Digital Commons Network^™

Assessing How The Humane Health Coalition Connects Veterinary Services With Healthcare For People Experiencing Poverty And Housing Insecurity, Katie Willis

Electronic Theses and Dissertations

People experiencing housing insecurity and financial hardship often prioritize their pets’ needs ahead of their own. In addition to financial concerns, some struggle to obtain medical treatment because they lack transportation or have had negative experiences with medical professionals. The Humane Health Coalition (HHC), a collaboration between Humane Animal Rescue of Pittsburgh (HARP) and Allegheny Health Network (AHN), seeks to address these challenges. The HHC is based on the One Health Model and brings together medical and veterinary staff to provide care and resources for both pets and their owners. My research examines the implementation of this new program. I …

Culture Education Program To Improve Work Culture In Healthcare, Ngufor Fube Divine

Electronic Theses and Dissertations

Abstract

This study investigated the efficacy of a culture educational intervention program in addressing toxic work culture within healthcare settings. The prevalence of toxic work environments in healthcare has been linked to adverse outcomes for both employees and patients. The purpose of this study was to assess the impact of a targeted culture educational intervention on shifting organizational culture towards more positive dimensions, specifically focusing on Clan, Adhocracy, Market, and Hierarchy cultures. Utilizing a quantitative quasi-experimental design, this study employed repeated measures to assess participants' perceptions of organizational culture before, immediately after, and preferred following the intervention. The sample consisted …

From "Smart Talk" To "Living Well": Commonplaces And Their Role In Narratives Of Rare Disease., Caitlin E. Ray

Electronic Theses and Dissertations

As healthcare becomes more complex, automated, and bureaucratic, patients often suffer from a lack of resources, agency, and visibility when seeking medical care. Rhetoric and Composition, specifically the subfield of Rhetoric of Health and Medicine (RHM), is interested in studying and intervening into such issues. One way to challenge our current understanding of healthcare is to consider how the rare disease patient experience reveals the gaps, limitations, and assumptions of illness and health. I argue here that through rare diseases, rhetoricians of health and medicine can better understand the representation, advocacy, and patient experience within healthcare, and potentially lead to …

A Phenomenological Inquiry Into Healthcare Professionals Who Are Experts In Cannabinoid Therapy And The Endocannabinoid System (Ecs), Courtney Collins

Electronic Theses and Dissertations

Cannabis is a prevalent alternative treatment for many symptoms and conditions given its medicinal qualities and few side effects. As legalization for both medical and recreational purposes continue to develop quickly across the United States of America, there is serious discrepancy between legalization and clinical research. Clinical data is difficult since the U.S. federal government still classifies cannabis as a Drug Enforcement Agency (DEA) Schedule I drug with no clearly established medical value. This lag in evidence-base data has affected cannabinoid therapy and endocannabinoid system education (ECS) for healthcare professionals. There are gaps in medical school and continuing medical education …

Our Story, Our Song: Assessing And Addressing Black Women's Healthcare Experiences., Jason Deakings

Electronic Theses and Dissertations

Despite advancements in medicine and health sciences, health disparities and declining life expectancy persists among Black women in the United States. Researchers and non-traditional healthcare providers suggest alternative healing (e.g., music and Sister Circles) and research methodologies to achieve a culturally conscious, traumainformed, quality, and holistic care and practice. The intersecting identities and cultural responsibility of Black women highly influences the barriers and facilitators on the uptake of healthcare services. Utilizing a community engaged research approach, this qualitative study assessed the healthcare experiences, as well as the role of music in the lived and retold experiences of Black women navigating …

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …

A Bioethics Critique Of The Healthcare System In Nigeria: Personal Dignity And Human Solidarity, Cyprian Duru

