Medicine and Health Sciences Commons^™

Social And Psychological Factors Associated With Health Care Transition For Young Adults Living With Sickle Cell Disease, Dora L. Clayton-Jones, Nadine Matthie, Marsha Treadwell, Joshua Field, Amy Mager, Rachel Sawdy, Safiya George Dalmida, Cynthia Leonard, Kathryn L. Koch, Kristin Haglund

College of Nursing Faculty Research and Publications

Introduction: Due to advances in disease management, mortality rates in children with sickle cell disease (SCD) have decreased. However, mortality rates for young adults (YA) increased, and understanding of social and psychological factors is critical. The aim of this study was to explore factors associated with health care transition experiences for YA with SCD.

Method: This was a qualitative descriptive study. A 45-minute semistructured interview was conducted with 13 YA (M = 21.5 years, SD = 1.73).

Results: Results suggest that social and psychological factors and self-management experiences influence health care transition. Eight themes emerged: “need for accessible support”; “early …

Trauma Experiences And Perspectives: An Evidence-Based Practice Project, Libby Blattner, Melanie Homan, Ellie Leabch, Jennifer Malwitz, Faye Mcguire, Rachel Mcpherson, Julia Rupp, Maria Tonn, Hannah Zenisek, Julie D. Bass

Graduate Occupational Therapy Research and Projects

This Evidence-Based Practice (EBP) project examined the following questions:

• How do individuals who have experienced trauma or adverse childhood experiences describe their experiences and the impact trauma has had on their life?
• How do healthcare professionals describe their experiences of working with individuals who have experienced trauma or adverse childhood experiences and their perspectives on trauma-informed training and approaches?

Understanding Participation In A Community-Based Art Program, Melody Taban, Otd, Otr, Gabrielle Kains, Otd, Otr/L, Lydia Navarro-Walker, Otd, Otr/L, Namrata Grampurohit, Phd, Otr/L

Department of Occupational Therapy Posters and Presentations

Objectives

1. To understand the perceived benefits of occupational engagement with art for people with dementia and their informal caregivers
2. To understand the art program’s influence on interpersonal relationships

Persistent Organic Pollutants (Pops) Increase Rage Signaling To Promote Downstream Cardiovascular Remodeling, Jackson B. Coole, Stephanie S. Burr, Amber M. Kay, Jaime A. Singh, Sandeep Kondakala, Eun Ju Yang, Barbara L.F. Kaplan, George E. Howell, James A. Stewart

Faculty and Student Publications

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Background: Antimicrobial resistance (AMR) is a global threat and the antimicrobial stewardship program (ASP) is a globally used tool to combat AMR. There is little information on the views among Pakistani physicians regarding AMR and the benefits of hospital antimicrobial stewardship implementation. This study was designed to explore the physicians’ views about ASP. Methods: Qualitative face-to-face and telephonic interviews were conducted by using purposive sampling method with 22 physicians working in seven tertiary care public hospitals of Punjab, Pakistan. All interviews were audio recorded and transcribed verbatim. Qualitative software was used, …

Experiences Of Violence Among Female West African Asylum Seekers In Atlanta: A Qualitative Analysis, Kathleen E. Curtis, Dabney P. Evans

Journal of the Georgia Public Health Association

Background: As the world faces the greatest number of displaced persons in history, it is urgent for countries offering refuge and asylum to understand the needs of these vulnerable populations. Asylum seekers face great uncertainty in the US legal system, and female asylum seekers often face additional challenges. The Atlanta Asylum Network (AAN) facilitates access to low or no-cost physical, psychological and gynecological evaluations to enable a fair and complete judicial process. The purpose of this analysis is to assess the presence of various types of violence experienced by a population of female West African asylum seekers, and to make …

Stages Of Change, Smoking Behavior And Acceptability Of A Textmessaging Intervention For Tobacco Cessation Among Cigarette, Dokha And Shishasmokers: A Qualitative Research Study, Yusra Elhidaia Elobaid, Andrea Leinberger Jabari, Aisha Al Hamiz, Abdul Rizzak Al Kaddour, Sherif Bakir, Heba Barazi, Elisa Kazim, Scott Sherman, Raghib Ali

All Works

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. To explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study using text messages as an intervention for tobacco cessation. Design Qualitative research using focus group discussions and content analysis. Setting(s) Two universities, one of them is the first and foremost comprehensive national university in the United …

