person preceptorships for advanced practice clinicians (APC) were put at a standstill to reduce the spread of the virus and preserve personal protective equipment. The rapid implementation of the telehealth platform provided one opportunity for resuming clinical training for providers. However, adequate telehealth training was needed for clinical preceptors to provide telehealth education. Objective: The purpose of this quality improvement project was to pilot an evidence-based telehealth training module (TTM) for clinical preceptors to increase preceptors\u27 knowledge, confidence, and competency in telehealth utilization. Background: Telehealth uses electronic information and telecommunication to deliver health care, health information, and remote health education. Clinical preceptors should feel confident using telehealth to provide clinical training to students. Methods: This quality improvement project process followed the Plan, Do, Study, and Act cycle. A literature review and training needs assessment from nurse practitioner (NP) preceptors was used to create the TTM content and learning objectives. The project outcomes were evaluated using quantitative survey data. Results: The results revealed that TTM increased clinical preceptors\u27 confidence and knowledge in telehealth. Additionally, clinical preceptors\u27 confidence in precepting students with telehealth increased. Conclusion: The TTM is a promising educational tool that can educate preceptors about telehealth, increases its usability, and increase preceptors\u27 confidence. A clinical preceptor well versed in telehealth will exude confidence and competency and, in turn, can provide an excellent clinical experience for students. The TTM is broad and can be easily modified to meet the needs of new hire providers and as an onboard training for students