4th Annual Waldron College Interprofessional Symposium & Expo

2017

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



Waldron College of Health and Human Services

Department of Communicaon Sciences and Disorders | Department of Occupaonal Therapy

Department of Physical Therapy | School of Nursing | School of Social Work

P.O. Box 6970, Radford, VA 24142 | 540-831-7600 | tty 540-831-5128 | fax 540-831-7744 | www.radford.edu/wchs

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 

 

 

 

 

4th Annual Waldron College Interprofessional Symposium & Expo

2017



On behalf of the Waldron College of Health and Human Services (WCHHS), I want to

welcome you to the 4th Annual WCHHS Interprofessional Symposium & Expo. The

objective of this event is to develop relationships among the faculty and students in all

of the WCHHS programs in the areas of research, scholarship, and service. We are

excited to showcase the exceptional research and scholarly work of our faculty and

students as well as the service opportunities in which they engage every day. It is our

hope that today’s event will continue to showcase and promote interprofessional

scholarship and service in our college and across the university.

I would like to thank the following individuals for their support:

· Radford University President Brian O. Hemphill, for joining us today

and providing the keynote address;

· The members of the WCHHS Interprofessional Planning Committee

and Peer Review Committee;

· Dr. Corey Cassidy, WCHHS Associate Dean, for her passion and

energy in promoting and supporting interprofessional collaboration

and practice among our disciplines.

Once again, on behalf of the WCHHS, I appreciate your attendance today. I hope you

find today’s Symposium & Expo to be a rewarding and productive experience.

Best wishes,

Kenneth M. Cox, Au.D., M.P.H., CCC-A

Professor and Dean

Waldron College of Health and Human Services

Radford University

4th Annual Waldron College Interprofessional Symposium & Expo

2017



Dear colleagues and visitors,

It is my pleasure to welcome you to the Waldron College of Health and Human Services 4th Annual

Interprofessional Symposium & Expo. We value this program as an opportunity to present and learn

about new and unfolding scholarship, to share innovative programs that have been implemented in our

college and across campus, and to acknowledge and thank community and clinical partners who work

with our students throughout the year. Our faculty members have a distinguished track record of

disseminating their scholarship and service within venues that involve professional associations with

colleagues across the country and within international arenas. Our partnerships with agencies across and

beyond the state of Virginia ensure that our students experience quality real-world experiences,

collaborate across disciplines, and in general, strengthen the identity of Waldron College as a vibrant

academic community. Today’s program provides us with a venue through which to share and celebrate

our college’s successful endeavors and partnerships with our colleagues here on campus and across the

Commonwealth.

The beauty of today’s event is that it is truly an intra- and inter-professional presentation of projects and

programs, allowing faculty and students to showcase their work for and with colleagues who may

otherwise not have an opportunity to share. The themes span the full programmatic spectrum of the

college and across the university. The subjects also span the globe, as many of the presentations and

programs highlight work in which Waldron College’s students and faculty have engaged in scholarship

and service in a variety of international settings. Finally, today’s activities serve as a demonstration of the

natural collaboration between faculty, students, and community partnerships and how effectively faculty

integrate scholarship and service into their vital commitment to teaching at RU.

As a participant – in the role of either presenter or attendee - I am sure you will learn about new

scholarly opportunities and service endeavors in which you will want to participate, and enjoy a day in

which you will make rewarding new connections for future endeavors at RU. I hope you take advantage

of the food, the fun, and the collegiality that will be taking place throughout the day!

Sincerely,

Corey H. Cassidy

Corey H. Cassidy, Ph.D, CCC-SLP

Associate Professor and Associate Dean

Waldron College of Health and Human Services

Radford University

4th Annual Waldron College Interprofessional Symposium & Expo

2017





4th Annual Waldron College Interprofessional Symposium & Expo

2017





 Department of Physical Therapy

 Department of Physical Therapy

 Department of Physical Therapy



-



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-











4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Nursing

 School of Nursing

 School of Social Work



People who live in rural Appalachia in southwest Virginia are known for core values of

independence, individualism, and egalitarianism (Keefe, 2005), they also are known to

have poor health behaviors, poor health status, and healthcare disparities (Griffith, Lovett,

Pyle, & Miller, 2011). The National Institutes of Health (2015) states cultural competency is

necessary to reduce health disparities and improve health of individuals and communities.

Additionally, the Institute of Medicine (2001) advocates for interprofessional education

(IPE) and healthcare delivery to improve health outcomes.

The purpose of this project was to increase: 1) IPE team delivery of primary care within a

rural Appalachian community; 2) cultural competence within an interprofessional student

team in the delivery of healthcare; and 3) patient self-management strategies for chronic

disease and behavioral health.

