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Resilient Af: Understanding The Lived Experiences Of Women Of Color Psychologists In Forensic Mental Health Settings, Carisse A. Cronquist

Doctoral Dissertations

This study explored the lived experiences of women of color psychologists who identify as ethnic-racial minorities. This qualitative study used interpretative phenomenological analysis (IPA) to understand the narrative experience of the participants from their perspective. A total of four participants took part in this study. All participants identified as cisgender women psychologists currently working in a forensic mental health setting and identified as an ethnic-racial minority. In the lived experiences of the participants, three themes, and several subthemes, emerged: challenges, self-preservation, and strengths / resilience. The results showed that women of color psychologists working within forensic mental health settings face …

Solar-Powered Microgrids In Northern California: An Opportunity For Resilience, Marina Riddle

Master's Projects and Capstones

Planned and unplanned power outages have been increasing in frequency and duration, negatively impacting all public sectors, and threatening public safety. These outages are deadly to those who rely on medical devices. As climate change-fueled extreme weather events (wildfires, earthquakes, storms, etc.) also increase in frequency, our electrical grid must be prepared to bounce back. Microgrids provide necessary redundancy and reliability. Through a novel GIS suitability analysis, based on solar radiation, land use type, local energy demand, distance to transmission lines, distance to roads, and slope, optimal locations for solar-powered microgrids throughout Northern California were determined. The counties of Fresno, …

The Invisible Brats: Bringing Attention To The Unique Experiences Of Coast Guard-Connected Youth, Cameron A. Marshall

Master's Theses

This thesis delves into the unique experiences of Coast Guard-connected youth, filling a gap in the academic literature by examining their challenges due to their nomadic upbringing. Utilizing in-depth interviews with 14 adults, including seven who grew up in Coast Guard families, the study underscores the effects of frequent relocations, isolation, and insufficient support on their lives. Although comparisons to military-connected children are drawn, the focus remains on understanding the distinct adversities encountered by Coast Guard-connected youth. Participants acknowledge the adaptability and social skills acquired from their upbringing while uncovering the emotional burden and difficulties in establishing a sense of …

Enhancing Nurse Manager Resilience With A Resilience-Enhancing Toolkit, Rosarina A. J. Pelikan

Doctor of Nursing Practice (DNP) Projects

Background: Nurse managers have one of the most stressful jobs in nursing leadership. They experience more burnout and are more likely to leave the job or leave the nursing profession altogether, leading to vacancies or burned-out leaders.

Local Problem: The organization experienced high nurse manager turnover. Of 12 positions, four have more than two years of experience, three have less than two years, and five are filled with interims.

Context: Strategies to address burnout are decreasing stressors or arming leaders with skills to withstand stressors. The organization offers programs that address burnout but are designed to be used outside of …

Community Health Worker Program: Adverse Childhood Experiences And Early Childhood, Arelis Sandoval

Doctor of Nursing Practice (DNP) Projects

Background: Adverse childhood experiences (ACEs) negatively affect childhood development and long-term health outcomes. Latino children face multiple adversities and social determinants of health compounded by ACEs. Community Health Workers (CHWs) have access to work with families to improve resilience and mitigate the effects of ACEs in this population.

Local Problem: In the Central Valley of California, CHWs provide support and resources to a largely Latino population with increased poverty rates, low educational attainment, lack of health insurance, and many chronic health issues, putting families at a higher risk for ACEs exposure. CHWs need further training to apply ACEs knowledge to …

Psychobiology Of Resilience, Rosarina A. J. Pelikan

DNP Qualifying Manuscripts

Nurse managers experience high levels of stress due to the complex bureaucratic and chaotic nature of the job, which can lead to burnout. In nurse managers, burnout negatively impacts the ability to meet the strategic goals of the quadruple aim: patient quality, patient satisfaction, cost savings, and employee well-being. Strategies to address burnout include minimizing or removing unnecessary causes of stress and provide the skills to protect against burnout. Resilience is a competency nurse leaders must have to withstand overwhelming job-related stress. Resilience-enhancing strategies have psychobiologic underpinnings and can be easily incorporated into nurse managers’ work schedules.

