Addressing Caregiver Burden: Program Development to Improve the Quality of Life of Caregivers of Cancer Survivors
Schöpfer:
Wooley, Aubriel J.
Mitwirkender:
Polo, Katie
Beschreibung:
The purpose of this Doctoral Capstone Experience (DCE) was to create a one time, educational session, "Caring for those who Care," for caregivers of cancer survivors at the Indianapolis chapter of Cancer Support Community (CSC). CSC staff completed a self-created needs assessment survey and caregivers completed the Caregiver Quality of Life-Cancer (CQOL-C) and Zarit Burden Interview (ZBI) to determine current barriers encountered by caregivers. The DCE student utilized thematic analysis to analyze needs assessment results, evidence based literature, and interactions with CSC staff and caregivers to develop and implement "Caring for those who Care." Prior to beginning "Caring for those who Care," participants completed the CQOL-C, ZBI, and a self-developed pre-survey. Five participants, three caregivers and two CSC interns, attended the session, which covered an educational and discussion portion for four topic areas: self-care, stress management, fatigue management, and anticipatory grief. Immediately following the session, participants completed a self-developed post-survey to determine knowledge gained. Two weeks following the session, participants completed the CQOL-C and ZBI to determine changes in quality of life (QoL) and burden. Despite inconclusive data on improvements in QoL and burden due to environmental barriers fortwo of the three caregivers in attendance, results indicated an improvement for 100% of participants in knowledge gained and improvements in implementation of strategies and skills for fatigue and stress management, self-care, and anticipatory grief. Overall, results indicate "Caring for those who Care" was successful and would be beneficial to continue to offer for caregivers of CSC.
Broken Policies: The European Union and the Contemporary Migration Crisis
Schöpfer:
Cravens, Tara
Beschreibung:
As the war in Syria moves into its ninth year, millions of displaced people continue to flee the region seeking protection. Europe is portrayed as facing an enormous crisis with thousands of refugees flocking to its shores. The media shows hundreds and thousands of refugees trying to enter into the European Union showing a lack of preparedness of the continent for the new arrivals. In light of this enormous humanitarian disaster, this paper proposes to determine why the European Union has been ineffective in dealing with the Syrian refugee crisis since the onset of the Syrian civil war. It involves an examination of several EU policies and shared agreements with nearby states hosting the largest populations of refugees. The goal of this thesis is to understand whether the Common European Asylum System, European Neighborhood Policy and the EU/Turkey Refugee Deal impede or assist the ability of EU member states to effectively handle thousands of refugees at their borders. I argue, evidence shows that the EU struggles to effectively deal with the crisis within its member states due to a lack of alignment in policy implementation, which hinders efforts to establish durable solutions, ultimately leading to evolving negative social opinions of refugees within Europe and influencing new leaders coming to power across the Union.
Community Outreach Programs’ Effect on Children with Disabilities and Their Families
Schöpfer:
Harper, Kelsie A.
Mitwirkender:
DeCleene Huber, Kate E.
Beschreibung:
The Doctoral Capstone Experience (DCE) is a 14-week long clinical rotation in which students are encouraged to gain advanced clinical skills and experience with program development. The primary focus of this reviewed clinical rotation was program development and education, with a secondary focus of advanced clinical skills. The goal of this program development was to implement an educational program to promote appropriate positioning in the Neonatal Intensive Care Unit (NICU) at IU Health Bloomington Hospital in order to prevent postural and head deformities. The student created an educational resource on positioning and therapy roles in the NICU based off of themes discovered through a needs assessment. The student also created educational tools on the Infant Positioning Assessment Tool (IPAT) in order to implement the tool as a way to standardize positioning interventions. Additional efforts were made to ensure sustainability for this program such as: a therapy plan at bedside to improve follow through on therapy recommendations, a grant letter for a new safe sleep positioning device, and clearly stated safe sleep protocol for positioning device use in an open crib. Throughout the DCE, the student noted improved staff awareness and knowledge of positioning device use and IPAT scores. Additionally, the site mentor and student noted a decrease in head deformities in infants in open cribs. The site mentor will continue this program development following the student's time in the NICU.
Comparing Moral Reasoning Across Graduate Occupational and Physical Therapy Students and Practitioners
Schöpfer:
Burke, Sarah, Newhart, Lindsey, Kern, Cheyenne, and Milliner, Olivia
Mitwirkender:
Howard, Brenda S.
Beschreibung:
Background/ Objective: Limited ethics education has led to moral distress in practice, contributing to unethical treatment of clients, high turnover rates, and increased healthcare costs.
