Medicine and Health Sciences Commons^™

The Youthful Pandemic, Brook Sahlemariam

Nursing | Senior Theses

This paper attempts to examine the neurological, physical, and societal effects of e-cigarette use among youth and young-adults in North America. Furthermore, the paper investigates the parallels between e-cigarette users, tobacco users, and dual users in regard to behavioral patterns, reasons for use, and age of initiation.

Shadow Standards And The Logic Of Costs: Care, Stewardship, And Data In U.S. Community Health, Margarite J. Whitten

All Dissertations, Theses, and Capstone Projects

This dissertation examines the delegation of responsibility for providing health care to particular categories of marginalized populations in the United States in the absence of a uniform and universal health care system. It explores how the U.S. federal government governs patient populations at a distance by mandating that healthcare providers collect, produce, and report on patient data. Drawing from eighteen months of ethnographic research in Massachusetts clinics for the homeless and the frail elderly between 2014-2015, I argue that when marginalized patients are unable to satisfy the neoliberal ideal of self-governance to maintain their health in cost-effective ways, providers ...

Factors Predicting Sustainability: A Correlational Study Of One Multi-Site Program, Meredith L. King Jensen

All Dissertations, Theses, and Capstone Projects

Healthcare organizations invest significant economic, physical, and human resources to implement changes and expect sustained benefits for their investments in the long term. The primary aim of the study was to gain a better understanding of sustainability and five factors (champions, leadership support, policy, resources, and training and education) that might predict long-term sustainability within the context of one Safe Patient Handling and Mobility (SPHM) program implemented in a large, nationwide system more than 7 years ago. The secondary aim was to examine the number of nursing staff injuries, the most notable positive outcome of the program immediately post implementation ...

What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier

Electronic Theses, Projects, and Dissertations

ABSTRACT

Child abuse and substance abuse are significant health problems in the United States and they negatively impact the physical, emotional, and biological health of millions of individuals. It is estimated that one in four children experience child abuse, which is a risk factor for the development of substance abuse problems later in life (U.S. Department of Health and Human Services [HHS], 2018). Rates of substance abuse are increasing nationally, making the relationship between child abuse and the development of substance abuse problems important to study.

This research project analyzes the relationship between adverse childhood experiences and subsequent age ...

Mental Health Challenges Among Ethnic Minorities College Students, Fiorella G. Valles, Ruben Gonzalez

Electronic Theses, Projects, and Dissertations

This research study explored the challenges of mental health-seeking services of college students of color in the San Bernardino area. College students of different ethnicities have unique needs and challenges that contrast with the general student population. Previous research stated that students of color deal with a greater number of unmet mental health needs and indicates a connection between mental health and attaining a college degree (Arria et al., 2013). To increase the utilization of mental health amongst students of color, this study aimed to identify the influencing factors that prevented students from help-seeking. The research design of this research ...

Kenya: Covid-19 Perceptions, Prevention Practices, And Impact—Responses From Third Round Of Data Collection In Five Nairobi Informal Settlements (Kibera, Huruma, Kariobangi, Dandora, And Mathare), Population Council

Poverty, Gender, and Youth

This brief presents findings from Round 3 of data collection in five Nairobi informal settlements (Kibera, Huruma, Kariobangi, Dandora, and Mathare). On May 10–11, 2020, phone interviews were completed with 1,750 adults, representing 87% of the original COVID-19 KAPstudy cohort. The average age of respondents was 36 years, and 63 percent were female. Almost all resided in the same location as in the previous interview three weeks prior. Overall, most participants are impacted economically and socially by the COVID-19 pandemic and associated social distancing and lockdown policies. Many report losing their source of income while also reporting increased ...

