5346 research outputs found
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Whole-Person Care Through Cross-Discipline Collaboration: A Nutrition Education Lens
No full textA review of an effective whole-person CARE (Collaborative, Attentive, Resourceful, Empathetic) approach to interprofessional collaboration.
An interprofessional student team gathered in the care of a family with a 6 year old child with newly exacerbated asthma. Represented fields included Allopathic Medicine, Osteopathic Medicine, Pharmacy, Public Health, Dental Medicine and Dieteticshttps://dune.une.edu/caiepfall2024/1005/thumbnail.jp
Staff and Provider Perspectives on a Low-Barrier Buprenorphine Program in Portland, Maine
Full text linkBackground: Homelessness and opioid use disorder are at the forefront of public health issues in Maine. Substance use accounts for a higher proportion of deaths among those experiencing homelessness than it does in the overall population. In 2022, Maine ranked third in the U.S. for fatal overdoses involving opioids. The clinic at the center of this evaluation is a low-barrier buprenorphine bridge program serving people experiencing homelessness that provides same-day prescriptions and other supports, while connecting patients to ongoing care for substance use disorder. Methods: This was a qualitative program evaluation that used semi-structured key informant interviews. The evaluation focused on assessing internal processes, attitudes and beliefs of employees, and relationships with partner organizations. Participants were included if they are curren employees at the clinic or a partner organization. Interviews were conducted via Zoom and recorded. Interviews were coded in Excel using in-vivo coding. Codes were categorized using a color-coding system. Themes were assessed based on codes and categories. Results: Six interviews were conducted. A total of six participants were interviewed. Four of these participants currently work at the clinic, and two work at partner organizations. After analysis and coding, a total of 26 distinct categories of codes were identified. Among the codes and categories, five unifying themes emerged. The five themes include: Providers/Staff at the clinic build trusting, respectful relationships with patients & partners which is key to success; the clinic is the lowest barrier in the community, which promotes harm-reduction; Many systemic challenges impact the clinic and its patients; Respondents are excited to expand the clinic to include more outreach 3 via van; Respondents overwhelmingly support low-barrier buprenorphine and acknowledge limitations/drawbacks. Discussion: The findings support low-barrier, harm-reduction approaches to treating substance use disorder, especially in a population that is experiencing homelessness. The findings highlight human connection, harm reduction approaches, and trusting, respectful relationships as strengths of the clinic. The findings also highlight the need to include patient voices in future study. At the community level, the findings could spark further discussion about harm reduction and promote its adoption in more medical settings. Conclusions: The clinic is a local leader in harm reduction, and would benefit from more social work support. Further evaluation is needed that includes patient voices. These findings can help garner support for the clinic and for low-barrier buprenorphine in the community.https://dune.une.edu/ph_ile/1008/thumbnail.jp
The Perceptions Of Secondary Education Guidance Counselors Regarding The Scholastic Aptitude Test And Its Relationship To College Admissions For Low Socioeconomic Students
Full text linkEstablished test score qualifications are experienced by low socioeconomic status (LES) students as a large impediment to college admission. The problem this transcendental phenomenological qualitative study explored was that the established SAT assessment methods and strategies used for secondary students are inundated with data relevant to only students who are in a high socioeconomic demographic. The purpose of this study was to explore the examined perceptions of guidance counselors working in urban school districts within Michigan LES communities regarding barriers and challenges created for students by the SAT and its relationship to college admissions. Purposeful sampling was used with semi-structured interviews to examine the topic. Two research questions were addressed: (a) What are the perceptions of secondary education guidance counselors from LES urban school districts regarding the SAT? and (b) How does a sample of secondary education guidance counselors describe barriers and challenges in the college admission process regarding the SAT for LES students? The data from all participant interviews were coded with NVivo to create eight themes with the manual coding using Saldaña’s method. The first finding was that secondary school counselors generally think that low SAT accessibility for LES students affects their scores. The second finding was guidance counselors mainly believe that socioeconomic disparities affect the SAT scores of LES students affecting college admissions. The results may be of use to the College Board, urban school districts, LES school administrators, and parents of LES students
A Breath of Fresh Air: A Telehealth Collaboration for Pediatric Asthma Management in Rural Settings
No full textThis presentation showcases a student-led approach to managing pediatric asthma in remote rural settings through interprofessional collaboration via Telehealth. It revolves around the simulated case study of Charlotte Sodo, a six-year-old diagnosed with allergen-induced asthma exacerbated by environmental factors following her family\u27s relocation to a rural area. The complexity of Charlotte\u27s condition, characterized by frequent urgent care visits and a multifaceted medication regimen, underscores the critical need for cohesive, multidisciplinary care strategies.
