The purpose of this study was to explore factors and personnel involved in the decision-making process used to determine electronic heath record (EHR) training methods employed by healthcare organizations in 2023. Additionally, the purpose was to learn more about EHR training leaders’ perspectives of various training methods, and to determine how and to what extent EHR training methods were impacted by the COVID-19 pandemic. Bounded rationality and the theory of transactional distance were the two guiding theories for this study.This mixed-methods action research study was conducted in a virtual setting and included 47 EHR training leader participants who worked at various health systems across the United States. Data was collected via an 11 item EHR training methods survey. Quantitative data was analyzed through descriptive statistics and a Wilcoxon rank test was used to analyze changes in EHR training methods in 2019 and 2023. Qualitative data was reviewed, coded, and analyzed in such a way as to be consistent with the grounded theory approach. Data was triangulated to corroborate findings. Results indicated that the pandemic, or other contributing factors between 2019 and 2023, had a statistically significant effect on EHR training methods. In addition, the majority of EHR training leaders felt that the most effective training method was a majority in-person with some virtual/remote/eLearning, and that the most efficient training method was a majority of virtual/remote/eLearning with some in-person. EHR Training Directors, EHR Training Managers, and Executive Leaders were the most identified roles involved in the decision-making process which typically involved collaborative meetings and discussions with various stakeholders. Furthermore, resources, cost, and effectiveness were the most identified driving factors related to EHR training method decisions. The discussion focuses on answering the four guiding research questions and provides implications for practice including suggestions for organizations to minimize cognitive limits in the decision-making process, re-evaluate EHR training decisions to ensure appropriate decision-makers were involved and that decisions aligned with their goals, and consider if resources and cost should be the leading driving factors related to EHR training methods.

Social skill impairments and executive dysfunctions caused by epilepsy adversely affect the social, psychological, and cognitive wellbeing of children and their families.

Studies show that children with epilepsy are exposed to social, emotional, academic, personality, and behavioral problems when compared to healthy peers. This study focused on identifying the gaps between social skills and executive functioning among children with PCDH-19.

The researcher relied on the responses from the sampled population to create reliable findings, discussions, conclusions, and recommendations for this project. The study used quantitative design and self-report approach whereby the participants completed survey that was comprised of various rating scales. The study sample consisted of 25 participants. Results demonstrated a close correlation between social skills and executive functions among the children with PCDH-19 epilepsy. SSIS assessment indicated that children exhibited problems in social skills, academic competence, and behaviors. BRIEF-2 rating showed planning, attention, problem-solving, cognitive and emotional problems. The findings exhibited that the significant challenges encountered by girls with PCDH-19 include low levels of social competence which affect decision making in friendships, communicating, and interaction.

Keywords: social skills, executive functioning, PCDH-19, epilepsy, seizures, social assessment, cognitive measurement

ABSTRACT



The purpose of this study was to investigate several factors associated with cyberbullying and its victims; gender, age, and the time spent using various forms of computer-mediated communication (CMC). Because cross-national studies are so important to understanding the similarities and differences found in this global problem, the current study explored the connection between traditional bullying and cyberbullying in middle school students in both the United States (N = 111) and Germany (N = 279). Participants ranged in age from 12 to 15 years and were administered self-report questionnaires during the regular school day. It was predicted that German students would have higher mean rates of CMC use; Americans would have higher mean rates of participation in and being victims of cyberbullying; there would be no mean differences in American and German student outcomes as either victims or perpetrators of traditional bullying. Results indicated that German students did use CMC more often than American students did, but Americans used certain forms of CMC more often, such as texting, IM and email. Contrary to expectations, Germans were more likely to participate in cyber and traditional bullying behavior. Americans did have a greater number of victims compared to perpetrators for both traditional and cyberbullying behavior. Additional results found that the American sample had a pattern of decreasing then increasing behavior as student age increased, across participation in all forms of bullying behavior, and participation rates often depended on the age of the students involved. Future research suggestions might focus on the importance of distinguishing the varying thought processes that define cyberbullying within a culture, specifically within our own culture. Additional research might also address how online communities and their inherent social norms and interactions, may inadvertently contribute to increasing cyberbullying and victimization of others outside of those groups and communities. Finally, due to the constant updating and improvement of social media, a follow- up study utilizing updated online applications would add considerably to the current knowledge base.