Development of moral reasoning in OT and PT students has been significantly under researched. The purpose of this study was to analyze the differences in moral reasoning between first year and second year OT and PT students and between students and OT and PT practitioners. Method: Investigators utilized a cross-sectional study design with a convenience sample of University of Indianapolis OT and PT students and a combination of convenience and snowball sampling to recruit licensed OT and PT practitioners. Fifty-seven OT students, 35 PT students, 48 OT practitioners, and 18 PT practitioners completed the Defining Issues Test - 2 (DIT-2; Rest et al., 1999) survey.
Results: With 154 participants, the study was adequately powered for a medium effect size (.30). Comparisons of N2 scores using t-tests found no differences between groups in moral reasoning schema. However, Pearson's Chi-Square analysis for a comparison of all students to all practitioners for consolidation vs. transition (stable vs. developing) moral reasoning patterns was significant between students (transitional) and practitioners (consolidated), with the greatest difference between second-year students and practitioners.
Conclusion: Continual expansion of ethics content within OT and PT graduate programs may promote moral reasoning pattern development in academia with carryover into practice. Clinical experiences provide real-world opportunities necessary to progress students from transitional to consolidated thinking patterns. To improve ethics education, authors recommend active learning strategies and mentorship throughout clinical experiences.
Creating a Therapeutic Positioning and Handling Program in the Neonatal Intensive Care Unit
Schöpfer:
Hillenburg, Jordan
Mitwirkender:
DeCleene Huber, Kate E.
Beschreibung:
The Doctoral Capstone Experience (DCE) is a 14-week long clinical rotation in which students are encouraged to gain advanced clinical skills and experience with program development. The primary focus of this reviewed clinical rotation was program development and education, with a secondary focus of advanced clinical skills. The goal of this program development was to implement an educational program to promote appropriate positioning in the Neonatal Intensive Care Unit (NICU) at IU Health Bloomington Hospital in order to prevent postural and head deformities. The student created an educational resource on positioning and therapy roles in the NICU based off of themes discovered through a needs assessment. The student also created educational tools on the Infant Positioning Assessment Tool (IPAT) in order to implement the tool as a way to standardize positioning interventions. Additional efforts were made to ensure sustainability for this program such as: a therapy plan at bedside to improve follow through on therapy recommendations, a grant letter for a new safe sleep positioning device, and clearly stated safe sleep protocol for positioning device use in an open crib. Throughout the DCE, the student noted improved staff awareness and knowledge of positioning device use and IPAT scores. Additionally, the site mentor and student noted a decrease in head deformities in infants in open cribs. The site mentor will continue this program development following the student's time in the NICU.
Creation of a Caregiver Resource Manual: For Caregivers of Participants Attending Adult Day Services
Schöpfer:
Farmer, Samantha
Mitwirkender:
DeCleene Huber, Kate E.
Beschreibung:
Due to high residential care costs, individuals with dementia are remaining in their community and relying on informal caregivers (Vreugdenhil, 2014). Providing unpaid care for individuals with dementia can negatively impact the caregiver physically and psychologically resulting in caregiver burden (Thompson, Bridier, Leonard, & Morse, 2018). In previous literature, caregivers reported they lacked education on the physical, psychosocial, and
environmental characteristics related to the caregiving process (Kort & van Hoof, 2014; Lestari et al., 2018; Wawrziczny et al., 2017; Weisman de Mamani et al., 2018). In attempt to decrease caregiver burden, the purpose of this doctoral capstone experience was to develop an educational resource for caregivers to increase their knowledge in relevant topic areas. The doctoral capstone experience was completed at an adult day center serving 20 participants with physical and cognitive impairments. After completing the needs assessment, caregivers were sent a survey to gather further sociodemographic and educational need information. A Caregiver Resource Manual was created during the initial 12 weeks of doctoral capstone experience and forty-eight copies were made. The Caregiver Resource Manuals were presented to caregivers in a caregiver in-service with a pre/post-test to measure knowledge gained during the in-service. Results of pre/post- test indicated an increase in knowledge of common terms and definitions relating to dementia care. Manuals were distributed to the caregivers who were unable to attend the in-service. After completion of the doctoral capstone experience, manuals will continue to be given to all caregivers upon their loved one's admission to the program.
Creative Life Review Programming for Older Adults in Long-Term Care and Assisted Living
Schöpfer:
LeCount, Alexis
Mitwirkender:
Bednarski, Julie
Beschreibung:
Evidence: Older adults in institutional settings experience limited participation in leisure occupations, often leading to depression and decreased life meaning (Chippendale & Bear-Lehman, 2012; Elias, Neville, & Scott, 2015). Life review is an enjoyable leisure activity for many older adults (de Guzman, Valdez, Peña, Quindao, & Quibol, 2017). Group life review offers additional benefits, including social interaction and cost-effectiveness (Elias, Neville, &
Scott, 2015). Older adults sharing their story in a creative way encourages emotional processing (King, 2018). Finally, intergenerational exchange promotes positive attitudes of students toward older adults, and greater life meaning for older adults (Chippendale & Boltz, 2015a). Implementation: An occupational therapy (OT) student introduced a creative group life review program with intergenerational exchange in a long-term care and assisted living facility. The program consisted of seven weekly sessions in each facility, where residents shared life stories in groups. The final session included sharing with elementary students. Residents, students, and the partnering school's guidance counselor reported enjoying the experience during sessions.