Nairobi Informal Settlements: Covid-19 Perceptions, Prevention Practices And Impact—Round 3, Population Council

Poverty, Gender, and Youth

This presentation provides an overview from the third round of data collection from a phone survey conducted May 10–11, 2020, in five informal settlements in Nairobi (Kibera, Huruma, Kariobangi, Dandora, and Mathare). Total number of interviews completed was 1,750 (87 percent of Round 1); 37 percent of participants were male, 63 percent were female. Almost all resided in the same location as in the previous interview three weeks prior. The presentation covered myths and misconceptions on COVID-1; risk of being infected; what individuals would do if they had symptoms of COVID-19; testing; stigma; movement outside the home; handwashing ...

A Literature Review Of Community Art Therapy With Youth In Inner City Communities Of Color, Jennifer Habeeb

Expressive Therapies Capstone Theses

This literature review was developed to synthesize the research surrounding community-based art therapy with youth who reside in inner city communities of color. Youth of color in inner city communities face a number of different challenges such as low socioeconomic status, social inequality, discrimination, and lack of political representation. There is currently little research on the impact of art therapy and expressive arts interventions with this population, however; these interventions have shown to be effective in a number of different areas. Literature revealed that community-based art therapy with inner city youth of color has shown to increase self-esteem, decrease symptoms ...

Understanding Elements Involved In Active Racial And Ethnic Minority Recruitment Practices For Biopharmaceutical-Sponsored Clinical Trials: A Socio-Ecological Qualitative Inquiry, Rebecca Rae Johnson

Seton Hall University Dissertations and Theses (ETDs)

Inequitable participation in clinical trials continues to be a problem, and trial populations do not always reflect the demographics of the population that the investigational product will ultimately be treating. Because genetic differences between racial and ethnic groups affect the safety and efficacy of new treatments, it is important that standard of care decisions are made based on a representative population. The purpose of this study is to understand the socio-ecological elements that are involved in the active implementation of racial and ethnic minority recruitment practices for biopharmaceutical-funded trials in the United States. This general qualitative study was both descriptive ...

Covid-19-Related Knowledge, Attitudes, And Practices In Urban Slums In Nairobi, Kenya: Study Description, Timothy Abuya, Karen Austrian, Adan Isaac, Beth Kangwana, Faith Mbushi, Eva Muluve, Daniel Mwanga, Thoai Ngo, Mercy Nzioki, Rhoune Ochako, Jessie Pinchoff, Ben Tidwell, John Wanyungu, Corinne White

Poverty, Gender, and Youth

To control the spread of coronavirus, the Kenyan Ministry of Health COVID-19 Taskforce has implemented initial prevention and mitigation measures. Of concern are the densely overcrowded, poor urban slums where sanitation and social distancing measures are near impossible. COVID-19 would spread rapidly and be devastating under these conditions. To inform the Taskforce strategy, the Population Council COVID-19 study team utilizes rapid phone-based surveys to collection information on knowledge, attitudes and practices among a longitudinal cohort of heads of household sampled from existing prospective cohort studies across five Nairobi urban slums. Iterations of the survey will be conducted every 2–4 ...

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected ...

Ethical Analysis Of Scandals In Congenital Heart Surgery Programs, Ian D. Wolfe

Research Days

No abstract provided.

Examining Minority Youth Swimmers’ Versus Non-Swimmers’ Perceptions Of Swimming Involvement, Timothy M. Dasinger, Laura L. Brown, Ashton J. Sawyers

International Journal of Aquatic Research and Education

Drowning is one of the leading causes of death in youth, especially among minority populations (Gilchrest & Parker, 2014). According to the World Health Organization (2014), every hour of every day approximately 42 people lose their lives to drowning. Additionally, African-Americans are 14 times more likely to drown in a pool than other racial or ethnic group members (Waller & Norwood, 2011). The purpose of this study was to examine survey results between swimming and non-swimming minority youth participants. Forty African American students between the ages of 5-17 from an after-school program completed the Swimming Involvement Survey. Results indicated that swimmers, independent ...