Assessing The Efficacy Of California’S Wildfire And Forest Resilience Action Plan, Chloe Nelson

Master's Projects and Capstones

California’s wildfire threat eclipses current forestry management and wildfire mitigation strategies in place to protect people, infrastructure, and the natural environment. Climate change escalates wildfire risks with declining water supply coupled with hotter, drier conditions. California’s Wildfire and Forest Resilience Action Plan attempts to integrate and build upon previously successful wildfire resilience plans to amplify the scale and pace of the state’s land management and community protections. This research assesses the plan’s efficacy to respond to the growing wildfire threat. This study investigates if there is equitable planning for the needs of high-wildfire risk groups living in the WUI and …

The Resilience Vaccine, Sara Horton-Deutch T. Duffy

Master's Projects and Capstones

Healthcare workers have been working in unprecedented circumstances since the declaration of the COVID-19 pandemic. Caregivers have been taxed with burnout. A large healthcare organization’s 26-bed, medical-surgical, telemetry, COVID-19 overflow unit was significantly impacted. Many healthcare organizations have adopted advocacy for attaining joy in work as an extra dimension of the Institute for Health Improvement’s Triple Aim. Adding this fourth aim supports averting caregiver burnout (CBO) while promoting joy in work.

This quality improvement project examined nurse leaders’ interventions that address CBO, promote healthy work environments, and promote joy in work. From June through August 2021, an 8-week resilience program …

Preparing Nurses In Management Positions For Bedside Care During Times Of Crisis, Trevor Murray

Doctor of Nursing Practice (DNP) Projects

Background

The purpose of this quality improvement project was to increase perceived self-efficacy in performing bedside skills among nurse leaders. As the demand for nurses increased, these leaders anticipated a direct role in providing patient care in the event of a patient surge due to COVID-19.

Problem

Due to the COVID-19 pandemic and Delta variant, hospital nursing leaders were and still are concerned with the challenge of providing enough competent nurses to deliver care. The DNP project prepared nurses who work in leadership roles to take or assist in taking a patient assignment.

Methods

Nurse leaders attended a skills lab …

Peer-To-Peer Emotional Support For Second Victims Of Hospital Adverse Events, Jessica L. Van Leuven

Master's Projects and Capstones

Abstract

Problem: Psychological impact of trauma on healthcare workers is profound, and if left unaddressed can debilitate its victims, depress morale, and undermine safety culture. When adverse events occur and focus is placed on providing care and support to patients and their families, the emotional support needs of healthcare workers must also be acknowledged.

Context: Frontline workers in the oncology unit of the medical center that is the setting for this project experience emotional distress as “second victims” of adverse patient events. Close relationships develop between providers and patients during long-term treatments. When unanticipated or adverse patient events there can …

Mental Health Outcomes Of Various Types Of Fear Among University Students Who Have An Undocumented Legal Status During The Donald Trump Presidency, Liliana Campos

Doctoral Dissertations

Having an undocumented legal status is a risk factor for mental health conditions such as depression and anxiety among university students. Much of the literature on the experiences of university students who hold an undocumented legal status has primarily focused on better understanding the educational, social, financial, and legal challenges among undergraduate students. The literature has addressed how some of these difficulties impact components of their social and mental health wellness. Yet, there is still a dearth of research focused on further understanding the experiences of students who hold an undocumented legal status from a psychological perspective, and specifically, with …

From Team Huddle To Team Cuddle: Rekindling Caring, Self-Compassion, And Joy In Work!, Amerizza Quemada

Master's Projects and Capstones

Problem: The healthcare industry suffers from a high level of burnout and unhealthy work environments, which has been heightened by the COVID-19 pandemic. The consequences of burnout may be expressed in both individuals and teams as a lack of caring, disengagement, incivility, and staff turnover.

