Digital Commons Network^™

You Can Get There From Here: A Phenomenological Study Of Help-Seeking Behavior And Experiences Of Student Military Veterans In Community College, Donivan Foster

Dissertations

This phenomenological study described the experiences of student military veterans in a community college with physical and psychological health needs. Each participant enrolled in the community college by utilizing the benefits of the post-9/11 GI Bill and transitioned from active duty to civilian life. More than 40,000 programs in the United States are designed to assist veterans transitioning to civilian life (Carter, 2013). Further, the health needs and transition experiences of military veterans have been well-documented. Numerous programs seek to reduce barriers; however, many veterans experience challenges when using the programs or services (Perkins et al., 2019; Aronson et al., …

An Evaluation Of Mindstrong™ Implementation With Graduate Nursing Students, Angela B. Sabblut

Dissertations

Problem: Nursing graduate students are at increased risk of greater stress, anxiety, and depression (Hoying, 2020; Melnyk et al., 2020). Cognitive Behavioral Therapy is the gold standard in the treatment of anxiety and depression (Hoying et al., 2020; Melnyk et al., 2015; Melnyk et al., 2020). MINDSTRONG™, a CBT-based training program, has been proven in many studies to be effective in helping individuals prevent or cope with these issues (The Ohio State University College of Nursing, 2020).

Methods: This Quality Improvement (QI) project was a descriptive-observational, pre-post design. Sample and setting were nursing graduate students from a Midwestern, middle-sized urban, …

Evaluating Patient Health Questionnaire-9 (Phq-9) Use In Burn Survivors, Chelsey Friend

Dissertations

Problem: A burn injury affects both psychological and physical health, resulting in a greater than 50% major depressive disorder morbidity. The purpose of this quality improvement (QI) project is to evaluate the use of the Patient Health Questionnaire-9 (PHQ-9) in adult burn survivors, with an aim to increase the use of the screening tool.

Methods: A mixed-methods pre/post-survey design with an educational component was utilized to assess nurse knowledge, confidence, willingness, and barriers to completion of the PHQ-9. Aggregate data were collected to determine PHQ-9 completion rates for patients admitted to and discharged from the unit during the two months …

Minimizing Workplace Violence By Initiating An Evidence-Based Community Meeting, Olivia Gabrielle Foster

Dissertations

Problem: Workplace violence (WPV) in healthcare has become an epidemic demanding change. WPV is three to four times higher in the healthcare industry compared to other workplaces. For this project, WPV will be defined as any act of physical violence from a patient to a staff member. Community meetings are one evidence-based approach to decreasing WPV in psychiatric inpatient hospitals. Methods: This descriptive observational project compared data before and after implementing a targeted WPV community meeting, including unit rules, staff and patient expectations, a definition of WPV, and medication options available to reduce anxiety and irritability. This project …

Evaluation Of Depression, Anxiety And Stress In Graduate Nursing Students, Rachel Dunston

Dissertations

Mental health issues are growing in the United States. Postgraduate school is widely known to increase the level of psychological difficulties (Dyrbye et al., 2006) experienced by students. There is a need to address mental health care in graduate nursing students. This project was a descriptive observational comparison pre-post-intervention design used to see if online modes of delivery would aid in decreasing mental health issues for nursing graduate students. Participants were provided with access to three podcasts and encouraged to use the Sanvello mobile application provided to all students at this university. The first podcast focused on using the Sanvello …

Mental Health Concerns Of Frontline Registered Nurses Associated With The Covid-19 Pandemic, Julie Ingle

Dissertations

Problem

COVID-19 caused local healthcare facilities to admit patients with COVID-19 at increasing rates, critically overloading healthcare system resources. Caregiver-related stress associated with the COVID-19 pandemic placed frontline registered nurses (RNs) at risk for mental health consequences (Havlioglu & Demir, 2020; Shechter et al.,2020).

Methods

This quality improvement project used a descriptive design to administer a collection of validated instruments assessing anxiety, depression, posttraumatic stress disorder (PTSD), and demographics. A purposive sample of RNs were recruited from the COVID-19 units in a local hospital, and the survey was distributed via email.