Having a child with special needs can be overwhelming, emotionally draining and extremely stressful for parents and their family members. Research identifies the support systems families need in order to have quality-of-life. The current study uses mixed methods to evaluate the degree to which parents and other primary caregivers in Arizona view the educational and health related services that their child with special needs and/or other health impairments received when they entered kindergarten. It evaluated the degree to which the caregivers themselves perceived the support/services that they received in order to access quality of life for themselves, their child with special needs and other family members. Finally, the research identified reoccurring themes to better understand the intricacies involved within these support systems/services that promoted or hindered positive family and child outcomes.

Children with cognitive disabilities are frequently included in general education classes to access grade level curriculum and socially interact with peers. To assist with the inclusion of students with disabilities, some schools assign instructional assistants to support general education teachers. However, there is often a lack of planning time or a planning protocol for the general education teachers, special education teachers, and instructional assistant to plan for the inclusion of students with cognitive disabilities. This action research project intended to increase the collaboration among instructional assistants, general education teachers, and special education teachers by developing a Community of Practice among the three groups of professionals. The action included a jointly attended professional development opportunity on strategies to include students with cognitive disabilities in the general education classroom, followed by monthly structured collaboration meetings in which the team jointly planned for the students with disabilities. Effectiveness of the project was judged using survey and interview questions derived from Theory of Planned Behavior and the self-efficacy construct from Social-Cognitive theory. The implementation of a team planning protocol increased the team’s collaboration by positively improving communication and connectivity among the team members.

This study investigated the relationship between social emotional competency (SEC) and academic placement in gifted students. Data were collected on children between the ages of 5 and 12 years old (n=206) in three academic placement types - self-contained, cluster and content replacement. Social emotional skills were assessed by teacher report using the Devereux Student Strengths Assessment. Regardless of placements, the gifted students in this study were rated as having higher social emotional competencies than the standardization group of the DESSA. Gifted students in the cluster and self-contained settings demonstrated significantly higher scores in the area of Self-Awareness, which measures students' capacity to understand their personal strengths and weaknesses. When analyzed by gender, no significant differences were discovered between males; however, girls demonstrated significantly higher scores in the areas of Optimism and Self-Awareness in the self-contained and cluster settings. The results of the study have import for the development of gifted programs, especially for gifted girls.

The most recent reauthorizations of No Child Left Behind and the Individuals with Disabilities Education Act served to usher in an age of results and accountability within American education. States were charged with developing more rigorous systems to specifically address areas such as critical academic skill proficiency, empirically validated instruction and intervention, and overall student performance as measured on annual statewide achievement tests. Educational practice has shown that foundational math ability can be easily assessed through student performance on Curriculum-Based Measurements of Math Computational Fluency (CBM-M). Research on the application of CBM-M's predictive validity across specific academic math abilities as measured by state standardized tests is currently limited. In addition, little research is available on the differential effects of ethnic subgroups and gender in this area. This study investigated the effectiveness of using CBM-M measures to predict achievement on high stakes tests, as well as whether or not there are significant differential effects of ethnic subgroups and gender. Study participants included 358 students across six elementary schools in a large suburban school district in Arizona that utilizes the Response to Intervention (RTI) model. Participants' CBM-M scores from the first through third grade years and their third grade standardized achievement test scores were collected. Pearson product-moment and Spearman correlations were used to determine how well CBM-M scores and specific math skills are related. The predictive validity of CBM-M scores from the third-grade school year was also assessed to determine whether the fall, winter, or spring screening was most related to third-grade high-stakes test scores.