Context: One department in an integrated healthcare organization displayed a pattern of annual low employee engagement scores and alleged workplace bullying. Team members also observed that employees failed to speak up when experiencing incivility. The Clinical Nurse Leader (CNL) student determined that an improvement initiative was needed to create a culture of caring to improve …

A Qualitative Evaluation Of The Phoenix Project: A Strengths-Based, Trauma-Informed Care Intervention For African American, Transitional Age, Young Adults Living In San Francisco’S Public Housing Community, Lena Miller

Doctoral Dissertations

A QUALITATIVE EVALUATION OF THE PHOENIX PROJECT: A STRENGTHS-BASED, TRAUMA-INFORMED CARE INTERVENTION FOR AFRICAN AMERICAN, TRANSITIONAL AGE, YOUNG ADULTS LIVING IN SAN FRANCISCO’S PUBLIC HOUSING COMMUNITY

Abstract

Persistent community violence has had a profound and destructive impact on many urban communities throughout the country. Post-Traumatic Stress Disorder (PTSD) resulting from community violence is becoming an increasingly frequent diagnosis of African American youth and young adults residing in San Francisco’s Bayview-Hunters Point (BVHP) community (San Francisco Department of Public Health, 2012). The Phoenix Project was designed to specifically address and heal symptoms of trauma and facilitate resilience among youth and young …

Unaddressed Challenges For The “Most Honest And Ethical Profession:” A Pilot Study Of Web-Based Learning Strategies To Prevent Moral Distress, Kelly Straight

Doctor of Nursing Practice (DNP) Projects

Background: Nurses and nurse practitioners (NPs) face greater responsibility to address the ethical challenges that present during the course of patient care, due to advances in medical technology and pharmaceutical innovation, and because of widening disparities within the U.S. healthcare system. These ethical questions, which arise during the course of routine patient care, are increasing in both number and complexity in nearly every patient care setting. Even with codified ethical standards, unresolved and/or ongoing ethical questions and dilemmas pose further issues such as the development of moral distress. This pilot project was designed to help NPs and other healthcare workers …

Moral Distress: Unaddressed Challenges For The “Most Honest And Ethical Profession”, Kelly Straight

DNP Qualifying Manuscripts

Nurses and nurse practitioners (NPs) face greater responsibility to address the ethical challenges that present during the course of patient care, due to advances in medical technology and pharmaceutical innovation, and despite widening disparities within the U.S. healthcare system. These ethical questions, which arise during the course of routine patient care, are increasing in both number and complexity in nearly every patient care setting. Unresolved and/or ongoing ethical questions and conflicts encountered in patient care pose further issues such as the development of moral distress. The literature demonstrates that moral distress contributes to dissatisfaction, disengagement, and burnout which negatively affects …

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 ( …

Implementing Ihi Joy In Work Framework To Decrease Turnover Among Unit Leaders, Allison Reid

Doctor of Nursing Practice (DNP) Projects

Problem: A medical center in an integrated health care system in Northern California has experienced high turnover for unit level leaders employed in an acute care setting. The role of unit level leaders (managers, assistant managers, and supervisors) in this organization is complex, often stressful, and includes 24/7 accountability. These leaders must simultaneously deliver on organizational goals, patient safety, quality, budgets, and staff satisfaction (Loveridge, 2017). Increasing resilience can help these leaders cope with stress and find joy in their work, making them less likely to leave their leadership positions (Hudgins, 2016).

Context: According to Loveridge, the turnover rates of …

Caritas Intervention To Reduce Stress And Increase Resilience Among Caregivers, Randy L. Williams Ii

Doctor of Nursing Practice (DNP) Projects

Problem

Workplace stress and burnout consistently rank among the highest concerns in surveys of caregivers. A gap analysis was conducted among a group of patient care coordinators and medical social workers. The gap analysis identified a need for tools to address stress, feelings of being overworked, and irritability.

Context

The setting is an acute care trauma facility providing care to general medical–surgical adult patients, cardiac care, pediatrics, and maternal child care. This facility exists within a larger integrated health care system, consisting of more than 20 acute care facilities in Northern California. The participants were patient care coordinators and medical …

“Help!" Building Resilience In Nursing School, Kellie Rose Redmond

Master's Projects and Capstones

Background: The nursing shortage is only growing in the United States, and poor nursing student retention is not helping the situation. Resilience must be promoted among nursing students to establish a healthy foundation for when they enter the nursing profession. One method for doing so is through emotional competence training.