The research design was quasi-experimental using pretest-posttest measurements of

students and clients. In addition to data collected for the purpose of the quasi-experiment,

descriptive data were collected on number of students and participants involved in each

health promotion activity, the number of disciplines involved and the types of chronic

illnesses treated. Students undertook self-paced instruction of four learning modules on

IPE followed by asynchronous discussion with peers and faculty using Desire 2 Learn.

Clients from the Free Clinic of Pulaski County (FCP) and participants of a nearby

congregate meal program attended faculty/student led health education and promotion

instruction on topics such as blood pressure, sleep for health, chronic pain management,

and mental health self-care. Medication reconciliation education was provided to select

clients at FCP. Students were assessed on attitudes towards interprofessional teamwork

and cultural competency. Clients were assessed as able on health knowledge and health

self-management confidence.

Students and faculty from four health and human services disciplines participated in the

project. Each of six health education programs was attended by 15-20 participants.

Maximum flexibility and responsiveness to learner preferences was demanded due to

cultural and behavioral characteristics of the targeted group of participants, e.g.

participants from the meal site preferred brief, interactive health education encounters

over group didactic instruction. S attitudes toward learning and working within IP

teams increased along with cultural sensitivity and responsiveness. An unanticipated

finding was the reluctance of many attendees at the meal site and FCP to learn health self-

management strategies. Student gains in cultural competence and ability to work

4th Annual Waldron College Interprofessional Symposium & Expo

2017

interprofessionally were achieved through this unique care delivery model. Numerous

interacting factors affect the readiness and ability of many free clinic clients and low-

income community members to benefit from group-tailored instruction in health self-

management. Individually tailored information delivered 1:1 appeared to be more

effective.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 Department of Communication Sciences and Disorders

 Department of Communication Sciences and Disorders

 Department of Communication Sciences and Disorders

 Department of Communication Sciences and Disorders











-















4th Annual Waldron College Interprofessional Symposium & Expo

2017



 Department of Sports Medicine



The scholarly question I will be investigating for my Honors Capstone is: How Does

Cerebral Palsy Affect Health Related Activity? In the past, studies have been done to show

that individuals with Cerebral Palsy do in fact fatigue more quickly when participating in

health related activities because their muscles expend a greater amount of energy when

compared to an individual without Cerebral Palsy. With my research, I hope to discover

what kinds of activity these individuals can do without being completely exhausted and

what contributes to this fast paced exhaustion.

I am actively doing research on the following categories: Description of Cerebral Palsy,

Pathology, Treatment of Cerebral Palsy, Effect of Cerebral Palsy on Activity & Exercise, &

Effect of Exercise for Persons with Cerebral Palsy. After doing detailed research on each

category, I will compile all of my findings into a literature review paper, giving an overview

of Cerebral Palsy and all of the components that lead to this fast paced muscle fatigue

during exercise. I plan on presenting my research at the NCUR conference this April and

will hopefully have the opportunity to present at the 4th Annual Waldron College

Interprofessional Symposium & Expo.

4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 School of Nursing



Central line associated bloodstream infection (CLABSI) remains one of the most common

and deadly hospital-acquired infections in the United States. Creating a culture of safety is

an important part of healthcare-associated infection improvement efforts (Weaver et al

2014). In an effort to improve safety and reduce CLABSI, this project will propose new

clinical practice guidelines added to hospital policy and procedures. This proposition is

based on evidence related to disinfectant caps (alcohol impregnated caps) that are placed

consistently on central and peripherally inserted central venous access devices while not in

use, and in between uses to prevent infection. This practice would not replace standard

protocol of sterile dressing changing and scrubbing hubs between uses but would be in

addition to these standard protocols. The data supporting the addition of the caps in daily

use, promises greater reduction of infection than what is achieved with use of standard

protocol alone.

Developing clinical practice guidelines for a local acute care hospital regarding use of these

disinfectant caps added to standard protocol will be the outcome for this DNP project with

data showing that this change will aid in reduction of CLABSI. Implications for this practice

will show reduction in morbidity, mortality and cost, by showing that evidence based

research and practice is critical for optimum patient outcomes, specifically in all acute care

settings. This project may be utilized by doctors, mid-level providers, and nursing staff who

care for patients with central venous access devices.

