Medicine and Health Sciences Commons^™

Increasing Student Registered Nurse Anesthetists Clinical Self-Efficacy Using Peer Mentoring, Megan Christine Bass

Doctoral Projects

The purpose of this project is to determine if clinical self-efficacy is increased in SRNAs at The University of Southern Mississippi after participation in the peer mentoring program. The project was a one-group pre and posttest design in a sample of SRNAs who received peer mentoring. To evaluate the students’ perceived clinical self-efficacy before and after the peer mentoring educational intervention, the Rowbotham and Schmitz Student Self-Efficacy scale (SSE) (2013) was adapted and administered to second-year SRNAs (N=17). Clinical performance, skill and knowledge development, social interaction with clinical faculty, and coping with clinical stress are the four areas evaluated by …

Social Engagement And Health: A Structural Equation Modelling Analysis Of Downstream Links To Health Outcomes Among White-Collar Professionals, Ahmad Iqmer Nashriq Bin Mohd Nazan

Theses and Dissertations

ABSTRACT

SOCIAL ENGAGEMENT AND HEALTH: A STRUCTURAL EQUATION MODELLING ANALYSIS OF DOWNSTREAM LINKS TO HEALTH OUTCOMES AMONG WHITE-COLLAR PROFESSIONALS

by

Ahmad Iqmer Nashriq bin Mohd Nazan

The University of Wisconsin – Milwaukee, 2017

Under the Supervision of Associate Professor Amy E. Harley

High level of social engagement has been associated with improved health outcomes. Its capacity to influence one’s health has led to the conception of Berkman’s social relationship model which hypothesizes that health is impacted by social relationship through a series of causal processes that begin at the macro-social level (upstream factors) to micro-psychobiological processes (downstream factors). Social engagement …

Evaluation Of Increased Targeted Enforcement And Community-Based Outreach And Education Programs To Increase Nighttime Seatbelt Use In East Tennessee, Kwaku Frimpong Boakye

Doctoral Dissertations

According to the National Highway Traffic Safety Administration (NHTSA), motor vehicle crashes are the leading cause of death among people aged 1-54 in the United Sates. In 2015, the number of motor-vehicle deaths on U.S. roadways totaled 35,092, a 7% increase from 2014 (32,744). Though lower gas prices and increased vehicle mileage combined with risky driving behaviors (e.g. speeding, driving while texting) account for the increased fatality rate, seatbelt non-use has been a significant contributory factor. It is estimated that nearly half (48%) of passenger vehicle occupants involved in fatal crashes each year are unrestrained.

In a recent 2014 report …

Black, Woman And Alive: Black Women’S Practices Of Nontraditional Healing And Freedom, Hythia Phifer

Expressive Therapies Capstone Theses

This thesis explores the implications of nontraditional healing methods on Black women’s psychological and holistic health. It includes a critical literature review of existing research by Black Feminist theorists and other Black women scholars on Black women who use nontraditional healing methods, particularly to overcome the violent and pervasive experience of gendered racism and misogynoir. A brief autoethnographic analysis of my own art-based practice is included, with ties to the effectiveness of Literature and Poetry as a nontraditional healing method used by Black women. This thesis is my attempt to create space for myself in academia, in social science, in …

The Social Progression Of Post -Traumatic Stress Disorder: Post Vietnam And September 11th Attacks, Ellie Mcdonald

Capstone Projects and Master's Theses

The Social Progression of Post-Traumatic Stress Disorder Post-Vietnam and September 11^th Attacks is an examination on the infrastructure of the U.S. Department of Veterans Affairs’and of the Department of Defense’s lack of clarity and misinformation of the challenges and effects of mental illness within military ranks. Post-traumatic stress disorder (PTSD) made the Diagnostic Statistical Manual (DSM) after Vietnam. Since then, PTSD has been reevaluate numerous times, to properly define it. This research is a comparative analysis of the misconceptions of PTSD as experienced by Vietnam veterans and the first responders of the September 11^th tragedy. My research charts …

The Experience Of Generalized Anxiety Disorder Through The Lens Of Abraham Lincoln: The Effects Of Mental Health Stigma, Daryl Claude Medina