Methods: A one-hour workshop to provide an introductory training on emotional competence was offered to 717 Bachelor of Science in Nursing (BSN) students and 30 Master of Science in Behavioral Health (MSBH) students. A needs assessment survey was conducted to determine how the workshop should be structured. After piloting two …

Aligning Theory And Evidence-Based Practices To Enhance Human Flourishing In Nurse Executives, Jim D'Alfonso

Doctor of Nursing Practice (DNP) Projects

Today’s nurse executives lead highly complex and bureaucratic organizations undergoing sweeping reform at an unprecedented rate of change. Change and high levels of stress are the norm in health care, and ineffective stress management can hinder organizational performance and adversely impact personal wellbeing. The risks of nurse executive burnout and unprecedented turnover led to the development of a 4-hour program to teach theory-guided and evidence-based stress management techniques. The program was intended to increase awareness, enhance effective stress management skills, and improve the nurse executive’s ability to flourish in high stress environments. A pre-intervention and 6-month post-intervention assessment (n …

The Health Consequences Of Adverse Childhood Experiences: Building Resilient Communities, Elizabeth S. Najmabadi

Master's Projects and Capstones

Studies have identified that trauma experienced as a child directly affects your health later in life. In Sonoma County, one in four children have experienced two or more Adverse Childhood Experiences (ACEs) before the age of 18. Twenty-two percent of Sonoma County adults reported experiencing four or more ACEs before the age of 18. With the high rates of ACEs in our community this fieldwork placement aimed to bring awareness and build community capacity to understand and address ACEs and foster resiliency. To raise awareness in our community we developed the ACES and Resiliency Fellowship Series, which trained 60 fellows …

Exploring Masculinity For A Healthy Campus Culture, Jason M. Gant

Master's Projects and Capstones

1 in 5 female students is and will be sexually assaulted in college. This is a public health issue as defined by the Centers for Disease Control and Prevention (CDC). Sexual violence (SV) is a significant problem in the United States. SV refers to sexual activity when consent is not obtained or not given freely. Anyone can experience SV, but most victims are female. The person responsible for the violence is typically male and usually someone the victim is familiar with. The person can be, but is not limited to, a friend, coworker, neighbor, family member and even classmate. Boys …

Preserving Biodiversity For A Climate Change Future: A Resilience Assessment Of Three Bay Area Species--Adenostoma Fasciculatum (Chamise), Arctostaphylos Canescens (Hoary Manzanita), And Arctostaphylos Virgata (Marin Manzanita), Alison S. Pollack

Master's Projects and Capstones

Anthropogenic climate change is an undeniable threat to the future of the natural world and human civilization. These shifts will have profound impacts on vegetation, especially for species endemic to isolated regions or sensitive to climate change factors. However, species resilience can predict success into the next century. Resilience is defined as the ability to withstand climate change factors, whereas vulnerability is defined as susceptibility to climate induced stress or damage.

Chaparral and coastal scrub ecosystems within the Bay Area of California provide a unique context for examining resilience, as many species are adapted to high temperatures, drought, and wildfire—all …

Ecodistricts In San Francisco: The Implementation Of Neighborhood Regional Planning And Its Potential Effects On Environmental Resilience, Elizabeth M. Juvera

Master's Projects and Capstones

Ecodistricts, or neighborhood-scale, community-driven areas of sustainable development, have emerged internationally and within the U.S. to create models of adaptive environmental design and advanced urban infrastructure. Central SoMa is the first ecodistrict to be planned and implemented in San Francisco, with the intention of revitalizing and greening this urbanized region of the city. At this time, the Central SoMa area has very low biodiversity levels, inefficient infrastructure, and poor water management capabilities. Through the implementation of ecodistricts in San Francisco, the city can integrate physical and behavioral sustainability measures from existing ecodistricts such as permeable surfaces, green roofs, stormwater management, …