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Play Over Talk: A Toolkit for Educators on Adverse Childhood Experiences
Get PDFAdverse childhood experiences (ACEs) are traumatic experiences that can lead to negative, lasting effects on the health and well-being of the child. Students who have ACEs are more likely to struggle in school, have difficulty paying attention, lack self-regulation skills, and struggle to control their emotions and behaviors. Teachers and school staff may not recognize or know how to support students who have adverse childhood experiences (ACEs) which can impact the child’s occupational role as a student. To date, a resource for school staff with information on ACEs, interventions, and strategies has not been created. The purpose of this project was to develop a trauma-informed occupation-based resource that allows teachers and school staff to identify and support students who have experienced childhood adversity by using interventions to improve their academic achievements and quality of life. This resource will also serve as an advocate for OT’s role in working with students who have ACEs.https://soar.usa.edu/otdcapstonesspring2024/1042/thumbnail.jp
OT\u27s Perspective on Type 1 Diabetes Management in College Students
Get PDFTo create a program guide to provide resources for freshman-year students to seek accommodations or helpful tips for students with type 1 diabetes to have a smooth transition to college enhance overall health management, and participate in leisure activities.https://soar.usa.edu/otdcapstonesspring2024/1035/thumbnail.jp
Exploring the Occupation of Adaptive Skateboarding
Get PDFThe occupation of adaptive skateboarding strives to bring inclusivity to skateboarding by means of adaptational strategies that support performance for individuals with varied abilities. The purpose of this capstone project is to explore the occupation of adaptive skateboarding to increase the occupational knowledge and to inform occupational therapy’s role. A mixed methods research study was conducted to explore the question: What are the supports and barriers for participation in adaptive skateboarding? Additional community-based capstone experiences occurred to support the comprehensive findings that consider the role of occupational therapy in promoting participation. Conclusions highlight the meaning of the occupation of adaptive skateboarding, the need for further scientific literature, and the need for roles of advocacy that reduce barriers to participation.https://soar.usa.edu/otdcapstonesspring2024/1047/thumbnail.jp
Actions to Improve In-Patient Communication on Medication Teaching
Get PDFPractice Problem: Medication education is a national and global patient safety challenge. Healthcare organizations often lack consistent and effective medication teaching policies. Studies have found that the teach-back method is an effective interactive communication practice of medication teaching to achieve optimal patient outcomes.
PICOT: In direct care nursing staff (P), How does an evidence-based medication teaching bundle (I) compared to the current medication teaching practice(C) affect staff adherence to the dissemination of medication teaching to hospitalized patients (O) in 12 weeks (T)?
Evidence: A review and appraisal of 12 research studies demonstrated that the teach-back method was clinically and statistically significant in improving medication safety and patient outcomes. This supports the evidence-based Doctor of Nursing Practice (DNP) project for nursing staff trained on the teach-back method to integrate teach-back into medication teaching practice for hospitalized patients.
Intervention: Nurse participants (n=8) were given an identical survey three times, once before and twice at six and ten weeks after training on the teach-back method, to evaluate the impact of the teach-back training on medication teaching. Using a validated teach-back evaluation tool, the nurse leader observed the participants\u27 teach-back proficiency.
Outcome: No statistical significance was found in the perceived importance of and confidence in using the teach-back method between any two-time points; the perceived importance of and confidence in using the teach-back method increased from week one to week ten. The use of teach- back for medication communication increased after the teach-back training.