Keywords:

Clinical practice guidelines, clinical practice protocols, standard protocols, CLABSI= central

-impregnated port 

central venous lines; CRBS= catheter related blood stream infection; AB Cap= antimicrobial

catheter cap; CVC= central venous catheters; vascular device, infection and prevention, care

and maintenance of central venous catheters, nursing.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



-

 School of Nursing











































-

-









4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



Maria McDermott School of Nursing





-















 





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



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

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



-







4th Annual Waldron College Interprofessional Symposium & Expo

2017





 Blue Ridge Cancer Care

 Lewis Gale Hospital Pulaski

 Radford University

 New River Surgical Associates















--





























4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 School of Nursing



Methicillin-resistant Staphylococcus aureus (MRSA) colonization detection testing is used

in medical settings to identify patient carriers with active surveillance culture (ASC), and

implement precautions to decrease its spread. The control of the transmission and

acquisition of MRSA in the ICU setting is an ongoing area of study nationally and

worldwide. Correctly identifying patients in the ICU setting with MRSA colonization is an

essential part of reducing the transmission and subsequent infection that is recommended

by current practice guidelines, national recommendations, and evidence to reduce

transmission and subsequent infection (AHRQ, 2013a; Aureden, et al., 2010; Calfee et al.,

2014; Coia et al., 2006; CDC, 2011; Harris, 2016; Marchaim & Kaye, 2015; Siegel et al., 2007;

Wertheim et al., 2012;Wiener et al., 2016). Detection of MRSA colonization is analyzed

through literature search of studies performed on testing of multiple extra-nasal

anatomical sites that are known for potential MRSA colonization in the Intensive Care Unit

(ICU) setting. The review of literature, guidelines, and studies in this DNP project propose

that the addition of extra-nasal site testing for MRSA colonization in the ICU setting is valid

intervention to be utilized in future research of MRSA transmission and control. The

recommendations on future research on extra-nasal MRSA colonization in the ICU will be

discussed and disseminated through a continuing education module.

Keywords: Methicillin-resistant Staphylococcus aureus (MRSA), colonization, anatomical

site, extra-nasal, intensive care unit (ICU), screening and detection

4th Annual Waldron College Interprofessional Symposium & Expo

2017

*Evidence-based Practice in Palliative Care Education

Gwendolyn Spangler School of Nursing



The aim of this review is to examine the evidence regarding the most effective modality for

palliative care education. The findings will then be utilized to create a palliative care

educational tool for use at Carilion Roanoke Memorial Hospital. Methods: A comprehensive

search of the literature was performed utilizing CINAHL, Radford University SuperSearch,

Cochrane Library, Ovid and EBSCOhost. Reference lists from selected studies were

reviewed. Facility resources such as the palliative care team and education department

were utilized to create an online book teaching the basics of palliative care. This book will

be published through Cornerston

Literature assessing the effects of palliative care and palliative care education is plentiful

and positive. Increased usage of palliative interventions decreases patient symptoms and

hospital length of stay while increasing communication, interdisciplinary care and patient

satisfaction. Outcomes of one modality over another are not as well studied. While any

education improves care, there is no clear benefit to online versus traditional education.

Evidence does show that utilizing multiple educational platforms provides the best

outcomes. Implications for practice: Provide palliative care in conjunction with aggressive

care or as a stand-alone modality improves patient satisfaction and decreases health care

costs. Nurses utilize palliative care interventions in every day care already. This education

gives an evidence base for those interventions while increasing health care workers

knowledge of palliative care practices.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing



Purpose: The purpose of this project is to (a) review the affecting factors of and associated

outcomes with the health literacy, (b) review NP understanding of health literacy

assessment tools and what to do with the information learned from them, and (c) provide

information on how to tailor patient education based on individual health literacy

assessment results.

Background/Significances ability to obtain, communicate,

process and understand information influencing health care decisions. Low levels of health

literacy have been associated with medication errors, reduced use of preventive services,

difficulty in managing chronic conditions, higher mortality, and unnecessary emergency

room visits. Provider knowledge of patient health literacy levels helps tailor education for

each patient to help ensure understanding and compliance.

Findings: Many studies report health literacy to be a more precise determining factor for

patient understanding and compliance than any other. Increasing health literacy in

individuals positively impacts self-efficacy and positive health outcomes. This integrative

review, supporting incorporation of the health literacy assessment followed by tailored

consultation and education while using teach-back methods, as the best strategy to

increase health literacy, promote self-care, and improve better patient outcomes.

Clinical Implications: Nurse practitioners, in the role of primary care provider, may

incorporate health literacy assessment and provide a tailored education regarding the

individual needs of t health literacy level. In return, along with

increased health literacy, the patient then assumes responsibility for their own health thus

decreasing health disparities and increasing positive health outcomes.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School Of Nursing













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



























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













4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 Department of Occupational Therapy

 Department of Communication Sciences and Disorders

 Department of Occupational Therapy

 Department of Occupational Therapy

 Department of Communication Sciences and Disorders

 Department of Communication Sciences and Disorders





-



-





--







4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing/Clinical Simulation Center

 School of Nursing/Clinical Simulation Center



Background:

The occupational therapy (OT) faculty and the nursing s

Clinical Simulation Center partnered to conduct a simulation learning experience coined as

a boot camp for first year OT students. The objective was to reduce the stress level of

students entering the hospital environment for the first time. Research has shown that

simulation provides an opportunity to bridge the theory-practice gap in a non-threatening

environment while increasing student confidence and reducing student anxiety.