Implementation Of Post Falls Huddles In Skilled Nursing Facility, Princess Lomax

Evidence-Based Practice Project Reports

The purpose of this paper is to discuss the quality improvement project, implementation of the post fall huddle in a long-term care facility. Falls are the most common problem in adults 65 years and older. Falls in this population can have devastating effects, often leading to significant changes in morbidity or death. Adults in long term care settings have an increased risk of falling and having a subsequent fall due to an acute illness, weakness, or confusion (CDC, 2015). At the skilled facility, there has been a significant increase in hospitalizations due to injuries sustained from falls. To address this ...

Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach

Honors Theses

Pregnancy is a period of great change in a woman’s body as her baby develops. During this period, women commonly experience symptoms of anxiety (Dennis et al., 2017) and depression (Shidhaye & Giri, 2014). Literature has suggested that socioeconomic status (SES) can contribute to the severity at which pregnant women experience anxiety and depression (Arora & Aeri, 2019; Field et al., 2008; Shagufta & Shams, 2019), and women of low socioeconomic status may be more likely to experience symptoms of anxiety and depression during pregnancy (Field et al., 2008). The present study aimed to assess the relationships between household income and experience of anxiety and depression symptoms, in pregnant women in Mississippi. Specifically, it was hypothesized that lower SES would be associated with increased experience of anxiety and depressive symptoms. Participants included 557 pregnant women (77.4% white; M_age = 28.42) recruited at an OBGYN clinic in north Mississippi. Demographics questionnaire and several self-report measures including the Depression Anxiety Stress Scale-21 (DASS-21; Lovibond & Lovibond, 1995) and the Edinburgh Postnatal Depression Scale (EPDS; Cox, Holden, Sagovsky, 1987) were completed. Results demonstrated that symptoms of anxiety measured by the DASS-21 were significantly higher in pregnant women earning less than $10,000 per year than all other income brackets (with the exception ...

An Examination Of The Association Between State Medicaid Perinatal Services And Birth Outcomes, Joy Morgan Myers

Honors Theses

This thesis investigated the connection between socioeconomic status, healthcare coverage, and birth outcomes. The research question that was posed specifically looked at twenty perinatal services that states covered under Medicaid to varying degrees to see their association, if any, with premature birth rates and low birthweight rates. State-level and Mississippi county-level data were compiled regarding preterm birth rates, low birthweight rates, presumptive eligibility adoption, and coverage of twenty different perinatal services. Using these data, the correlation between state Medicaid expansion status and birth outcomes was first calculated in order to determine if variation in birth outcomes was associated with expanded ...

Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King

Politics Honors Papers

This work examines the gap that exists in access to health care in the Greater Philadelphia Region for children of Latinx immigrant families in comparison to other children in the nation. It provides a critical analysis of the gap in access to coverage, noting that this exists despite wide support for a human right to health. This study draws on existing scholarly research as well as interviews with staff at two health clinics and one community outreach center that are located in Greater Philadelphia. It demonstrates that Latinx immigrant families are less likely to have health insurance and get primary ...

“A Moral Imperative To Prevent Aids”: Race And Religion In Atlanta’S Aids Activism, 1981-1993, Madison Bailey

Honors Theses

The early years of the AIDS epidemic marked a tumultuous period of American history, calling into question the authority of doctors and the ability of scientists to cure disease. Already marginalized groups, such as gay men and intravenous drug users, appeared to be most vulnerable to a deadly virus with no cure or effective treatments. In the face of discrimination, activists rose up to provide necessary services for AIDS patients and advocate on their behalf. This activism uniquely characterized the early AIDS epidemic and permanently changed the field of biomedical research. The current historiography of AIDS activism tends to focus ...

“Disbelieving Black Women To Death”; The “Double Jeopardy”: Racism And Sexism Affects Black Women’S Access To And Quality Of Care During Pregnancy, Birth, And Postpartum, Madeline St. Clair

Theses/Capstones/Creative Projects

This paper explores possible reasons why Black women in the United States experience a higher maternal mortality rate than their white counterparts. Using books, articles, journals, documentaries, personal experiences and stories of Black women and mothers, I argue that barriers from the societal to the individual level create health and medical disparities for Black mothers in pregnancy, during delivery, and the postpartum period. The paper concludes with a multifaceted solution and call to action.