Barriers To Health Among Idps In Kabul, Afghanistan: A Qualitative Study, Yagana Parwak, Madhavi Dandu, Rohini J. Haar

Journal of Refugee & Global Health

Background: Forced displacement is a significant problem for regions experiencing prolonged humanitarian crises due to armed conflict. Afghanistan, having experienced over four decades of conflict, has an estimated 1.2 million internally displaced persons (IDPs), a majority of which are concentrated in urban centers. IDPs have limited resources and face challenges accessing health services through traditional channels, leading to a disproportionate burden of morbidity and mortality. Health care facilities created for and existing within IDP camps also face numerous challenges. We aim to understand the structural factors that negatively impact health and the specific barriers to healthcare access for IDPs using …

Creating A Culture Of Courage: A Behavioral Health Study Of Resilience And Response To Traumatic Events For Firefighters, Brett Ellis

CUP Ed.D. Dissertations

Firefighters experience a variety of challenging situations and traumatic events while performing necessary job duties as public servants, which can create behavioral health concerns and even suicide ideation. The purpose of this study is to recognize how individual resilience relates to lived experiences for firefighters who may need next-level behavioral healthcare, which in turn, will identify higher “at risk” firefighters with suicide ideation who need increased mental and emotional care outside of peer interventions. The fundamental question centers on what role does individual resilience, as well as formal and informal resources of behavioral health support, play in mitigating the impact …

A Phenomenological Investigation Of Women’S Infertility And Miscarriage Grief Experiences, Tristan Mcbain

Dissertations

Infertility and miscarriage are reproductive losses that often produce grief reactions in affected women. This phenomenological study investigated the grief experiences of infertility and miscarriage through the ambiguous loss and disenfranchised grief frameworks in order to better understand both the obscurity of reproductive loss and how the resulting grief may be invalidated.

Sixteen women volunteered to participate in this study and each fell into one of the following three categories: women affected by infertility without miscarriage (4); women affected by miscarriage without infertility (4); and women affected by infertility and miscarriage (8). A phenomenological hermeneutic approach was utilized to uncover …

Exploring Rural And Urban Go Nap Sacc Trained Child Care Providers Perceptions And Needs Regarding The Promotion Of Physical Activity And Healthy Eating, Kailey Snyder, Zainab Rida, Emily Hulse, Dipti Dev, Danae Dinkel

Health and Kinesiology Faculty Publications

Introduction: Early childhood is an optimal time to support the development of physical activity and healthy eating behaviors. As over half of children are cared for in family child care homes and child care centers it is crucial to ensure these behaviors are being supported in the childcare setting. One such process that supports provider’s education and implementation of healthy behaviors in the childcare setting is the Nutrition and Physical Activity Assessment in Child Care (Go NAP SACC). However, after participation in Go NAP SACC, little is known regarding how to further support providers in their promotion of healthy behaviors. …

Elevating Student Understanding: Irish Occupational Therapy Students’ Experience Of A Service Learning Project, Karen Mccarthy, Marian Mccarthy

Karen McCarthy

Service learning is a pedagogy that embraces learning in action and addresses community needs. Since the adoption of the Occupational Therapy Competencies in 2008 and the launch of national occupational therapist registration in Ireland in 2015, there has been limited research on the effectiveness of service learning pedagogies in Irish higher education for meeting core competencies. The majority of research focusing on evaluating service learning have been North American studies which brings to question the relevance of these service learning outcomes beyond North America and specifically Ireland. This qualitative study examined 11 occupational therapy students’ journal reflections, portfolio entries, and …

A Qualitative Phenomenological Exploration Of The Experiences Of Individuals With Parkinson’S Disease Engaged In A Boxing Program, Bradley Maccosham, Evan Webb, Jessica Oey, Francois Gravelle

The Qualitative Report

Boxing has emerged as a beneficial form of physical activity (PA) for individuals with Parkinson’s disease (PD). Research typically emphasizes the physical benefits of boxing for individuals with PD but neglects other aspects that could promote long-term engagement in such programs. This study qualitatively explored the experiences of individuals with PD who are engaged in a boxing program. A qualitative phenomenological methodology was utilized. Twelve participants took part in a semi-structured interview. Data were thematically analyzed. Analysis revealed that participants experienced a variety of physical, social, and psychological aspects. Findings suggest that participants perceived increases in physical abilities and concentration …