Method:

During the activity, OT faculty and nursing faculty collaborated together in facilitating the

learning of the OT students. Station number one involved the opportunity to practice blood

pressure measurements while incorporating peer learning strategies. Station number two

involved the nursing faculty member assuming the role of a patient who suffered multiple

injuries status post motor vehicle crash who requires an OT consult. Station number three

utilized a high fidelity simulator. The nursing faculty set up this patiens hospital room

with both appropriate findings and safety concerns.

Results:

Student feedback was overwhelmingly positive. Specifically, OT students were introduced

s scope of practice and how the RN and OT are able to collaborate

during patient care. The students stated having the nursing faculty available for questions

was useful prior to entering the hospital environment. The OT faculty and clinical

simulation faculty also observed that students were engaged in all 3 domains of learning

during the entire experience. At the end of the experience, students verbalized that they felt

more prepared for the acute care environment and thought the simulation learning

experience was valuable.

4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Nursing



Migraine is a complex and multifactorial brain disorder affecting 15.8% of people over 18

years and over, approximately 21.9% of women and 8.1% of men in the United States (Pleis

et al. 2010). It costs billions of dollars annually in direct and indirect healthcare and school

and work absenteeism. Until this date, there have been no medications that were designed

with the specific purpose to cure migraine attack, which prompts a search for alternative

interventions such as acupuncture that could be valuable in treating migraine headache.

This integrative review paper assesses the effectiveness between acupuncture and

conventional drug in treating migraine. Acupuncture is an alternative to mainstream

pharmacological management in migraine. With many recent large-scale studies using

advanced technologies, there is evidence to support acupuncture as an effective migraine

management without side effects. Ten reviewed papers were varied considerably in study

design and quality. The findings indicate that there are statistically significant increases in

the percentage of responders and decreases in rescue medication suggesting acupuncture

is an effective treatment for migraines without the adverse events of standard

pharmacological management.

The evidence suggest and recommend that acupuncture should be considered as a first line

treatment for chronic migraine, particularly in patients who cannot tolerate side effects

from the medications. Migraine management recommendation should be updated.

Acupuncture continuing education activity will empower the health care providers in

managing patients with migraine.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing























-















4th Annual Waldron College Interprofessional Symposium & Expo

2017

--

 School of Nursing/Clinical Simulation Center

 School of Nursing/Clinical SimulationCenter



Background:

The nursing s Clinical Simulation Center utilized

reciprocal peer-to-peer learning combined with simulation to encourage students to work

collaboratively and actively contribute to their own learning. The objective was to create a

more engaged and interactive learning environment in which students assume both

teacher and student roles. In a patient-centered care model, the healthcare provider must

possess proficiency in patient teaching. Practice opportunities to teach are important in the

 program of study.

Method:

Nursing students rotated through 3 separate learning stations. Two of the stations

incorporated direct patient care with a high fidelity simulator and instructor as a facilitator

at the bedside. Upon completion of the first two rotations, the entire student group jointly

participated in the last learning experience which incorporated peer-to-peer learning. After

a brief presentation, students were provided with the equipment and reference resources

to prepare a brief 5 minute in-service to the opposite student group. The faculty assumed

true facilitator roles and ensured all students participated and verified the accuracy of the

content taught.

Reflections and Future Implications:

Peer to peer learning instills confidence in both the student learner and in the

s percep abilities. Clinical experiences and personal

backgrounds vary and students are able to share those differences with one another.

Students are more apt to share these differences in a small group versus a large classroom.

Student response to the peer-to-peer learning activity was overwhelmingly positive. This

teaching modality could be incorporated into the classroom, clinical conferences,

simulation, and IPE. When university resources are limited and staff demands are

increasing, peer-to-peer learning is a teaching modality that is not resource intensive.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing















4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Nursing

 School of Nursing

 School of Nursing



Introduction:

Program evaluation and continuous quality improvement are requirements for

nursing program accreditation as well as the ethical responsibility of nursing education

programs in promoting positive student outcomes. In order to do this, stakeholder

perspectives regarding program outcomes are key. Therefore the purpose of this study

was to examine perceptions of the RUSON BSN program across the curriculum from the

perspectives of alumni, faculty, and alumni employers.

