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Coaching Nurse Leaders In Conflict Management And Team Building To Improve Retention, Jeanette Black

Doctor of Nursing Practice (DNP) Projects

Abstract

Problem: Retention of assistant nurse managers (ANMs) was identified as a concern from interviews with executive leadership and ANMs employed at a large hospital within a Northern California integrated health system. The nurse leader orientation training was reviewed, with gaps identified in conflict management and team building.

Context: The attrition rate of U.S. nurse managers in 2010 was 8.3%, higher than executive nurse leaders, with replacement costs equal to 75% - 125% of a nurse manager’s salary (Loveridge, 2017). Employee turnover and dissatisfaction due to conflict can have detrimental effects on retention, productivity, morale, and quality of patient care. …

Examining The Experiences Of Chinese Multilingual Therapists In Training, Stephanie Li-Wei Lin

Doctoral Dissertations

According to the 2015 Census, 44% of people ages five and older in California speak a language other than English in their household, indicating the growth of multilingual persons in California. Among the top three languages spoken at home in California, Chinese takes third following English and Spanish. The demand for multilingual mental health services may continue to grow with the increase of multilingual individuals. Although there is an increase in need for multilingual mental health services, there remains a lack of formal training and clinical supervision for multilingual trainees. This study adopted a qualitative approach and utilized semi-structured interviews …

Perceptions Of Female Veteran Military Sexual Trauma: A Phenomenological Study, Lindsey Fairweather

Doctoral Dissertations

Military sexual trauma (MST) occurs at devastating rates to service members, by service members, and is widely misunderstood, qualitatively understudied, and reporting may be procedurally biased. The purpose of this study was to phenomenologically explore the lived experiences of female veteran MST survivors with their leadership (chain of command/supervisors) and understand how military culture effects these individuals. A feminist-theory conceptual framework was applied to contextualize hegemonic hypermasculine military culture and the divide and damage it may cause to female service members before MST, when surviving an MST event, and when surviving post-MST fallout.

This study included 10 participants who were …

Exploring Clinical Psychology Doctoral Students’ Knowledge And Attitudes About Older Adult Sexuality, Lindsey Horta

Doctoral Dissertations

The current study surveyed clinical psychology doctoral students’ (N=291) knowledge and attitudes about older adult sexuality. Knowledge and attitudes were measured using the Facts of Aging Quiz, the Aging Sexuality Knowledge and Attitudes Scale, Attitudes Towards Sexuality Scale, and measures to explore students’ exposure to and interests in the older adult population, as well as academic and clinical exposure (coursework, practicum opportunities and clinical contacts with older adults) to the older adult population and older adult sexuality. Generally, students’ knowledge about aging was associated with their attitudes about older adult sexuality; the more knowledge a student has about older adult …

“May I Be Kind To Myself”: A Study On Self-Compassion And Shame On A Hiv Nightline, Lauren Swansick

Master's Projects and Capstones

Purpose: The purpose of this study was to strengthen San Francisco Suicide Prevention’s HIV Nightline (NL) communication with worried well callers. As a result, this study focused on identifying any covert emotions this population experienced, such as shame, guilt, and judgement. In addition, precursors to worried well behavior were explored, such as the influence of sex act and sexual partner. A needs assessment was conducted with hotline staff and volunteers, with a brief self-compassion intervention piloted over a two-week period.

Methods: Data collection included 1.) a focus group with hotline staff and volunteers 2.) a volunteer survey to learn about …

A Thematic Approach To Understanding Compassion Fatigue, Burnout, And Barriers To Self-Care In Pediatric Healthcare Providers Of Medically-Ill Children, Courtney Hurd

Doctoral Dissertations

Due to the nature of their work, healthcare providers working in pediatric settings may be especially vulnerable to experiencing negative consequences of compassion fatigue and burnout. Pediatric healthcare providers often work long hours in the hospital to manage children with acute and chronic medical concerns. Within this setting, unpredictable outcomes and potential for death when caring for this fragile population may contribute to short-and long-term effects on not only caregivers but also healthcare providers. Healthcare providers typically work on an interdisciplinary team within the pediatric hospital setting which can include medical doctors, nurses, social workers, psychologists, psychiatrists, and child life …