Outcomes: The OT student completed post-program interviews with residents, activity directors, and the school's guidance counselor. Several residents reported it was meaningful, and most stated they would participate again. Activity directors shared that residents enjoyed the group, and consistently looked forward to attending. The school counselor noted the students learned from and enjoyed the experience. To ensure sustainability, activity department personnel received a binder and in-person training including all program materials and relevant contact information. Life review provided a meaningful leisure occupation for residents in institutional settings.
Erklärung der Rechte:
http://rightsstatements.org/vocab/InC/1.0/
Sprache:
en
Herausgeber:
University of Indianapolis
Identifikator:
LeCount.Alexis.Final Written Project Summary Paper.pdf
Mini Minds is a multi-disciplinary outpatient pediatric clinic with a focus on aiding families in achieving occupational well-being through their brain-based learning brand. External and internal analyses of Mini Minds revealed a need for increased marketing of organizational services in order to meet societal needs of the surrounding community. Opportunities to share and raise awareness for implementation of brain research through diverse marketing tools were created to improve occupational performance and role functioning of local families. The Customer-Based Brand Equity Model was ideal to guide the creation and dissemination of marketing tools as it emphasizes marketing toward the brand in order to gain customer loyalty. Content and appearance of electronic newsletters, business cards, and class & workshop flyers aligned with the organization's brand. Through implementation, class and workshop participation rates increased and the mailing list grew by 42%. Therefore, the selected marketing tools and strategies were likely effective at empowering clients and other community members with information on brain research.
Determining Content Validity of My “Safe and Sound” Plan, A Fall Risk Self-Assessment Workbook
Schöpfer:
Schomber, Jerica R., Schirmer, Clare E., Boomershine, Kathryn A., and Gramman, Rachel M.
Mitwirkender:
Howard, Brenda S.
Beschreibung:
Current falls prevention interventions vary in methodology and effectiveness, and there is need for consistent intervention in the clinical setting. The purpose of this study was to determine the content validity of the My "Safe and Sound" Plan workbook (Howard, 2016), a self-assessment for communicating evidence-based fall risk factors to clients. Three occupational therapists and two physical therapists in the outpatient setting completed surveys regarding the representativeness and clarity of workbook items. Results demonstrated interrater agreement for all representativeness items, and the interrater agreement for clarity items was .862. Two clarity items, Exercises for Fall Prevention: Endurance and Exercises for Fall Prevention: Stretching, did not demonstrate interrater agreement. The content validity index for the workbook was 1.00, indicating that items were representative of what is known about fall risks. Results indicated this tool clearly addressed material relevant to decreasing fall risk factors and would be appropriate for use in the outpatient setting. Member checking and qualitative responses were used to make revisions to the workbook. Implications for practice include respecting the agency and individuality of clients while addressing fall risk factors with clients. Utilizing a client-centered self-assessment may result in clients being more likely to follow through with recommendations.
Development and Implementation of a Preoperative Therapy Program for Individuals Undergoing Total Joint Surgical Procedures
Schöpfer:
Manspeaker, Trevor D.
Mitwirkender:
Dale, Lucinda
Beschreibung:
Following the completion of a needs assessment at Saint Joseph Regional Medical Hospital, an increase of medical spending, a lack of patient expectation fulfillment, and the decreased functional outcomes postoperatively were all identified as problems impacting the joint replacement population. The purpose of the doctoral capstone experience was to develop and implement a preoperative therapy program to address the above needs. Cabilan, Hines, and Munday (2016) defined pre-habilitation as "the preoperative optimization of physical functionality to enable the individual to maintain a normal level of function during and after surgery" (p. 224). During the initial development of the program, a preoperative therapy team was created to begin data collection and resource creation. In conjunction with the therapy staff, the team created multiple educational handouts corresponding to preoperative exercises, adaptive devices, surgical expectations, and home modifications. Data were collected to assess the financial impact a preoperative therapy program could have at this site. Data demonstrated an annual saving of 118,000 dollars due to decreased post-acute care utilization. Following the development of the program, the team began the implementation phase by completing chart reviews. Implementation trials yielded positive results indicating improved postoperative outcomes and satisfaction fulfillment. The occupational therapy (OT) student presented the program to administration staff, and it was accepted for implementation to care. Throughout the experience, the OT student utilized leadership and advocacy skills to complete objectives. The experience provided great opportunities for continued learning and professional growth.