Senior Theses

Living with generalized anxiety disorder, also known as GAD, in the United States of America is difficult not only for the individual, but also for the people around him or her. Lifestyle changes have to be made, family dynamics need to be adjusted, and last but not least, all relationships must become flexible. In fact, these major life changes are never fixed and must continually adapt to the needs of the individual with generalized anxiety disorder since it is a lifelong medical condition. As with any other mental illness, dealing with generalized anxiety disorder takes great sacrifice in terms of …

Expanding Intersectionality Praxis: Informing Culturally-Responsive Programming For Black And Latino Gay And Bisexual Young Men, Justin T. Brown

Dissertations, Theses, and Capstone Projects

Black/Latino gay/bisexual young men face a multitude of health disparities caused by various determinants of health. However, despite the awareness of the gaps, health intervention research rarely explores the impact of current health intervention strategies on Black/Latino gay/bisexual young men’s overall health and well-being. Traditional health interventions are deficit-based, health condition-specific, and often limited in their cultural-specificity. As health-related fields move toward holistic, evidence-based practices, new primary prevention approaches need to emerge. Using qualitative investigation strategies, this study included primary analysis of participatory workshop artifacts, and secondary analysis of survey and focus group data. This study identified critical factors necessary …

Warmth And Competence Traits: Perceptions Of Female And Male Nurse Stereotypes, Randolph E. Gross

Dissertations, Theses, and Capstone Projects

A nursing shortage looms ahead; 1.03 million new nurses will be needed by 2022 to meet society's healthcare needs. A major barrier to recruitment of women and men are nurse stereotypes. The literature suggests four female and four male stereotypes exist; however, no quantitative research exists that explores perceptions of non-nursing undergraduate students. Approximately, 90% of college students do not consider nursing as a career option, and 72% have misconceptions of what nurses do in reality.

According to social cognitive theory's Stereotype Content Model (SCM), perceptions are viewed through a combination of two dimensions: warmth and competence. The author devised …

Measuring The Effectiveness Of Benefit-Provisioning And Cost-Inflicting Mate Retention Tactics Through Relationship Outcomes, Tara Delecce

Wayne State University Dissertations

Mate retention has received much less research attention compared to mate choice and attraction. Even the research that has been done on mate retention often only aims to identify what constitutes as mate retention tactics. In the current studies, the effectiveness of mate retention strategies is explored by measuring relationship outcomes of tactics unlike previous research that measures effectiveness through perceptions of relationship satisfaction. In Study 1, individuals who have experienced a nonmarital breakup reported on their own and their ex-partners’ mate retention tactics before the breakup to see which ones predicted the outcome of relationship dissolution. Tests for moderation …

A Comparison Of Neuropathic Pain In Hiv Disease And Diabetes Mellitus, Mary Catherine George

Walden Dissertations and Doctoral Studies

Neuropathy is a nerve disorder found in HIV disease and diabetes mellitus that indicates damage in the peripheral nervous system. Burning, tingling, stabbing, shooting, and painful sensations in the hands and feet are common symptoms of this chronic disorder, and no treatments are available that repair the nerves. The approved pain treatments are few and only available for the diabetic neuropathy population. A mixed-methods study of archival data was performed to compare patients with painful neuropathy (PN) associated with 2 diseases: HIV (HIV-PN) and diabetes mellitus (DPN). This study examined the similarities and differences of the pain narratives and common …

An Obsession Matched Intervention Improves The Facial/Emotional Recognition Deficit In Children With Asperger’S Syndrome, Aurora Claire Hoffman

Senior Projects Spring 2017

Asperger’s Syndrome (AS) falls on the high-functioning end of the Autism Spectrum. AS is often characterized by a deficit in social/emotional/facial processing, resistance to change, and routine and repetitive behaviors and interests. Prior research has uncovered that AS individuals process faces in a detail-oriented piecemeal fashion, rather than holistically. They are also found to pay less visual attention to faces and social stimuli. Theoretical explanations that account for this particular functioning and processing style include Weak Central Coherence Theory (WCC) and Hyper-Systemizing Theory. WCC implies that AS individuals do not process instances within context, which contributes to their inability to …

Combatting The Core Of Sexual Assault: Training Youth To Become Transformational Leaders In Sexual Assault Perpetration Prevention, Sage Marissa Warner