Conclusion: Education on the teach-back method effectively promotes nurses’ confidence in and use of the teach-back method for medication teaching. Standardizing medication teaching using this method is recommended
A Program To Help at Home: Social Skill For Children With Autism Spectrum Disorder
Get PDFThe Autism spectrum disorder (ASD) typically presents in early childhood with delayed or abnormal functioning and according to the CDC (2022), 1 in 44 children have been diagnosed across all demographics. With these high prevalence rates, occupational therapy can be an asset in ASD through a client-centered approach. The problem is the lack of generalization of skills used in the clinic to the home environment to develop and maintain social skills in children with ASD for social participation. This capstone used program development to demonstrate the impact group sessions have on social skills for a child diagnosed with autism by gaining input from their caregivers/families. The purpose was to learn about the needs of the family as it relates to social skills and to develop group activities to address the identified needs through a program in a clinic setting. To address an identified gap in the literature, this capstone provided activities that address social skills in a way that is repeatable in the home setting. Six social skill modules were derived from the data given by the participants: Recognizing Emotions, Self-Regulation, Greetings, Making Conversation, Parallel Play, and Turn-Taking/Sharing. Each topic was designed to introduce social skills to the children in the clinic and established by behavior modeling, prompting, and positive reinforcement. By introducing planned activities for social skills, along with family support at home, children increased their social participation that can benefit them into adulthood.https://soar.usa.edu/otdcapstonesspring2024/1065/thumbnail.jp
A Guide for Supplemental Education on Seating and Positioning for Parents and Caregivers of Individuals with Cerebral Palsy
Get PDFAn educational program that educates caregivers and families on the importance of proper seating and positioning during play, feeding, bone development and growth, speech, reaching, toy manipulation, handwriting and interacting with peers.https://soar.usa.edu/otdcapstonesspring2024/1069/thumbnail.jp
Breast Cancer Survivorship
Get PDFActivities of daily living become difficult for clients during breast cancer survivorship due to the physical and emotional alterations that take place in the body. A program will provide clients with a guide on what to expect during breast cancer survivorship. This guide will also be distributed to clients who undergo mastectomy procedures and other forms of treatment. It will provide them with information regarding dos and don’ts, symptoms, long-term effects, outreach and support groups, adaptive equipment, and more information on ways to improve their quality of life.https://soar.usa.edu/otdcapstonesfall2024/1006/thumbnail.jp
Benefits of Multisensory Rooms in Schools to Control Behaviors in Children with Disabilities
Get PDFThis project explores the benefits of implementing multisensory rooms in schools to manage challenging behaviors in children with disabilities. Conducted at the Barack and Michelle Obama Ninth Grade Center in Lancaster, TX, the program involved participants aged 13-15 diagnosed with disabilities. A comprehensive needs assessment identified gaps in behavior management and overstimulation challenges. The program was designed using evidence-based strategies, including the Person-Environment-Occupation-Performance (PEOP) model, and incorporated techniques such as the Take Five Breathing Strategy, deep pressure input, chair yoga, and meditation.
Through pre- and post-surveys with students, parents, and teachers, the study evaluated the program\u27s impact on functional independence and behavior management. Results showed a reduction in disciplinary actions and improvements in self-regulation and school readiness. Feedback highlighted the effectiveness of the interventions and their potential for broader applications. Future research will focus on expanding the age range and studying multisensory room benefits across various settings, including clinics and home environments.https://soar.usa.edu/otdcapstonesfall2024/1018/thumbnail.jp
Enhancing Emergency Department Efficiency: Utilization of Streamlined Triage System to Reduce Waiting Times
Get PDFEmergency departments (EDs) often experience prolonged waiting times, leading to patient dissatisfaction and potential negative health outcomes. This project addresses the need for improved triage processes to enhance patient flow and reduce delays in care.
PICOT
In adult patients presenting to the emergency department (P), how does the implementation of a streamlined triage process (I) compared to standard emergency department protocols (C) lead to a reduction in waiting times (O) within a twelve-week period (T)?
Evidence
A review of current literature indicated that streamlined triage systems can significantly decrease patient wait times and improve overall ED efficiency by incorporating colors to denote acuity classes, resulting in expedited care delivery and decrease overall ED length of stay.
Intervention
The intervention involved the implementation of a streamlined triage protocol that utilized a rapid assessment tool to categorize patients based on the urgency of their medical needs, thereby facilitating quicker decision-making and resource allocation.
Outcome
The result did not demonstrate statistically significant changes in waiting times within the initial timeframe. However, the clinical significance of the practice change is evident through qualitative feedback from patients and staff members.
Conclusion
Although the results of this DNP project did not show statistically significant changes, the qualitative feedback from patients and staff highlighted the clinical significance of the practice change. This feedback underscores the positive impact of the streamlined triage system on patient experience and staff workflow, suggesting that while quantitative metrics may not have shifted dramatically, the intervention fostered a more efficient and satisfactory environment for both patients and healthcare providers. Future efforts should focus on continued evaluation and potential modifications to further enhance the effectiveness of the triage system and its impact on waiting times
How an Athlete’s Injuries Affect Their Caregiver
Get PDFThe purpose of this proposal was to explore the experiences that caregivers face when their child recovers from a sports injury and needs physical rehab.https://soar.usa.edu/otdcapstonesfall2024/1035/thumbnail.jp