A Qualitative Analysis Of Problematic And Non-Problematic Alcohol Use After Bariatric Surgery, Danielle L. Reaves, Joanne M. Dickson, Jason C. G. Halford, Paul Christiansen, Charlotte A. Hardman

Research outputs 2014 to 2021

OBJECTIVES: Bariatric surgery is an effective weight loss tool, but an under-communicated side effect may include the increased risk for alcohol problems. Few studies have examined contributors towards alcohol problems following surgery using a qualitative approach. Therefore, the current study aimed to generate insight informed by participants with problematic alcohol use following bariatric surgery, in comparison with participants without.

METHODS: Participants (14; females, n = 9; males, n = 5) completed semi-structured interviews using questions relating to alcohol use, relationship to food, support and surgical experiences. Thematic analysis was conducted to provide insight into the factors which influenced drinking behaviours …

New Graduate Nurses' Understanding And Attitudes About Patient Safety Upon Transition To Practice, Melanie Murray, Deborah Sundin, Vicki Cope

Research outputs 2014 to 2021

AIMS: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety.

BACKGROUND: New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care.

DESIGN: Qualitative descriptive approach using semi-structured interviews.

METHODS: Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data …

Educational Reinforcements Of And Challenges To Gender Norms In Urban Sri Lanka, Ruvani Fonseka

Faculty Research, Scholarly, and Creative Activity

Background:
In 2013, over half of surveyed Sri Lankan men and women expressed gender-inequitable attitudes equating masculinity with violence, and femininity with obedience to men. Gender-inequitable attitudes have been shown to be linked to gender-based violence (GBV) in multiple contexts.
The goal of this research was to identify points of intervention at which programmes and policies could cultivate gender-equitable attitudes among youth in Sri Lanka, with a goal of reducing GBV in adulthood.
Methods:
Over 9 months, the lead author interviewed 18 young adults (ages 18-30) in urban Sri Lanka to understand how their experiences influenced their gender identity, as …

“Do I Need Exercise?” A Qualitative Study On Factors Affecting Leisure-Time Physical Activity In India, Shalini Garg, V Raman Kutty

The Qualitative Report

Physical activity can reduce the risk of premature mortality from various chronic diseases. Previous research in Kerala, India indicates several barriers which can impact physical activity levels. Perceptions about the importance of health-promoting physical activity were examined among adults in Kerala and various facilitators, motivators and barriers to physical activity were identified using focus group discussions and interviews with key informants. At present, the attitude of people and health professionals is that physical activity has to be taken up when diagnosed with a disease (obesity, diabetes) and advised by a health professional. Men were more likely to start exercising after …

Waiting For A Liver Transplant: A Qualitative Study, Ayoka Badmus

Dissertations & Theses (Open Access)

Background: Advances in liver transplantation have significantly improved survival rates, making liver transplant a viable option for those with End Stage Liver Failure (ESLF). However, patients diagnosed with ESLF may experience a significant period of waiting before a liver transplant surgery, due to a limited supply of donor livers. Empirical evidence is scarce on the experience of patients waiting for a liver transplantation.

Objective: The objective of this study was to explore the waiting experience of patients diagnosed with ESLF and to identify their perceived challenges and needs while waiting for a liver transplant.

Methods: Using a generic qualitative …

Mississippi Registered Nurse Perceptions When Communicating With Limited-English-Speaking And Non-English-Speaking Patients, Mary Pipper Widdig

Dissertations

Communication serves as the foundation for safe and effective healthcare practice. Effective nurse-patient communication is the cornerstone of the nurse-patient relationship and is vital for the delivery of safe and effective healthcare. Research has shown patients who are communication impaired are at a greater risk of medical error and poorer health outcomes. A review of the literature revealed various nurse perceptions of barriers when providing care for limited-English-speaking patients and non-English-speaking patients. LEP and NEP patients also identified similar perceived barriers when receiving care. Both nurses and patients revealed a distrust for interpreters and interpreter services. The literature review revealed …

Living As A Dying Child: A Gadamerian Analysis Of The Poetry Of Mattie J. T. Stepanek, Corinne Ann Settecase-Wu

