Eastern Kentucky University

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    Exploring the Perceived Meaning of Community-Based Lifestyle Wellness Programs, Interprofessional Collaboration, and the Relationship to Occupational Therapy: A Phenomenological Approach

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    Community-based health care providers use interprofessional collaborative strategies to support the lifestyle wellness needs of older adult clients at risk for chronic disease. A phenomenological approach was taken to explore a sample of community-based health care professionals’ shared meanings of lifestyle wellness programming, interprofessional collaboration, and the Lifestyle Redesign® program and to determine the perceived relationship to occupational therapy, if any. The qualitative descriptive thematic analysis within the Framework of Occupational Justice context revealed positive perceptions of lifestyle wellness programming and interprofessional collaboration but limited awareness of Lifestyle Redesign® and occupational therapy’s distinct role in community-based preventive wellness. Occupational therapy leaders can proactively enhance interprofessional collaboration to bridge these knowledge gaps and mainstream comprehensive occupation-based, client-centered lifestyle wellness interventions for older adults in the community. Future mixed methods surveys, focus groups, or participatory action research are recommended to build upon the findings from this preliminary study

    Administrators’ Perceptions of Alternative Service Delivery Models and the School-based Occupational Therapists’ Role

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    School-based occupational therapists (SBOTs) provide a range of services with collaborative consultation amongst interdisciplinary team members being one of their responsibilities. One perspective that has not been thoroughly examined within previous research is the administrators’ perceptions of the OTs’ roles and responsibilities within the school setting, which may impact how therapists can implement alternative service delivery models. This study aimed to determine administrators’ perceptions of the workload model for SBOTs, to explore their understanding of the SBOTs’ role and responsibilities, and to understand their perceptions regarding collaborative consultation. An anonymous electronic survey was distributed to public school administrators within Rhode Island. The survey was created using the Qualtrics platform and the data was analyzed using descriptive statistics. The results show that most administrators believe that SBOTs should be involved in all three tiers of the multi-tiered system of support (MTSS). Approximately 20% of administrators report that they are not at all familiar with the workload model. Many respondents feel that there are barriers to using alternative service delivery models, with staff being unclear as to how to transition to an alternative service delivery model being noted as the biggest barrier (63.2%). This capstone fills a void in the literature where administrators’ perspectives regarding alternative service delivery models and their views on collaborative consultation in relation to the SBOTs’ role were not explored. Understanding administrators’ perspectives can guide future research and help practitioners that are seeking to transition to a workload model

    A Pretest-Posttest Survey Study of Parent Perceptions of the Effectiveness of Occupational Performance Coaching on Caregiver-Child Play Occupations

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    Background: When the COVID-19 pandemic and telehealth was utilized, it was apparent that most client families did not have occupation-based play objects in the home due to having to drive 30 minutes to the closest store, difficulty affording toys, or did not know age-appropriate toys for their child. Purpose: The study explored home program education strategies, and the relationships between store access, socioeconomic status, and parental education levels on having age-appropriate play-based occupational items in the home. Theoretical Framework. Occupational Performance Coaching (OPC) is a coaching intervention that helps parents to recognize and implement changes for more successful occupational performance for themselves and their child (Graham et al., 2009). Methods. The study was a quantitative one group pretest/posttest design conducted one time a week for four weeks in 20-minute therapy sessions with the parent and their child. The parent was educated on a particular area of occupation, and framed with the three domains of OPC (Kraversky, 2019). Results. The increase in confidence in choosing a toy for addressing therapeutic goals was found to be statistically significant, and remainder of survey questions resulted in a positive result. However, parents marked that this study was very valuable to them, that they had improved interactions with their child, and had improved carryover of therapeutic goals. Conclusions: While only one pre/post question was statistically significant, it was significant in the fact that the post-tests show OPC was valuable to the parents and had the potential to be statistically significant with a larger participant group

    Implementation of a Psychiatric Mental Health Nurse Practitioner Transition to Practice Survival Kit Series: A DNP Project

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    It is imperative that new graduate PMHNPs successfully traverse the gap from student to prescriber of care to meet these needs. Currently, a transition to practice gap exists for PMHNPs who are often left alone to navigate the beginnings of their new career. Additionally, the transition has not been analyzed extensively in literature (Barnes, 2015). The purpose of this DNP project is to implement a transition to practice survival kit series. The proposed DNP project is a mixed methods design focused on program evaluation. The project will assess the effect of a 6-session transition to practice survival kit series on PMHNP self-efficacy, job satisfaction, and intent to stay. Anticipated findings from this project include improved PMHNP self-efficacy, increased job satisfaction, and a higher degree of intent to stay with their current employer. Improving the transition experience ultimately leads to more availability of providers to improve mental health outcomes

    Bridging Collection Development and Cataloging

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    Crystal Ellis, Assistant Director of Library Services and Head of User and Access Services, and Beth Morgan, Cataloging Librarian, will discuss the importance of cross-departmental collaboration and communication to the success and efficiency of their acquisitions, cataloging, and collections maintenance workflows. Crystal and Beth will share and explain workflows they have developed that streamline their from-ordered-to-shelf processes and keep all affiliated staff aware of issues or idiosyncrasies in the areas of ordering, cataloging, and weeding; provide an overview of the micro training they implemented to bring non-cataloging staff up to speed on understanding and interpreting bibliographic data as presented in the acquisitions module of the OCLC Worldshare Management Services ILS; and discuss the importance of ongoing communication between the two to ensure maximum accuracy of the ordering and cataloging of print materials in their collection. This session will be particularly useful to librarians at small colleges with small tech services and acquisitions departments, or anyone looking to bridge workflows across departments

