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Accelerating development of simulation-based medical skill training programs : a comparative evaluation research study
(University of Missouri--Columbia, 2013)
physiologic feedback to treatment interventions and practice in 'real-world', high-stakes continual patient assessment and decision making. Simulation-based training offers opportunities for deliberate practice and skill mastery without the sense of urgency...
Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations continue to limit the practice...
A discussion of covid-19 vaccine in relation with traditional chinese medicine belief on weibo
(University of Missouri--Columbia, 2021)
strategic decisions based on their self-diagnose. Traditional Chinese medicine is known for it has less side-effects and its holistic way of thinking – that human body needs to be in harmony with the external environment. When the balance is disrupted...
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
The STRATA Study: Structural Antecedents of Tdap Administration in Obstetrical Practices in the Midwestern United States
(University of Missouri -- Kansas City, 2019)
Every year in the United States, young infants die from pertussis. The incidence of
pertussis among infants exceeds that of all other age groups. Protection is only available if
the mother receives the tetanus, diphtheria, ...
Using impact asthma echo to influence physician self-efficacy and guideline adherence
(University of Missouri--Columbia, 2018)
synchronous, web-based videoconferencing educational session....
End-tidal carbon dioxide in the diagnosis of acute pulmonary embolism in hospitalized adult patients
(University of Missouri--Columbia, 2018)
Pulmonary embolism (PE) causes 100,000 deaths and contributes to over 4 billion dollars of annual healthcare costs. Acute PE is a diagnostic challenge as symptoms vary widely and are often nonspecific. Definitive diagnosis ...
Integrated clinical decision support : assessing opportunities and outcomes
(University of Missouri--Columbia, 2019)
Medical calculators play an important role as a component of specific clinical decision support (CDS) systems that synthesize measurable evidence and can introduce new medical guidelines and standards. Understanding the features of calculators...
Association between cardiac rehabilitation participation and health status outcomes after acute myocardial infarction
(2014)
Cardiac rehabilitation (CR) is a class Ia recommendation and endorsed performance measure for the quality of care in acute myocardial infarction (AMI) survivors. While participation in CR after AMI is associated with reduced ...
Implementation of a low-cost, web-based, multi-component training for trauma-focused cognitive-behavioral therapy
(University of Missouri--Columbia, 2018)
knowledge, use, and fidelity in TF-CBT. A multiple regression showed that previous TF-BT training, clinician attitudes towards evidence-based practices, and clinician age predicted training completion. Implications for web-based trainings and implementation...
From ‘Remedy Highly Esteemed’ to ‘Barbarous Practice’: The Rise and Fall of Acupuncture in Nineteenth-Century America
(2015-05-27)
This thesis analyzes the prevalent use of acupuncture in nineteenth-century American medicine. Using medical journal articles, school catalogs, lecture notes, fee tables, newspaper clippings and other primary sources, I argue against the modern myth...
Transforming the ethical behavior of clinicians through pedagogical innovation: sensemaking as a means to promote ethical practice in the face of moral ambiguity
(University of Missouri--Columbia, 2020)
and the principles of biomedical ethics. A sensemaking approach to ethics training has demonstrated promise as an evidence-based pedagogical method to improve ethical reasoning and response. It has been posited that participation in Project ECHO (Extension...
The nature of evidence utilized in healthcare architectural design decisions at five Midwestern critical access hospitals
(University of Missouri--Columbia, 2020)
healthcare design is integral to improving healthcare itself, and it is essential that healthcare administrators make informed architectural design decisions that will ensure organizational success and improve patient outcomes. Evidence-based design (EBD...
A practice-based intervention to prepare preservice teachers for inclusion using universal design for learning
(University of Missouri--Columbia, 2019)
framework to increase inclusive practices, however, it is unknown how to best teach this to pre-service teachers. The purpose of this study is to examine the impact of using a practice-based approach to teach UDL as compared to a lecture-based approach...
Use of National Electronic Health Record (EHR) Data Warehouse to Identify Inappropriate HbA1c Orders for Sickle cell Disease Patients
(University of Missouri--Kansas City, 2018)
The glycated Hemoglobin (HbA1c) test is one of the most important diagnostic
and prognostic strategies for monitoring diabetes. However, the clinical utility of this test
is questionable for sickle cell disease patients, ...
Evidence-based practice self-efficacy of speech-language pathologists across settings
(University of Missouri--Columbia, 2020)
Salbach and Jaglal's (2010) Evidence-Based Practice Confidence (EPIC) scale, and 2 open-ended questions regarding factors impacting self-efficacy. Participants (n=34) completed semi structured interviews to further explore factors influencing self...
Content Analysis of Consent Forms for Clinical Whole Exome Sequencing
(2016)
As genomic sequencing becomes increasingly incorporated into clinical care,
the patient informed consent process must successfully manage many ethical
challenges, including whether to seek secondary findings and which ...
Stakeholder perceptions : the impact of a university-based laboratory school on a campus-based university educator preparation program
(University of Missouri--Columbia, 2018)
A gap in research on the impact of a university-based laboratory school on a campus-based educator preparation program and a decrease in the number of university-based laboratory schools requires current laboratory school programs to evaluate...
Traditional postpartum care : alloparenting from an evolutionary perspective
(University of Missouri--Columbia, 2019)
in traditional medicine is, in effect, the practice of temperature management and suggest further explorations of traditional practice. The first body of the dissertation addresses further evolutionary theories, which are related to broader knowledge of human...
Outcomes of Holistic Review in a Medical School Offering a Six-Year Combined Baccalaureate and Medical Degree Program and Traditional Four-Year Medical Degree Program
(University of Missouri -- Kansas City, 2018)
The purpose of this ex-post facto quantitative study was to examine the outcomes of
holistic review in the BA/MD program and the MD program at the University of Missouri
Kansas City School of Medicine. Outcomes were ...