The Impact Of Cleft Lip/Palate And Clp Surgical Intervention On The Social Integration Of Adolescents In India, Mustafa Zahid

Master's Theses

Cleft Lip/Palate, a congenital orofacial anomaly, carries an incidence rate of approximately 1 in every 1000 births. In addition to the stigma associated with the condition, the varying levels of cleft severity might result in lower life outcomes which could include lower cognitive ability, physical and psychological well-being, social and behavioral outcomes of adolescents. This paper focuses on the social integration element of life outcomes, which is composed of the social inclusion and prosocial behavior of the adolescent. Despite the affordability of restorative surgeries, patients in rural areas of Low and Middle-Income Countries (LMICs) such as India face accessibility and …

Are Menstrual Cycles A Biological Determinant Of Well-Being Amongst Sierra Leonean Schoolchildren?, Ashwini Shridhar

Master's Theses

The influence of hormones and biology on behavior is a topic that is rife with controversy, especially when it comes to sexual hormones. There is even more murkiness when it comes to the topic of menstruation and knowledge about women’s menstrual cycles. Recent research on this topic have seen a link between the hormonal fluctuations during menstrual cycles and various behavioral implications on competition, cooperation, and risk behavior. This study tries to expand existing knowledge by examining whether there is a link between hormonal fluctuations during menstrual cycles and risk preferential behavior using economic experiments in the largely understudied context …

Attitudes And Perspectives Towards Undocumented Immigration In The United States, Nicole Morgan

Undergraduate Honors Theses

Undocumented immigration has been a historically controversial political topic in the United States and is much discussed under the current Trump Administration. The Latinx population, specifically Mexican, has received much negative speculation under the current political platform. While past articles have suggested that prejudice and xenophobia may play a role in attitude and perception of immigration, not many articles look at whether ethnicity influences perception in relation to Haidt and Graham’s Moral Foundation Theory (MFT). MFT looks at moral belief on a multi-dimensional level and reflects scores as more conservative or liberal for five categories. This study aims to look …

School-Based Mental Health Screening: Improving Outcomes Through Interprofessional Communication And Collaboration, Tiffany Gishizky

Doctor of Nursing Practice (DNP) Projects

For the adolescent population, the immediate impact a mental health disorder has on academics,relationships, and even suicide risk cannot be understated. Access to mental health care in low socioeconomic communities for adolescents is fraught with barriers. These include lack of transportation, lack of insurance coverage, fear of stigma, and a fundamental lack of knowledge regarding available resources. It is therefore a two-fold problem that exists for those in the care and observation of these adolescents; underutilization of appropriate routine screening and navigation to access care. This project aimed to remediate both of these issues at a high school located in …

Transformational Relationships: Re-Framing Impact In Faith-Based Social Service Organizations, Sonja E. Schappert

Master's Projects and Capstones

Theories of change and logic models are the industry standard foundation for impact evaluation. However, half of all nonprofits do not use these models due to resource constraints or the perception that their work does not fit into a model. This is especially true in relationship-based programs, such as those in faith-based social services. This Capstone examines the influence of relationship theory on a faith-based organization’s impact. The research methodology included deductive, action-based research with a foundational literature review focused on nonprofit planning and evaluation theory and social science theory. Then a total of 6 expert interviews were conducted, 3 …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Indigenization Of Genocide Healing: A Grounded Action Of Culturally And Contextually Relevant Educational And Psychosocial Strategies To Reduce Impacts Of Societal Toxic Stress In Rwanda Post-Genocide, Jean Pierre Ndagijimana

Master's Theses

Sixty percent of the current Rwandan population were born after the 1994 genocide against the Tutsi and those born since or who were young at the time of the genocide have remained among those affected most. Although Western trauma theorists and interventionists have played the role of experts in the genocide healing, the exclusion of the indigenous population’s experiences, knowledge, and wisdom has limited them from meeting local needs. The post-genocide situation raises various issues, genocide ideology, and increasing family homicides; however, locals do not want to seek counseling services, or run the risk of being labeled as mentally ill. …