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Articles 1 - 5 of 5
Full-Text Articles in Medicine and Health Sciences
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Full-Text Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Loneliness And Perceived Stigmatization Among Older Adults Enrolled In Opiate Substitution Treatment Programs And The Utilization Of Mental Health Services, Jennifer B. Armstrong
Antioch University Full-Text Dissertations & Theses
Little research has examined the role that loneliness and perceived stigmatization play in the decision to seek mental health services among older adults enrolled in opiate substitution treatment. Researchers studying this at-risk population have called for more studies to examine services that can be implemented within current opiate substitution treatment settings. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between loneliness, perceived stigmatization, and the impact of said variables on the utilization of available mental health services among older adults enrolled in opiate substitution treatment programs. Ninety-four 50-71-year-old adults from an opiate …
Toward Transforming Health Systems: A Practice Study Of Organizing And Practical Inquiry In Academic Medicine, Thomas A. Ellison
Toward Transforming Health Systems: A Practice Study Of Organizing And Practical Inquiry In Academic Medicine, Thomas A. Ellison
Antioch University Full-Text Dissertations & Theses
Transformation of health care systems will be grounded in new professional relations and collective, cross-disciplinary actions to impact care delivery. Organizing such relations and actions involves practical inquiry rather than applying professional knowledge. This dissertation presents an exploratory, performative study of the initial organizing of the Health Systems Innovation and Research (HSIR) Program in Health Sciences at the University of Utah. The HSIR program was conceived principally to catalyze cross-disciplinary innovation and health services research and enhance care delivery changes by documenting care improvements and publishing research. This study includes a composite narrative of the organizing and practical inquiry work …
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman
Antioch University Full-Text Dissertations & Theses
Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
A Phenomenological Study: Marriage And Family Therapists' And Clinician's Perceptions Of How Secondary Traumatic Stress Affects Them And Their Families, Norja Elizabeth Cunningham
Antioch University Full-Text Dissertations & Theses
Multiple facets of clinicians' lives are influenced by compassion fatigue including physiological well-being, the perspective of clinicians in relation to the world, and psychological and emotional reactions to trauma triggers (Figley, 1998). Work stress research considers the systemic effects of stress on workers' relationships. Research also shows that romantic relationships are negatively influenced by work stress (Sanz-Vergel, Rodriguez, Bakker & Demerouti, 2012). This phenomenological study investigated the lived experience of three clinicians and how compassion fatigue was experienced in their relationships with their partners and children. Clinicians completed the Professional Quality of Life assessment and those with a score of …