The Role Of Culture In Engaging The Senior Population In Omaha, Ne, Jamie Bish

Theses/Capstones/Creative Projects

In recent years, the senior care industry has become the focus of many public health initiatives as we have come to better understand the significance of our aging population (Olivari et al., 2020). Between the years 2010 and 2050, the population of the United States over 65 years is expected to more than double, from 40.5 to 89 million (Dall et al., 2013). While this data provides a national outlook, further research is needed to determine local impacts. This project centers on developing a better understanding of the demographics of seniors in the Omaha-Council Bluffs Metropolitan Statistical Area and ...

From Burnout To Wellness: Using Appreciative Inquiry To Shift Midmichigan Health Towards A Strengths-Based Perspective, Kunal Chohan, Karen Fetzer, Sophia R. Heiser, Seth Norman

Master of Applied Positive Psychology (MAPP) Service Learning Projects

Over half of providers in the healthcare field experience burnout. Burnout syndrome is defined by the prolonged psychological and physiological response to chronic and interpersonal job stressors, and can result in a number of symptoms that negatively affect workplace morale and performance, including physical exhaustion, job dissatisfaction, and feelings of hopelessness. MidMichigan Health (MMH), a division of the University of Michigan Health system that serves nearly 1 million people in Michigan, has created the Provider Wellness and Burnout Council (PWBC) to address issues of burnout within the organization. To build on their initial work, we propose a long-term intervention based ...

Supporting Positive Lifestyle Changes Among Patients With Diabetes Mellitus Type 2, Alison Tynan

Nursing | Senior Theses

The following thesis is a compilation of literature reviewed to formulate background research for a pilot study. The literature reviewed pertains to the potential benefit of added case management for patients with diabetes mellitus type 2. A proposed pilot study, based off of this research, aims to identify topics, tools, facts, and changes that can be made to case management to improve not just the biological aspects, like HbA1c levels, but the mental and emotional as well to allow for whole person care.

The primary question being asked is “what types of support do people with diabetes mellitus type 2 ...

Managing Burnout And Secondary Traumatic Stress In Human Service Organizations, Naomi Ingram

School of Professional Studies

This Case Study explores how burnout and secondary traumatic stress impact staffing, service delivery, and organizational effectiveness in a human service agency. The Case Study is focused around Ascentria Care Alliance’s Children & Family Services in Massachusetts, which encompasses three foster care programs: the Unaccompanied Refugee Minor (URM), Division of Children’s Services (DCS), and Intensive Foster Care (IFC) programs. Both individual and organizational approaches are needed to most effectively address burnout and secondary traumatic stress. Individual workers need to build resilience factors such as self-compassion and mindfulness, set appropriate boundaries with clients, engage in ongoing training, support, consultation, and ...

A Case Study On The Best Practices Of The Facilitating Organization For Peer Recovery Support Services In The State Of New Hampshire, Maggie Ringey

School of Professional Studies

In working with the Facilitating Organization for Peer Recovery Support Services through Harbor Homes, I have found that the Recovery Community Organizations that receive support through the FO provide valuable services that help individuals that struggle with substance use disorder achieve and maintain long term sobriety and recovery. The RCOs throughout New Hampshire bridge gaps in services and treatments that are left untouched by traditional clinical methods and through regular check ins, participants at the RCOs have reported that the services provided resulted in positive outcomes in their lives. Throughout the course of this research, I found that the RCOs ...

Crisis Communication And Executive Leadership: Ethical Shortcomings In Government, Daniel Davidoff

School of Professional Studies

This research thesis project is an analysis of how and why governments fail in their attempts at crisis communication. The hypotheses tested are: there exists a negative correlation between unethical leadership and successful crisis communication practices. And governments are more likely to experience these failures due to ethical disconnects in modern politics. Research includes a review of relevant academic literature regarding crisis communication theory, as well as the ethical framework that can be applied to that theory. Cases considered are Hurricane Katrina, the choking death of Eric Garner, and the COVID-19 global pandemic. The research project concludes with a recommendation ...