Electronic Theses and Dissertations

Life is a sacred gift, an indivisible good with an inherent dignity and value. Despite its uniqueness, fragility, vulnerability, and limitations, it remains the most interesting, attractive, and exciting thing one can possess. These attributes invoke a deep sense of respect to life. Recently, science and biotechnology have astonished the world, as they continue to disorient human consciousness on new set of ethical issues. In effect, life is seriously exposed to the perspectives of modern science and technology. Thus, President George W. Bush warns that the powers of science are morally neutral, capable for good and bad purposes. In …

Narrative Authority: A Narrative-Based Multicultural Ethics To Overcome Western Biases In The Current Models Of Care, Fahmida Hossain

Electronic Theses and Dissertations

Technological advances and globalization are transforming healthcare dramatically. But unfortunately, current medical practices remain blind to their multicultural patients’ varied worldviews and norms, especially in the West. As a result, patients often find themselves isolated, anxious, and resentful.

All the humanistic models in the current literature view the individual as a unique and autonomous being and, in turn, provide practices to access and recognize the patient’s personhood. These models—Narrative Medicine, Narrative Ethics, and Ethics of Care—attempt to catch sight of the individual, the person’s situation, and some semblance of the person’s story before diagnosing or offering prescriptions. However, all these …

Communication Accommodation Of Surgeons With Student-Athletes, Emily Womble

Electronic Theses and Dissertations

Health communication is a topic that has been broadly researched for a while. It is an area that holds significance everyday due to the number of people involved and the number of people who rely on healthcare in general. Student-athletes sustain over a million injuries annually, over half of which required surgery (Corlette et al., 2015). However, the specific topic of communication between a surgeon and their studentathlete is one that is not studied much at all. Utilizing Communication Accommodation Theory as the theoretical framework, this study explored how surgeons currently use accommodation in their communication to their student-athletes. It …

Human-Machine Collaboration In Healthcare Innovation, Breeze Fenton

Electronic Theses and Dissertations

Almost every individual has visited a healthcare institute, whether for an annual checkup, surgery, or a nursing home. Ensuring healthcare institutes are using human-machine collaboration systems correctly can improve daily operations. A maturity assessment and an implementation plan have been developed to help healthcare institutes monitor the human-machine collaboration systems. A maturity model, the Smart Maturity Model for Health Care (SMMHC), is a tool designed for maturity assessment. A four-step implementation plan was also created in this research. The implementation plan views the maturity of the institute and develops a strategy on how to improve it. The research utilized Integrated …

Self-Reported Health Among Sexual Minorities In The United States, Christopher Burton

Electronic Theses and Dissertations

Previous literature on LGBTQ+ people (lesbian, gay, bisexual, transgender, queer/questioning, and other sexual minorities) reports that this community experiences greater health problems than heterosexuals. LGBTQ+ people experience higher rates of chronic conditions, STIs, addiction, poor mental health, and cancer, which highlights the importance of capturing data regarding health. A growing concern is that social surveys fail to find meaningful ways to gather gender and sexuality data to understand possible health disparities for LGBTQ+ people. This study uses data from the General Social Survey to examine the physical and mental health outcomes of LGB people compared to straight people in a …

An Investigation Of The Impact Of Covid-19 Infection Control On Visual Art Installations In Hospitals With Pediatric Patients, Shannon Kimich

Electronic Theses and Dissertations

This study investigated the impact of COVID-19 infection control on visual artwork in pediatric hospitals and hospitals caring for pediatric patients. The study involved five hospitals in three southern America states and addressed visual artwork and art installations. The researcher administered an internet-based survey to participants in job functions related to hospital administration, environmental services, and project management across the facilities and received participation from 18 respondents. Additionally, telephone interviews were conducted with three participants with the job titles project manager/analyst, child-life specialist, and environmental services director. Survey questions were designed to examine visual art programs in selected children’s hospitals …

Linking Social Media, Medical Literature, And Clinical Notes Using Deep Learning., Mohsen Asghari