Dissertations, Theses, and Capstone Projects

Yearly, approximately 500,000 children live with life-limiting conditions in the United States; 50,000 die. Yet, details regarding children’s days of living as dying are unknown. The aim of this qualitative hermeneutic study is to gain understanding of the phenomenon of living as a dying child. A Gadamerian-inspired approach was implemented to underpin the study, and to analyze poetic text to address the research question: What is it to be living as a dying child? The text sample included 499 poems written by Mattie J. T. Stepanek, a dying child. The Settecase-Wu Conceptual Guide was developed and implemented to ensure accuracy …

“Can I Still Get A Tattoo?” Patients’ Experiences Across The Clinical Trajectory For Metastatic Melanoma: A Dynamic Narrative Model Of Patient Journey, Klay Lamprell, Melvin Chin, Jeffrey Braithwaite

Patient Experience Journal

Advanced and metastatic cancer has a complex diagnostic and management profile that places a heavy long-term burden on patients and healthcare systems. Little attention has been given to patients’ experiences across their entire clinical journey. Using a qualitative, longitudinal methodology over a ten-month period, we examined the symptom-to-outcome trajectories of seven people attending a medical oncology clinic at a large, public tertiary referral center in Sydney, Australia. Rather than care being experienced as a largely linear progression through diagnosis, treatment and onto surveillance in which life may return to ‘normal’, participants are embedded in a cyclical clinical pathway. Recurrence or …

Integrating Quality Of Life Assessments In Student Clinical Learning Experience / Intégration D’Une Évaluation De La Qualité De Vie Dans Les Situations D’Apprentissage Clinique Des Étudiantes, Tracy Stephen, Andrea Orr, Landa Terblanche, Richard Sawatzky

Quality Advancement in Nursing Education - Avancées en formation infirmière

Healthcare organizations and governments increasingly emphasize the importance of viewing patients and families as equal members of the care team, with the right to participate in decisions affecting their care. In order to support the imperatives of person-centred care, Quality of Life (QOL) assessments are utilized more as part of routine clinical care. QOL assessments involve the use of standardized, validated questionnaires completed by patients to assess their health and quality of life from their own point of view.

In an effort to support transformational learning about QOL assessments, fourth-year students in a BSN program completed an assignment that involved …

Examining The Lived Experience Of Mild Cognitive Impairment: An Evidence-Based Practice Project, Kaitlyn Kurtz, Rachel Matuseski, Ava Mckee, Vincent Murphy, Megan Peterson, Rachel Polland, Leigha Rudd, Elly Ryan, Maddie Troske, Julie D. Bass

Graduate Occupational Therapy Research and Projects

This Evidence-Based Practice (EBP) project addressed the following question: What are the perspectives, experiences, and self-reports of adult individuals, groups, or populations who have MCI or report problems with Functional Cognition (and / or their caregivers)?

The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston

Staci Born

More than seven million people of childbearing age in the United States experience infertility. Oftentimes, for women, the experience of infertility is stressful. The Fertility Problem Inventory (FPI) has been used to quantitatively measure women’s experience of infertility-related stress. However, the construct of infertility-related stress is poorly described in existing literature. The purpose of this case study was to understand how women experience the FPI as a measure of infertility-related stress. To address this issue, women who were undergoing infertility treatment completed the FPI and participated in unstructured interviews. Archival documents were also retrieved to corroborate findings and satisfy saturation. …

A Phenomenological Exploration: The Black Bile Of Depression, Charles L. Dunlap Ii, M.A.

Counseling and Family Therapy Scholarship Review

The phenomenon of depression manifests itself in many different forms, haunting us with its simultaneously inescapable, diffuse and pervasive presence. The rich thickness of depression is often severely drained and confined within the overall field of psychology, in which this phenomenon is regularly expressed as an all-encompassing, diagnostic label, to limitedly describe an almost endless number of symptomatic permutations. We shall attempt to distill something of depression’s essence in returning to its ancient, etymological, spiritual and metaphysical roots, in order to begin transcending the traditional clinical notion of depression as simply a disease to be cured and suppressed. The relatively …

A Narrative Inquiry Of Associate Degree Nursing Students' Stories About Their Experience Of Academic Misconduct, Bridget Anne Maley