Methods:

This study used an electronic mixed methods survey to elicit participant

perspectives regarding program outcomes and the nursing role. Purposive sampling of

RUSON BSN alumni, faculty, and employers of RUSON BSN alumni was utilized. Participant

numbers for each group included 66 RUSON BSN alumni, 13 RUSON BSN faculty, and 74

employers of RUSON BSN alumni. The data was analyzed using descriptive statistics. Open-

ended response questions were analyzed using thematic analysis.

Results:

Ninety percent of employers reported satisfaction with RUSON graduates along with

95% reporting graduates were assets to their organization. Concerning faculty satisfaction

with the education provided to RUSON students, 93% were satisfied. Qualitative analysis

revealed that faculty and alumni describe nursing holistically as a blend of art and science,

while employers describe the role of a nurse as a professional instrument to improve

quality and safety within an organization. The highest scoring program outcomes were

critical thinking, use of evidence-based resources, and caring attitudes and relationships

from the perspectives of alumni, employers, and faculty, respectively. The lowest scoring

program outcomes from these participants included information technology (alumni),

continuing education activities (employers), and formal/informal leadership (faculty).

Discussion:

Through evaluation of the RUSON BSN program, program strengths and weaknesses

were identified. This will allow for program quality improvement and further research to

benefit alumni, employers of alumni, and faculty by developing a stronger nursing

workforce with a clear sense of the nursing role.

4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 School of Nursing

 School of Nursing

 School of Nursing





-







-

--



















-











-

-





4th Annual Waldron College Interprofessional Symposium & Expo

2017



 Department of Physical Therapy



















-





















-



4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work







-

















4th Annual Waldron College Interprofessional Symposium & Expo

2017





4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 School of Social Work



















4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social work





-



-

-











4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Nursing















































4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work

































--











4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work





-









-



-











-











4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 School of Social Work



-

--



-





-



4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work

























4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Social Work





















4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work













-















-

4th Annual Waldron College Interprofessional Symposium & Expo

2017





 School of Social Work









































4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 School of Social Work











-

-







-







4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work



College campuses across the country are increasing sexual assault prevention efforts due to

high prevalence rates and federal policy mandates. This study identifies safety and

prevention practices made by American colleges and universities to protect their students

and from falling victim or perpetrating sexually violence offenses. Campus climate survey

results and rape myth acceptance rates identify perceived safety levels and overall

attitudes towards sexual offenses on campus. These factors are often influenced by societal

norms. By utilizing policy, research, practice, and theory, this study determines safety

methods college campuses utilize to keep students safe and the role social workers can play

in these efforts.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work



Currently there is no broad consensus on how to conceptualize or define recovery from

borderline personality disorder (BPD) and, therefore, no one generalizable way of

evaluating the comprehensiveness or effectiveness of our practice. This research aims to

synthesize a concept for recovery from BPD following a treatment course of dialectical

behavioral therapy (DBT) with special consideration of patterns in observations of relative

improvement by symptom. The purpose of which is to provide a basis from which to infer

an evaluation of the effectiveness of DBT at comprehensively addressing the full gamut of

BPD symptomatology and satisfying the therapeutic needs necessary to achieve and

maintain a state of recovery. The original study conducted for the purposes of the following

critical analysis synthesizes a concept of recovery by drawing commonalities between the

personal observations and conceptions of a small sample of DBT-informed clinicians in the

New River Valley and Roanoke Valley, using qualitative, semi-structured interviews and

thematic coding of data. The data showed BPD to be a lifelong condition to be managed and

moderated, rather than fully remitted, once clients reach their personal baseline of

functionality, with the aid of intermittent short-term treatment as needed. Change in

individual symptoms was reported at variable rates, with emotional dysregulation most

commonly reported as a symptom expected to most improve, followed by suicidal

behaviors and self-mutilation, and, with the support of a slight majority, unstable

relationships and identity disturbances/emptiness, although there is evidence to suggest

that the rates for identity disturbances/emptiness were skewed upward. Further

established research findings and theoretical perspectives on the nature of the disorder

and identity development, such as the psychodynamic theory of object relations,

attachment theory, and symbolic interactionism are examined u to gain a deeper

understanding of the disorder and identify core symptomatology. Treatment goals and

effectiveness evaluations of DBT and several other leading therapeutic approaches are



considerations to determine if additional therapeutic support for clients in DBT may be

necessary to comprehensively meet their needs. Current mental health care policy is

explored to shed light on both the resources that have been made available and structural

barriers to treatment.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 Department of Occupational Therapy



Cerebral palsy (CP) is a non-progressive spectrum disorder, which affects posture and

motor movements (U.S. National Library of Medicine, 2016). Currently, CP is the number

one cause for motor impairments in children from birth to 12 years old (Centers for

Disease Control and Prevention, 2015). Often caused by brain injury, hemiplegic CP alters

one side of the body more intensely than the other. Due to learned nonuse, children with

hemiplegic CP disregard their affected upper limb, which yields developmental disuse

(Lowes et al., 2014). Continued disuse causes muscle dystrophy, tonicity, and reduces

potential independence (Mandich, 2015) in performing expected age-appropriate tasks

such as dressing, feeding, or playing (Ramey et al., 2013).