Electronic Theses and Dissertations

Researchers analyze data, information, and knowledge through many sources, formats, and methods. The dominant data format includes text and images. In the healthcare industry, professionals generate a large quantity of unstructured data. The complexity of this data and the lack of computational power causes delays in analysis. However, with emerging deep learning algorithms and access to computational powers such as graphics processing unit (GPU) and tensor processing units (TPUs), processing text and images is becoming more accessible. Deep learning algorithms achieve remarkable results in natural language processing (NLP) and computer vision. In this study, we focus on NLP in the …

Preparing Future Healthcare Professionals: The Relationship Between Resilience, Emotional Intelligence, And Age, Cindy Lee Mcguire

Electronic Theses and Dissertations

Preparing students for a successful career should be the goal of any healthcare educational program. However, traditional approaches in healthcare education are primarily focused on the technical components and neglect the competencies needed to navigate the emotional labor associated with clinical practice. With increased stress and demands related to emotional labor, as evident in recent events such as the COVID-19 pandemic, healthcare professionals are likely to encounter adverse events and emotionally challenging situations. The purpose of this quantitative, cross-sectional study was to explore the relationship among resilience, emotional intelligence (EI), and age in students enrolled in healthcare programs. Convenience sampling …

To Be Or Not To Be? Trans And Gender-Diverse Identity Negotiation In Caregiving Institutions, Lilith Green

Electronic Theses and Dissertations

Prior research on gender diverse caregiving experiences focused mostly on binary transgender perceptions, either treating non-binary people as an afterthought or excluding them altogether. Though non-binary identities are beginning to gain attention in current research, not enough attention has been given to the complex identity processes and discourses that non-binary people must navigate in caregiving encounters. This research sought to bridge that gap in knowledge by comparing and contrasting the ways binary transgender and non-binary people do gender in these encounters. Through 21 in-depth life history interviews, the researcher documented the ways binary transgender and non-binary people adhered to or …

Examining The Intersectionality Of Religious Faith, Spirituality, And Healthcare Communication, Felix Okeke

Electronic Theses and Dissertations

This dissertation is my own contribution in responding to the concern raised by certain communication scholars. Their concern was that little research and few publications have been done in the communication field by communication scholars that trace the relationship among religious faith, spirituality, and healthcare communication. While Parrott (2004) describes this apparent neglect as “collective amnesia,” others label it “religion blindness.” Thus, in trying to trace this relationship, this project uses Christian, biblical, and bioethics backgrounds to establish the value, sacredness, and dignity of human life, since these concepts make healthcare and healthcare communication necessary in the first place. These …

Comparative Spending Of Medicaid Dollars On Child Participants Of Kentucky’S Sobriety Treatment And Recovery Teams Program Versus A Matched Comparison Group., Matthew Thomas Walton

Electronic Theses and Dissertations

Child protective services agencies have long observed the complicating role that parental substance use and addiction plays in cases of child maltreatment. Families who struggle with these problems present unique challenges for child welfare professionals. These families are typically more difficult to engage, more likely to have children removed from the home, and have poorer outcomes when compared to other families. These poorer outcomes often include health problems. Addiction has well-known effects on health, and the specific manifestations of these problems for parents have been documented for years in child protection casework. However, what has been less investigated are the …

A Rhetoric And Philosophy Of Interprofessional Healthcare Education: Communication Ethics In Action, Matthew Corr

Electronic Theses and Dissertations

Healthcare professionals belong to a moral community. Caring for patients is a community act carried out by healthcare professionals working in teams within complex political and organizational systems. This teamwork is crucial to quality patient outcomes; however, incivility threatens to derail necessary and effective collaboration towards the common organizational good. Necessarily, interprofessional healthcare education is becoming a required element for pre-health professionals. Currently, schools are using competency-based approaches to interprofessional education to teach ethics/values, roles/responsibilities. communication, and teamwork. For reasons explicated throughout this dissertation, the categorizing of these particular elements as competencies is problematic and cultivated within a positivistic and …