    Generative Disruptive Questions: Operationalizing Diversity, Equity, Inclusion, Justice, and Accessibility in Occupational Therapy Education

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    Diversity, equity, and inclusion is one of five pillars upholding the American Occupational Therapy Association’s (AOTA) strategic plan. Ensuring organizational, educational and governance structures, policies, programs, and services all reflect diversity, equity, inclusion, justice and accessibility (DEIJA) is a priority for the profession. Yet, addressing DEIJA remains a significant challenge in the occupational therapy academic community. Educational programs are a gateway to the profession and play a critical role in whether minoritized persons feel they belong in occupational therapy. This paper proposes a set of Generative Disruptive Questions (GDQ) that can be used to critically examine practices within education that reflect commitment and action towards DEIJA and to facilitate focused conversations that accelerate the creation of measurable, action steps that ensure DEIJA practices are effectively addressed within occupational therapy educational programs. These questions are intended to foster authentic reflection and brave discussions that will dismantle processes and practices that perpetuate systemic injustices. These conversation starters could help faculty, staff and learners engage in courageous conversations that may, at times, be challenging, but which can lead to transformative changes. The questions promote reflective analysis of DEIJA in multiple aspects of the educational process from examination of vision and mission and DEIJA processes and practices in the broad institutional context to more focused analysis of the culture, climate, recruitment, retention, and teaching practices

    Utilizing Interprofessional Collaboration to Assist Clients and Communities with Disaster Relief

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    Hello and thank you for reading my capstone project, which focuses on utilizing interprofessional collaboration to assist clients and communities with disaster relief. My practicum placement was at a crisis center in the next town over. I shadowed and assisted staff with working with clients and the community. A natural disaster had occurred while I was at my practicum placement. Near the end of July in 2022 a massively, devastating flood had hit South Eastern KY and several surrounding counties. The flood happen so sudden people hardly had any warning. People’s homes, vehicles, animals, and personal belongings were washed away. The flood had also taken several lives. The National Guard had to airlift stranded individuals off of mountain sides, and roof tops. Individuals in boats came to rescue people off of tree tops and phone poles that they had climbed in order not to drown. Whole communities were decimated in the matter of hours and the water was still rising. First responders and disaster relief workers began to arrive by the dozens and then hundreds. People from several other states offered their assistance and came to us in our time of need. I accompanied crisis center staff to assist flood victims and the community. We arrived at one of several headquarters that were set up for flood relief workers to assemble and be assigned a target area and community. We were assigned to and formed an interprofessional team that consisted of doctors, mental health providers, Red Cross of America volunteers, FEMA agents, EMT’s, Psychologists, teachers, crisis workers, case managers, community partners/ resource providers and etc. I will be discussing clients and communities that our interprofessional team had assisted. I will mainly be discussing Client A. Client A is an individual that lost his home, most of his belongings and almost lost his life. We assisted client A with locating temporary shelter, medical/ mental health care needs, basic necessities, filing claims, and getting ready to move in their new home. My practicum had ended before client A had moved in his new home, but they had ran into me later on and said that they were adjusting and appreciated our help. Our interprofessional team had also assisted several other clients and communities. We worked together as a team and accomplished helping others in need. I had applied and provided examples of each of the 9 social work core competencies to my practicum

    Inter- and intra-specific dietary overlap in predacious bi-phasic salamanders

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    When multiple species with similar trophic niches co-occur in an ecosystem, foraging, refuge, and breeding microhabitats are predicted to be partitioned in order to enable their coexistence. However, few studies have examined potential niche partitioning among vertebrates with a bi-phasic natural history, such as stream salamanders. In addition to microhabitat, the coexistence of multiple species and life-stages is likely facilitated by the partitioning of diet. As plethodontid stream salamanders have an aquatic larval stage and a semi-aquatic adult stage (i.e., post-metamorphic), the diets of multiple species and life-stages can elucidate patterns in their community structure. Specifically, dietary overlaps can be used to evaluate the level of niche overlap and thus, potential competition among different species and life-stages. In this study, we non-lethally examined the dietary overlap among five predacious aquatic larval and three semi-aquatic adult stream salamander species in southeastern Kentucky. Our data illustrated both inter- and intra-specific dietary overlaps among the stream salamander community. We additionally observed dietary overlaps among all adult salamanders and their larval counterparts. We found differential dietary clustering and separation among some of the species and life-stages. Though not directly tested in this study, our results are suggestive of selection/constraint to species- and life-stage-specific foraging microhabitats

    Using Interprofessional Collaboration to Assist Refugees

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    This capstone will demonstrate my competency and ability to use interprofessional collaboration with the nine Eastern Kentucky University (2022a) Master of Social Work (MSW) program interprofessional social work practice competencies. I will begin by describing my practicum setting and learning goals (EKU, 2022b) for the MSW program, as well as the two sub-groups within the agency I primarily worked with. Next, I will do a literature review of previously researched interprofessional collaboration with the two sub-groups, before demonstrating my practice of the nine competencies using my practicum experiences. I will then finally end with evaluating the effectiveness of interprofessional collaboration that I witnessed during my practicum

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