Senior Projects Spring 2017

Sexual assaulters develop from a culture of learned norms, misunderstanding of consent, and inefficacy in bystander intervention. The most significant sexual assault prevention programs teach individuals to dissociate from this culture, by changing their perceptions, knowledge, and behaviors. However, the lack of long-term effects in these programs depicts a vital loophole in their design. In order to change the culture that breeds sexual assaulters, a program cannot focus solely on individuals’ growth, but must ensure a movement of change in the culture itself. Transformational Leadership (Bass, 1985), a style of leadership in which leaders inspire their followers to become leaders, …

This Is Us Saying Who We Are: Speaking The Rhetoric Of Mental Disability, Renuka Uthappa

Wayne State University Dissertations

People with mental disabilities, or what are sometimes referred to as “mental illnesses,” face stigma when they interact with the public. To fight this stigma, the members of a small, grassroots, advocacy organization known as the Speakers Bureau travel to high school and college classrooms narrating their experiences with mental disability. They do so to replace culturally circulating stereotypes regarding such disability with more accurate and positive images. This dissertation is an auto-ethnographic exploration of the rhetoric of the Speakers Bureau. Through rhetorical analysis of members’ classroom speeches, of interviews with each speaker, and of the speaker’s self- assessment of …

The Lived Experience Of Intersectionality Among African American Women With Breast Cancer, Teri D. Armour Burton

Dissertations

African American women (AAW) continue to have breast cancer mortality rates that are 42% higher than White women (De Santis et al., 2015). Researchers suggest that an epistemological approach that integrates the biomedical and feminist models would be more effective in addressing health disparities. The concept of intersectionality, which grew out of the Black feminist movement, provides a lens in which to view the lived experiences of AAW with breast cancer. The intersectionality paradigm attempts to address the marginalized, oppressive, intersecting social existence of AAW through the examination of identity, social class, and power.

This qualitative study applied a descriptive …

An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen

Walden Dissertations and Doctoral Studies

Turnover of experienced nurses is a component of the nursing shortage, which has created a lack of expert nurses administering bedside care. The project site is a Chicago suburban hospital with an average first year turnover of experienced nurses at 35%. This rate is above the 27% first year turnover reported by the Metropolitan Chicago Healthcare Council. This project focused on development and evaluation of an evidence-based mentorship program supported by theory that can contribute to an increase in experienced nurse retention. A detailed literature review references causative factors of turnover, such as an increasing workload, a multigenerational and aging …

Transdermal Testosterone For Menopause-Related Hyposexual Desire Disorder: Current Guidelines And Provider Perceptions, Knowledge, And Practice, Kelly Christine White

Graduate College Dissertations and Theses

Hypoactive sexual desire or low libido in women are collectively referred to as hypoactive sexual desire disorder (HSDD). HSDD is estimated to occur in 10% to 15% of adult women. HSDD is likely the most common female sexual dysfunction (FSD) in menopausal women. The hallmark of the diagnosis is personal distress and interpersonal difficulties resulting from low sex drive. Most women will not seek help for this problem. Studies have suggested that primary care providers and gynecologic healthcare providers report not feeling qualified to treat patients with sexual dysfunction, especially HSDD. Testosterone, specifically transdermal testosterone, has been suggested to play …

The Role Of Afrocentric Features In Mental Healthcare Utilization And Counselor Preferences In Black College Students, Randl B. Dent

Theses and Dissertations

Though mental health issues are prevalent in Black young adults, they underutilize mental healthcare services. This research examined the role of feature-based discrimination in mental healthcare (under)utilization. Study 1, a secondary analysis of the National Longitudinal Study of Adolescent to Adult Health, provided no evidence supporting a link between skin tone and mental healthcare utilization, when controlling for depression diagnosis. However, when controlling for depression symptoms, there was a trend such that Black young adults with darker, as opposed to lighter, skin tone utilized healthcare less. Study 2, an experimental study with 33 Black college students, showed 73% of the …

Examining Preference Of Home-Based Telemental Health Among Rural Veterans, Paige Dixon

Electronic Theses and Dissertations

Rural veterans face significant disparities to health care that have resulted in lower physical and mental health related quality of life when compared to their urban counterparts (Weeks et al., 2006). Such disparities are further complicated by the six-fold increase in prevalence of mental health diagnoses among Operation Enduring Freedom and Operation Iraqi Freedom veterans (Seal et al., 2009). These rising rates are particularly relevant to rural veterans as they represent 41% of the overall Veteran Health Administration enrollees, but only 19% of the general population (U.S., Department of Veterans Affairs, 2012; U.S. Census Bureau, 2014). Rural veterans face three …