Public Health Policy: An Ethical Analysis Of Quarantine, Dina Alqahtani

Electronic Theses and Dissertations

As a public health measure quarantine has both historical and contemporary significance both in the United States and abroad. On the surface it represents a low-cost, low-tech way in which the spread of disease can be mitigated as its core requirement is that those who may have been exposed to an infectious agent are kept away from those who have not been exposed to that agent for enough time to determine whether or not infection has been spread. This has been utilized for centuries with both limited questions and scattered, inconsistent, or impossible to achieve oversight and goals. In understanding …

An Exploration Of Factors Of Lgbt Cultural Competency Among Prospective Healthcare Professionals, Heather Isbell

Electronic Theses and Dissertations

Literature suggests there is a relationship between cultural competency and health outcomes as well as a perceived fear of discrimination LGBT individuals face when attempting to receive healthcare services. The aim of this study is to assess the level of LGBT CC (cultural competency) among prospective professionals who are expected to provide health care services and to explore factors that affect those attributes. Multiple linear regressions were conducted to test the effect of the following factors of LGBT CC: postsecondary experience, relations with LGBT individuals, and religion using a sample of 57 different healthcare students in a faith-based university during …

New Organizational Challenges In A Digital World: Securing Cloud Computing Usage And Reacting To Asset-Sharing Platform Disruptions, Sungjin Yoo

Electronic Theses and Dissertations

Information technology (IT) and IT-enabled business models are transforming the business ecosystem and posing new challenges for existing companies. This two-essay dissertation examines two such challenges: cloud security and the disruption of asset-sharing business models.The first essay examines how an organizations usage of cloud storage affects its likelihood of accidental breaches. The quasi-experiment in the U.S. healthcare sector reveals that organizations with higher levels of digitalization (i.e., Electronic Health Records levels) or those with more IT applications running on their internal data center are less likely to experience accidental breaches after using public cloud storage. We argue that digitalization and …

Implications Of Functional Limitations In Older Cancer Survivors A Medicare Beneficiary Survey, Prachi Chavan

Electronic Theses and Dissertations

The purpose of this dissertation was to evaluate the impact of physical and functional limitations among older cancer survivors and its effect on healthcare utilization and mortality among them. The Medicare Current Beneficiary Survey (MCBS) is nationally representative longitudinal study of older Medicare beneficiaries. Physical Limitations (PL), Activities of Daily Living (ADL), and Instrumental Activities of Daily Living (IADL) were measured on a five-point scale. MCBS data from 2005 to 2013 were used in this study. Propensity score weighting was developed using logistic regressions. Design-based descriptive analysis and logistic models with adjusted survey weights were performed. Logistic and Poisson regression …

Something In The Air: Effect Of A Narrative-Account Podcast On Empathy And Client-Centeredness In Occupational Therapy Students, Stephanie Bullard Lancaster

Electronic Theses and Dissertations

Empathy and client-centeredness are aspects of professionalism essential to the effectiveness of occupational therapy services. As such, both are key components of the educational process of occupational therapy students, as highlighted by the integration of both concepts in the standards set forth by the accrediting body of occupational therapy education programs. Additionally, although a host of anecdotal accounts support the significance of empathy and client-centeredness in the work of occupational therapy practitioners, there is limited evidence in the literature supporting specific treatments in addressing either in the education of occupational therapy students. In response, an investigation was conducted of the …

Patient Empowerment In Modern Medicine: A Personal Account Of Endometriosis And Being An Equal Partner In My Healthcare, Jacqueline Schlick

Electronic Theses and Dissertations

This work outlines my personal experience with a diagnosis of stage three endometriosis and partial oophorectomy surgery along with the subsequent medical opinions I received by my primary OB/GYN and other doctors. This thesis seeks to discuss the issues surrounding patient empowerment, and specifically, laws that support patients in their exploration of the truths behind their conditions and the importance of self-education in order to be better equipped in conversations with their physicians. The work includes testimonials from women about their levels of knowledge into their own medical needs upon the time of their prescription to pharmaceutical medications, and how …