Dissertations, Theses, and Capstone Projects

Academic misconduct is a growing national and global concern. There is a paucity of literature on academic misconduct in nursing. Among the research studies that have been conducted, all but one were quantitative. The purpose of this study is to gain a deeper understanding of Associate Degree (AD) nursing students’ experiences with academic misconduct during their nursing education. This study utilized the qualitative method of narrative inquiry to address the research question: What are the stories of Associate Degree nursing students with academic misconduct experiences during their nursing education? This sample included five volunteer research participants who were current associate …

A Qualitative Evaluation Of The Interprofessional Student Hotspotting Learning Collaborative: Perceptions Of Student And Faculty Advisor Participants, Ashley Traczuk, Bsn, Rn, Angela Gerolamo, Phd, Rn, Elena Umland, Pharmd

Phase 1

Introduction: Student participation in interprofessional education has proven beneficial in regards to students’ understanding of professional roles, team situational awareness¹,and appreciating the need for collaboration². The interprofessional student hotspotting learning collaborative enables students to work in teams to help serve patients categorized as health-system “super-users”, defined as those who overuse inpatient and/or emergency hospital services, over a period of six months’ time. This model will allow students to have real patient encounters and to begin utilizing their own roles within interdisciplinary teams.

Objective: This study aims to evaluate the impact of the interprofessional student hotspotting learning …

An Exploration Of The Lived Experience Of Women Who Had Abortions And The Effects Of The Abortion Secret On Their Relationships: An Interpretive Phenomenological Analysis, Marckdaline Johnson

Department of Family Therapy Dissertations and Applied Clinical Projects

The United States Supreme Court decision in the Roe v. Wade (1973) case provides women with a right to privacy and the liberty to make decisions concerning their reproductive lives. With this, women who become pregnant are offered the right to choose between keeping their pregnancy and terminating the pregnancy by way of abortion. Since Roe v. Wade (1973), many women have exercised their reproductive liberties, as evidenced by the termination of over 60 million pregnancies via legal abortion in the United States. Still, secrecy among women with a history of abortion remains a common phenomenon. Studies conducted on abortion …

Transgender Parent Differentiation: A Heuristic Phenomenological Study, Eva Smidova

Department of Family Therapy Dissertations and Applied Clinical Projects

Transgender individuals go through their intrapersonal differentiation between covert “I” (expressed gender) and overt “I” (assigned gender), often unnoticed by family members before their coming out. Consequently, their coming out rockets anxiety in the family system and the process of differentiation of transgender parents seem to go through its unique path to search for equilibrium. Recent social and clinical studies about transgender parents have paid attention to the experience and challenges of the gender transition process, social pressure, acceptance of transgender individuals in a parenting role, and readiness of families to cope with the transition of a parent (Bischof, Warnaar, …

Occupational Therapy Student Conceptions Of Self-Reflection In Level Ii Fieldwork, Susan L. Iliff, Gaylene Tool, Patricia Bowyer, Diane Parham, Tina S. Fletcher, Wyona M. Freysteinson

Journal of Occupational Therapy Education

Self-reflection is paramount to the development of professionalism and serves as the foundation of adult education and lifelong learning. Pedagogical approaches in health sciences programs that promote self-reflection are growing in popularity. Current literature identifies a gap in what and how students conceive self-reflection and whether self-reflection is creating professionals that meet the challenges of today’s healthcare climate. This qualitative study explores the conceptions of self-reflection for occupational therapy students in Level II Fieldwork. The use of phenomenographic methodology guided the collection of information-rich data through semi-structured interviews. Twenty-one occupational therapy graduates volunteered to participate in the interviews. Verbatim transcripts …

Elevating Student Understanding: Irish Occupational Therapy Students’ Experience Of A Service Learning Project, Karen Mccarthy, Marian Mccarthy

Journal of Occupational Therapy Education

Service learning is a pedagogy that embraces learning in action and addresses community needs. Since the adoption of the Occupational Therapy Competencies in 2008 and the launch of national occupational therapist registration in Ireland in 2015, there has been limited research on the effectiveness of service learning pedagogies in Irish higher education for meeting core competencies. The majority of research focusing on evaluating service learning have been North American studies which brings to question the relevance of these service learning outcomes beyond North America and specifically Ireland. This qualitative study examined 11 occupational therapy students’ journal reflections, portfolio entries, and …