Our team conducted two key Telehealth appointments with Charlotte\u27s family, focusing initially on building rapport and understanding the patient\u27s medical history, environmental challenges, and specific health care needs. The first session emphasized establishing a comprehensive care foundation, facilitating open communication between the family and a diverse team of healthcare professional students. The subsequent meeting aimed to address the family\u27s concerns, reassess Charlotte\u27s condition and treatment plan, and introduce tailored modifications and resources to better manage her asthma symptoms.
Throughout the presentation, we discuss the strategies employed to foster effective interprofessional collaboration, the importance of integrating environmental health considerations into pediatric asthma care, and the role of Telehealth in bridging care gaps for rural populations. We also explore the outcomes of our approach in terms of patient health, family satisfaction, and lessons learned for future Telehealth initiatives.
This simulated case study exemplifies the potential of Telehealth to transform care delivery for chronic conditions like pediatric asthma, especially in underserved rural communities. It highlights the importance of teamwork, communication, and adaptive strategies in achieving optimal health outcomes and underscores the need for healthcare systems to embrace and expand Telehealth capabilities as part of comprehensive care models.https://dune.une.edu/caiepspring2024/1002/thumbnail.jp
A Case of Chronic Low Back Pain: An Interprofessional Approach
No full textThis poster demonstrates an interprofessional approach to chronic pain management for a patient experiencing back pain which is complicated by depression and fear of movement. We take the combined experiences of public health, osteopathic medicine, physical therapy, and pharmacology to address the patient’s pain holistically and provide patient with a complete plan toward recovery.https://dune.une.edu/caiepspring2024/1009/thumbnail.jp
A Salute to Capt. Joanne Murphy and the Women Who Served in Vietnam
No full textCapt. Joanne P. Murphy was Honorable Donna Loring’s Commanding Officer while they served together in the combat zone at Long Binh during the Vietnam War, and Murphy’s bequest has been foundational to the Donna M. Loring Lecture endowment. It is therefore fitting that this year’s event, which marks the occasion of the Loring Lecture’s 15th Anniversary, will be a salute to Capt. Murphy and to all of the women Vietnam veterans, delivered by Loring
Anne Wales, D.O. Interview 5 Recording 2
No full textAn interview with Dr. Anne Wales at her home discussing osteopathic treatment and history.https://dune.une.edu/walescollection/1013/thumbnail.jp
Anne Wales, D.O. Interview 7 Recording 2
No full textAn interview with Dr. Anne Wales at her home discussing osteopathic treatment and history.https://dune.une.edu/walescollection/1017/thumbnail.jp
Comparative Analysis Of Ultrasonographic Fetal Lung Texture In Twin And Singleton Fetuses
Full text linkObjectives: Increased fetal lung heterogeneity has been associated with term fetal lungs in singleton gestations. The objective of this study was to determine if fetal lung heterogeneity index (HI) differs between twin and singleton fetuses in the late second and third trimesters. Methods: Prospective cohort study of women with singleton and twin gestations with medically-indicated ultrasound examinations at 24 weeks of gestation onward. Grayscale transverse fetal lung images were obtained at the level of the four-chamber heart. A region of interest was selected in each fetal lung image. Fetal lung HI was determined with MATLAB software using a dithering technique with ultrasound image pixels transformed into a binary map form from which a dynamic range value was determined. HI averages and standard deviations were generated for twin and singleton fetuses from 24 weeks gestation onward. Two sample t-tests were used to compare the mean HI at each gestational week between singleton and twin fetuses. Results: In total, 388 singleton and 478 twin images were analyzed. From 35 through 38 weeks of gestation a statistically significant divergence in mean HI was observed with higher means in singleton compared to twin fetuses. At 24 weeks of gestation there was a significantly higher HI in twin fetuses compared to singletons. No differences in fetal lung HI were observed between 25 and 34 weeks gestational age. Conclusions: Differences in fetal lung HI were observed when comparing twin and singleton fetuses. Further investigation is required to determine the potential clinical significance of these findings
Perceived Influence Of Career And Technical Student Organizations On Postsecondary Choices
Full text linkThe purpose of this basic qualitative research study was to explore the perceptions of former career and technical student organization (CTSO) members’ postsecondary choices relative to their involvement in CTSOs in a midsize city high school. The research question that guided this qualitative study was:
How do former participants in CTSOs describe the student organization’s influence on their postsecondary choices?
Thirteen former CTSO members participated in this study through semistructured individual interviews. Four themes emerged from the data: (a) use of soft skills, (b) engagement with others, (c) participation in conferences, and (d) leadership preparation. Through data analysis, the themes indicated that former CTSO members believed that involvement in their CTSO influenced their postsecondary choice and their overall experience as a member was positive. Implications of this study include (a) that participation in a CTSO has a positive influence on members; (b) the more a member participates in a CTSO, the more benefits they receive; and (c) CTSOs create a “safe place” for students to share challenges, to learn from mentors, and to learn about community resources. From the findings, two areas for further study are (a) that a broader study should include former members of any high school student organization, not just those specific to former members of a high school CTSO and (b) that a broader study should include former CTSO members from more than one high school