Enhancing Quality Ethics Consultations In Pediatric Medicine, Ariel Clatty

Electronic Theses and Dissertations

Medical ethics consultations occur predominantly in the adult realm of medicine, alternatively in Pediatric Medicine there is a widespread lack of training and skilled professionals to service these requests. Most of the literature in pediatric ethics consultations revolves around mirroring adult ethics consultations. This dissertation seeks to identify and address the issues related to quality of ethics consultations in a clinical setting regarding the organizational and research settings for Pediatric Medicine, and how adopting and applying the guiding standards for ethics consultation using the Core Competencies of the American Society of Bioethics and Humanities will better assist all parties to …

Designing Interactive Virtual Environments With Feedback In Health Applications., Yi Li

Electronic Theses and Dissertations

One of the most important factors to influence user experience in human-computer interaction is the user emotional reaction. Interactive environments including serious games that are responsive to user emotions improve their effectiveness and user satisfactions. Testing and training for user emotional competence is meaningful in healthcare field, which has motivated us to analyze immersive affective games using emotional feedbacks. In this dissertation, a systematic model of designing interactive environment is presented, which consists of three essential modules: affect modeling, affect recognition, and affect control. In order to collect data for analysis and construct these modules, a series of experiments were …

Perceptions Of Health Professionals In Ghana On The Role Of The Community In Chronic Disease Management, Jesuseme Omoruan

Electronic Theses and Dissertations

The prevalence of chronic disease has been on the rise in various developing countries. This study is an exploratory investigation of the perceptions of health professionals in Kumasi, Ghana on the role of the community in chronic disease management. Using the Chronic Care Model as a framework, the objective of the study was to examine the extent of community-healthcare system in chronic disease management and to explore the barriers to and facilitators of community involvement in chronic disease management. By exploring the availability of community resources that positively contribute to the management of these patients, the study fills an existing …

Chronic Risk And Disease Management Model Using Structured Query Language And Predictive Analysis, Mamata Ojha

Electronic Theses and Dissertations

Individuals with chronic conditions are the ones who use health care most frequently and more than 50% of top ten causes of death are chronic diseases in United States and these members always have health high risk scores. In the field of population health management, identifying high risk members is very important in terms of patient health care, disease management and cost management. Disease management program is very effective way of monitoring and preventing chronic disease and health related complications and risk management allows physicians and healthcare companies to reduce patient’s health risk, help identifying members for care/disease management along …

Is Prison Why I’M Sick? Examining Health Conditions Among Minority Males Within Correctional Facilities, Mary Hannah Hughes

Electronic Theses and Dissertations

Given the current United States prison population of 1.5 million persons, many states have begun to examine how to effectively reduce correctional expenditures, considering in 2011 healthcare related prison costs increased to approximately eight billion (The Pew Charitable Trusts, 2014). Recent research attributes much of this increase to the prevalence of disease and aging within the prison population (Williams et al., 2012; Dumont et al., 2012; Gallagher, 2001; Ahalt et al., 2013). Alternatively, little attention has been devoted to measuring the disparity in health among minority male inmates or the effects of identifying more cost effective health initiatives that address …

The Ethical Right To Healthcare In The Affordable Care Act, Stella Morden

Electronic Theses and Dissertations

Since the passage of the Affordable Care Act, It has been questioned whether the right to healthcare in it can be ethically justified. The objection to a right to healthcare in general has been prominent over many decades in the U.S. The concern over higher personal taxes, quality care, and national debt steered the opposition. Responding to these concerns has a direct effect on each individual in society. In particular, the lack of healthcare is very significant.

The idea of a comprehensive national healthcare in the United States caught the attention of the public in the 1970s. It was inspired …