Constraint-induced movement therapy (CIMT) is a uni-manual treatment that restricts the

non-affected limb to promote use of the affected limb (Ramey et al., 2013). While the

unaffected arm is constrained, sessions of intensive therapy are held for multiple hours, to

maximize functionality via task specific training (Ramey et al. 2013). This intervention

aims to enable exploration of the environment, establish motor patterns, and accomplish

age-appropriate tasks. Success in mastery of recruitment of muscles, reduced tonicity, and

control of voluntary actions are crucial to childhood development for functionality in

performing ADLs.

The goal of this evidence synthesis is to evaluate the best available evidence on the

effectiveness of CIMT in children with hemiplegic CP, for improving muscle function and

fine motor skills for ADLs. This synthesis will answer the clinical question: What is the

effectiveness of constraint-induced movement therapy on children ages 6 months to 12

years old, with hemiplegic cerebral palsy, in increasing functional motor skills and

performance of ADLs?

4th Annual Waldron College Interprofessional Symposium & Expo

2017





 Department of Physical Therapy



Purpose: Sports-related concussion, a category of mild traumatic brain injury (mTBI), is a

serious issue, especially for younger athletes. Incidence ranges from 1.7 to 3.8 million,

making it a public health issue and fundamental to health promotion and injury prevention.

Concussion education is very important, but it is more than a knowledge deficit problem. It

is a public health issue within the cultural of athletics in which behavior is derived from the

attitudes and beliefs of those individuals within that social structure. The purpose of this

study is to assess the knowledge, attitudes, and beliefs regarding concussion in the

Roanoke region using a standardized questioner, the modified Rosenbaum Concussion

Knowledge and Attitudes Survey Student Version (RoCKAS-ST). This study will also

compare the differences, if any, in concussion knowledge, attitudes, and beliefs between

high school students participating in athletics and those who are not.

Methods: The design is a survey study and will include subjects (male, female, athlete, and

non-athletes) in 9th and 10th grade at a regional high school. The subjects will consist of

approximately 200-500 high school students. Statistical analysis will be performed using

SPSS analysis on each question of the survey regarding concussion knowledge and

behaviors. Analysis of these questions may identify the behaviors regarding concussion as

safe or unsafe.

Results: Data is still being analyzed at this time.

4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 Department of Occupational Therapy



Cerebral palsy (CP) is a non-progressive movement disorder that occurs when the

normally developing brain is interrupted or damaged due to injury in the developing fetus

(National Institute of Neurological Disorders and Stroke [NINDS], 2016; Centers for Disease

Control and Prevention [CDC], 2015). This damage results in physical impairments

affecting coordination, motor movements, and muscle tone (NINDS, 2016). Hemiplegic CP

is a common form of CP with varying symptoms that typically result in paralysis affecting



Currently, there is no cure for CP, but it is believed that symptoms can be improved and

managed with treatment (NINDS, 2016). One type of treatment strategy is constraint-

induced movement therapy (CIMT). This evidence synthesis reveals that CIMT was an

effective approach to use with children ages six months to 18 years of age with hemiplegic

CP in improving performance skill levels in ADLs. Moreover, CIMT was shown to be

effective with statistically significant improvements compared to NDT control groups.

Rehabilitation therapists such as trained OTs and PTs may choose CIMT interventions,

based on their own clinical expertise and research for improvements in upper-extremity

function of children with hemiplegic CP.

Implications for occupational therapy based on the research suggest that CIMT is an

effective intervention to use with children ages six months to 18 years of age who have

hemiplegic CP for improving performance skill levels in ADLs. Furthermore, trained

therapists and interventionist should provide CIMT methods for children who have

hemiplegic CP more commonly than traditional NDT interventions. According to evidences,

OTs are provided with the necessary skills to safely immobilize the unaffected arm and

administer techniques with expertise to provide specific therapy and training to help

children gain use in the affected limb.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 Department of Physical Therapy

 Department of Physical Therapy

 Department of Physical Therapy

 Department of Physical Therapy



Background and Purpose:

Throwing athletes are at risk for injury due to the natural imbalances among muscular

internal and external rotators, the extreme speeds and eccentric demands, and movement

pattern asymmetries of the upper extremities. The purpose of this study is to assess normal

subjects and compare reliability of various metric tests which include grip strength, hand-

held dynometer strength, and isokinetic objective measures.