Results

During the implementation period (April 4, 2021-May 15, …

Mental Health Effects Of The Covid-19 Pandemic On Older Adults, Elizabeth Kerr

Dissertations

Problem: Significant psychological effects such as anxiety, depression, stress, and loneliness are shown to affect the older adult population, aged 65 years and older. The social isolation and disconnectedness related to the COVID-19 pandemic potentially worsens anxious and depressive feelings, increasing the risk for adverse outcomes in the high-risk older adult population. This project aimed to identify older adults at risk for acute, situational mental health issues associated with the pandemic.

Methods: A descriptive study design was used. Telephone interviews were conducted to explore effects of the COVID-19 pandemic on mental health responses in older adults. A convenience sample …

Barriers To Mental Health Treatment In Patients Referred By Primary Care, Rebecca Palmer

Dissertations

Problem: Limited access to mental health treatment is one of many potential barriers to treating mental illness in the United States. Where resources are readily available, reportedly high no-show rates for established mental health appointments suggests further investigation is necessary to identify frequent barriers within that population. This was a quality improvement project to identify common themes in patient-reported barriers to care.

Methods: A 4-question phone survey was offered to individuals that did not appear at their mental health appointment. Data was analyzed to identify the most commonly reported barriers to mental health treatment. Additional data collected includes reported history …

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization …

Perception Of Consultation Among Professional School Counselors, Teachers And Mental Health Professional Counselors, Brenda Lorraine Bryant

Dissertations

Abstract This is a study concerning the perception of consultation among school counselors, teachers, and mental health professional counselors (MHPCs) working collaboratively in the public school setting for the benefit of the academic and behavioral success of students. Although there are many consultation models and theoretical views (Brigman, Mullis, Webb, & White, 2005; Caplan, Caplan, & Erchul, 1995; Erchul & Conoley, 1991; Erford, 2011; Kampwirth, 2006), this study utilized the American School Counselor Association (ASCA) framework for consultation in schools. Although MHPCs are not considered school counselors by definition, and they are not compensated by school districts, they still serve …

Decision-Making In The Foster Care System, Julie E. Bertram

Dissertations

This study documented and analyzed the processes of mental health treatment decision-making, in the context of family support teams, within the foster care system. The research questions explored engagement, perceptions, and self-rated empowerment among family support teams that serve adolescent foster youth with mental health concerns. The sample consisted of 23 participants from core support teams and 36 other adolescent and adult team members who were involved in the study. Data collection methods included observations at family support team meetings and court hearings, 34 semi-structured individual interviews, a self-rated empowerment scale, and informal conversations in the field. Analysis of non-survey …

Students With Mental Health Issues In Higher Education: A Survey Of Prevalence And Fall-To-Spring Persistence Rates In A Community College Environment, Pendy J. Pecka

Dissertations

Among the multitude of challenges and adversities students face during their first year of higher education, many experience deterioration of their emotional or mental health. Current research focuses on the perceived rise in the breadth and complexity of student mental health concerns at four-year colleges and universities. Even though community college students encompass the majority of individuals enrolled in the United States higher education system, no research specifically examines the mental health prevalence of these students and whether these difficulties negatively impact persistence. This study explored the relationship between evidence of mental health problems and fall-to-spring persistence for first-year students …

The Interactive Roles Of Gender And Ethnicity In African-American Women's Mental Health, Dianna Nadine Moses-Nunley

Dissertations

Abstract For African-American women, female gender and African-American (AA) ethnicity combine to create experiences of discrimination, discrimination related stress, and mental health issues that are not encountered by individuals who occupy only one of these status variables. Gender and ethnicity also influence socioeconomic status, an additional variable affecting the experiences and issues that AA women uniquely encounter. The first goal of this study was to examine the ways in which the combined social statuses of gender and ethnicity influence the discriminatory experiences and mental health of AA women. The second goal was to determine the ways in which AA women¿s …