Rest Homes: Their Value On Massachusetts Healthcare Continuum, Ronald Pawelski

School of Professional Studies

In Massachusetts, rest homes provide cost effective care for elderly residents in a community setting. Rest homes, however, are not well-understood and the rest home industry itself suffers greatly, not only from a lack of understanding of the services they provide, but also from the strain on their financial resources due to both competition from other healthcare options and insufficient reimbursement rates for residents’ care.

The paper explores the financial challenges facing the industry and outlines the data that speaks to the value of the rest home care option for both the residents themselves and Massachusetts state healthcare budget. It ...

Diversity And Inclusion In The Workplace; Benefits, Challenges And Strategies For Success, Margaret Leone

School of Professional Studies

In this case study I have explored the topic of diversity and inclusion in the workplace and learned how it can transform a business. When D&I is a serious business strategy supported by senior management it can help recruit and retain top talent, increase profits, and unleash creativity among other benefits. It is important to have leadership that is inclusive so they can set the tone for their staff

This case study evaluates the D&I culture at The Children’s Study Home (CHS) and explores best practices for improvement. CHS is a non-profit human service agency in Western MA, that’s mission is dedicated to improving the lives of children and families through an array of services. Much of the staff are residential counselors that have hard jobs and low wages. Changing the culture of an organization takes time but if CHS adopts D&I as a business strategic goal it will improve the morale and engagement of staff and will improve the lives of the children and family that they serve.

There are some programs in the Agency that are not culturally diverse, and the Board of Directors is primarily white men. There are employee and managers that express frustration over the lack of inclusivity and belonging at CHS. They feel they are not free to be their authentic selves because of envisioned negative judgment from their managers and colleagues.

The solution is to evaluate the D&I climate of the organization and create a D&I committee to assist with strategy and decision. This study used material obtained form research and incorporated the findings into a Diversity and Inclusion Strategic Plan that is adopted for CHS.

The D&I strategic plan has three major sections. The first section is the foundation that includes our mission, core values, the things we do best and how we will get there. The second section is Strategic Objectives and Organizational goals; the 4C model; Compassionate People, Client Care, Community Engagement and Community Impact. The third section is key performance indicators which covers how we will measure success and make D&I a strategy that is a habit. This plan will take a while to implement and I imagine there will be changes and additions, but it will be worth it.

Becoming A Trauma Informed Care Organization, Katie Robery

School of Professional Studies

The Brockton Area Mutli Services Inc or BAMSI is a private, non-profit human services organization providing services to adults and children with developmental disabilities, mental illness, behavioral health, and public health needs. Founded in 1975, BAMSI is in the business of “bringing people and services together.” BAMSI transforms lives by building the capacity of individuals, families, organizations, and communities to learn, thrive, and achieve their goals. BAMSI services promote the recovery, resiliency, and self-determination of the people we serve. As a human services leader, we strive to be the provider of choice. (Duffy, 2019) With an emphasis on respect and ...

Young People, Social Media, And Impacts On Well-Being, Andreana Nop

School of Professional Studies

Millennials and Generation Z were born into an age where social media and digital technology have been integrated in nearly all aspects of their lives. While social media has proven to be a valuable communication tool in connecting with each other and sharing information, the long-term psychosocial effects are beginning to become more apparent as social media matures. This study analyzes what these effects are and how communication is impacted for these young people. It questions how young people can leverage social media and decrease harm. The study will be conducted through a literature review and analysis. Its goal is ...

Dallas, Tx: The Staggering Wealth Gap, Macy Golman

School of Professional Studies

In the summer of 2019, I had the privilege of serving as an AmeriCorps member with an organization called Equal Heart. One of Equal Heart’s main initiatives was to provide meals to children in underserved populations, to make sure that without school in session, these children would still be receiving food. Unfortunately, in many instances, without these meals, many of the children we served would likely not know when they would be eating their next fulfilling meal. There were certain pockets of Dallas that we would travel to everyday, places that were fifteen minutes maximum from my house, but ...