Methods:

Subjects will be recruited locally as a sample of convenience. Each subject will perform the

three metric tests of grip strength, hand-held dynometer strength, and isokinetic measures.

Data will be assessed using SPSS to compare groups and between metric measures.

Results:

Data is still being analyzed at this time.

Conclusion and Discussion:

Isokinetics, which measures muscle strength and function at varied speed demands, is the

gold standard objective measurement for muscle function, particularly rotator cuff

function, at varied speeds. Unfortunately, this equipment costs approximately $60,000.

Hand grip strength and hand-held dynometer strength assessment may be a cost effective

initial diagnostic assessment for rotator cuff function deficiencies since they cost

considerably less, between $100 and $1,000. This pilot study will provide a foundation for

a future study involving baseball pitchers.

4th Annual Waldron College Interprofessional Symposium & Expo

2017

Cultural and linguistic diversity training:  knowledge

and self-efficacy

Karen C. Davis Department of Communication Sciences and Disorders





---













-









-

-





4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 School of Social Work









  

- 

 --

 







    



   

    

 



4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work



















-









4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing











 



































4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 School of Social Work







--











-



4th Annual Waldron College Interprofessional Symposium & Expo

2017



Department of Occupational Therapy





























-















4th Annual Waldron College Interprofessional Symposium & Expo

2017





 Blue Ridge Center

 Lewis Gale Hospital Systems

Radford University; School of Nursing

 New River Surgical Associates





-





--





















4th Annual Waldron College Interprofessional Symposium & Expo

2017

-



 Department of Exercise, Sport, and Health Education



Ehlers-Danlos Syndrome Hypermobility Type (EDS-HT), also referred to as Joint

Hypermobility Syndrome (JHS), is a hereditary connective tissue condition that presents

with increased joint laxity, pain, dislocations, and general injury to the joints.

Physiologically, EDS-HT is characterized by a defect in collagen that results in decreased

tensile strength of static joint structures. It is estimated that 1 in 5,000 people have EDS-

HT, but it has been underdiagnosed due to the failure to recognize the presence of an

underlying condition beyond the acute injury. Researchers and healthcare providers have

found a growing interest in, and recognition of, EDS and with that, its prevalence in the

physically active/athletic population is also increasing. A comprehensive review of the

literature was done and six articles were found appropriate using the terms Ehlers-Danlos

Syndrome Hypermobility Type, athletes, and rehabilitation. Patients included in the

literature were both male and female athletes (age range 18-60 years). All patients were

diagnosed or were suspected to have EDS-HT or JHS. Common trends in treatment of

athletic injuries found in the literature include: (1) more education is needed among health

professionals about the condition, (2) treatment of injuries in individuals with EDS-HT

holds the best outcome when a holistic and multidisciplinary approach is taken, and (3)

more research is needed in order to create a standard protocol for treatment and

rehabilitation of injuries in individuals with EDS-HT. More education among sports

medicine professionals will not only give them the ability to better recognize the condition,

but also understand why and how rehabilitation of injuries in EDS-HT patients must be

individualized. In following these recommendations, injured athletes with EDS-HT will

have improved outcomes.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



- School of Nursing

 School of Nursing



Introduction: This study looks at the perceptions of college-aged students on the safety and

efficacy of E-cigarette and tobacco smoking cessation.

Background: There are not many studies looking at the perceptions of people on the safety

and efficacy of E-cigarettes. It is important for health care providers to address the

perceptions of electronic cigarettes in people who are investigating methods to aid in the

cessation of tobacco cigarette smoking.

Methodology: This study utilized a pretest/posttest quasi-experimental design. The co-

investigator administered a pretest, then conducted a 5-7 minute educational intervention,

which included how E-cigarettes work, what is in E-cigarette juice, and research about the

safety and efficacy of E-cigarettes. Then the co-investigator administered the posttest,

which was composed of the same questions as the pretest. The results were analyzed using

a paired samples t-test.

Results: The analysis found that the pretest mean is -0.4 for question four is and 0.5 for

question five. The standard deviation for pretest question four is 0.598 and 0.513 for

question five. The mean for the posttest question four is -0.85, while the standard deviation

is 0.366. The mean for the posttest question five is 0.85, while the standard deviation is

0.366. For question four, t(18)= -3.04, and p=0.004. For question five, t(18)= -2.35 and p=

0.015.

Discussion: The results of this study are statistically significant, with an established p<0.05.

However, limitations of this study include the small sample size (n=20).

Conclusion: E-cigarettes are another tool to aid people in the cessation of tobacco

cigarettes; however, not many people realize this. The results of this study indicate that

education concerning the safety and efficacy of E-cigarettes is effective, and therefore

important consumer information for the college-aged student.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



- School of Social Work



Many women and children have been forced into trafficking through threats, violence, and

false promises of legal work and a better life. In recent years, news feeds have been

overwhelmed with stories of human trafficking cases; however, the rescue of these victims

has been hindered by flawed restraining, failed services and revictimization. Trafficking is

often viewed as an international issue. The public is unaware that about 50,000 women

and children are trafficked into the United States each year (Holman 2008). Ultimately,

identifying a sex trafficking victim and referring to services does not ensure that adequate

services are rendered. The following research evalua interactions

with human trafficking victims and explores the reality regarding the gap between anti-

trafficking practices and policies. The research establishes how previous literature,

practice, policy and theory of this concern can contribute to the understanding of such a

sensitive population and the field of social work.

4th Annual Waldron College Interprofessional Symposium & Expo

2017

-

 School of Nursing



Purpose: The aim of this review is to examine the evidence regarding the most effective

modality for palliative care education. The findings will then be utilized to create a

palliative care educational tool for use at Carilion Roanoke Memorial Hospital.

Methods: A comprehensive search of the literature was performed utilizing CINAHL,

Radford University SuperSearch, Cochrane Library, Ovid and EBSCOhost. Reference lists

from selected studies were reviewed. Facility resources such as the palliative care team

and education department were utilized to create an online book teaching the basics of

palliative care. This book will be published through Cornerstone, Carilion Clinics online

education resource.

Findings: Literature assessing the effects of palliative care and palliative care education is

plentiful and positive. Increased usage of palliative interventions decreases patient

symptoms and hospital length of stay while increasing communication, interdisciplinary

care and patient satisfaction. Outcomes of one modality over another are not as well

studied. While any education improves care, there is no clear benefit to online versus

traditional education. Evidence does show that utilizing multiple educational platforms

provides the best outcomes.

Implications for practice: Provide palliative care in conjunction with aggressive care or as a

stand alone modality improves patient satisfaction and decreases health care costs. Nurses

utilize palliative care interventions in every day care already. This education gives an

evidence base for those interventions while increasing health care workers knowledge of

palliative care practices.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



- Department of Occupational Therapy

 Department of Occupational Therapy



Students learn best when they are exposed to diverse learning situations. Occupational

therapy faculty can use a variety of instructional methods to ensure that each student is

given the opportunity to receive instruction in their preferred style of learning. A theory

frequently used in occupational therapy education, and a widely accepted framework for

instructional design is the theory of experiential learning (Kolb, 2015). This type of

learning experience can s interest and attention in a specific

topic. Learning situations outside of the classroom can be designed so that attention is

focused on a specific concept, thereby encouraging each student to deeply engage in the

learning experience (Kolb, 2015). We used experiential learning as a dynamic instructional

method to teach our entry level Master of Occupational Therapy (MOT) students the first

steps of the evaluation process for an individual with a cervical spinal cord injury. This

approach enabled each student to transform classroom information into a practical

learning experience. By direct contact with this individual in the natural setting of his

home, our MOT students learned to appreciate the contextual dimensions of that

s preferred occupations and they developed an understanding of the initial

phase of the occupational therapy process. With the guidance of two occupational therapy

faculty, the students learned to critically reflect upon and synthesize information that they

collected during an occupational profile interview and administration of the Functional

Independence Measure (FIM). In this presentation we will share strategies and lessons that

we have learned to promote effective and dynamic experiential learning opportunities.

Kolb, D (2015). Experiential Learning: Experience as the Source of Learning and

Development (2nd Edition). Upper Saddle River N.J., Pearson Education.

4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work



















-





-

















4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Social Work









-



-



-

-







4th Annual Waldron College Interprofessional Symposium & Expo

2017



 School of Nursing



Methicillin-resistant Staphylococcus aureus (MRSA) colonization detection testing is used

in medical settings to identify patient carriers with active surveillance culture (ASC), and

implement precautions to decrease its spread. The control of the transmission and

acquisition of MRSA in the ICU setting is an ongoing area of study nationally and

worldwide. Correctly identifying patients in the ICU setting with MRSA colonization is an

essential part of reducing the transmission and subsequent infection that is recommended

by current practice guidelines, national recommendations, and evidence to reduce

transmission and subsequent infection (AHRQ, 2013a; Aureden, et al., 2010;Calfee et al.,