Social and Behavioral Sciences Commons^™

Drug Use And Harm Reduction: Community Readiness As Pathway To Well-Being And Reintegration, Lauretta Ekanem Omale

Dissertations

Drug abuse negatively impacts the life and well-being of those who use drugs; this harm often extends to their loved ones, communities, and society. One presumptive set of psychological explanations for drug abuse is an addictive personality, a psychological susceptibility resulting from challenging family relationships, inadequate reinforcement, the absence of healthy role models, conflicting parental expectations, and a lack of love and respect. Harm reduction is a public health approach that focuses on minimizing the harmful effects of drugs and reducing judgment. It aims to meet people where they are in life and provide judgment-free, empathetic, supportive, and needed medical …

How Exemplary Chief Nurse Executives Utilize The Six Domains Of Conflict Transformational Strategies To Establish Common Ground And Produce Breakthrough Results, Michael Thompson

Dissertations

Purpose: The purpose of this phenomenological method study was to identify and describe strategies that exemplary chief nurse executive leaders use to identify and establish common grounds to produce breakthrough results in healthcare by using the six domains of transformational conflict strategies: collaboration, communication, emotional intelligence, ethical behaviors, problem solving, and shared interest.

Methodology: As a part of the thematic phenomenological study, the research identified and described the lived experiences of eight exemplary chief nurse executive leaders in health care who used conflict transformational strategies to find common ground to produce breakthrough results. The target population for the study included …

How System Efficacy Affects Risk Perception: Comparison Of The United States, Iran, And China Throughout The Covid-19 Pandemic, Nazanin Bani Amerian

Dissertations

The current study fills a gap in the risk and health communication literature that deals with perception of risk. The extended parallel process model (EPPM) and associated Risk Behavior Diagnosis Scale lack consideration for attenuated perceptions of risk when people believe that some agent (e.g., government agencies or first responders) will protect them from a hazard. This project’s intention is to establish the validity of a new concept, system efficacy, as an addition to the EPPM model. System efficacy supplements current use of self and response efficacy. In addition, this study tries to investigate how culture affect risk perception by …

Life Matters, Marina Fischer

Dissertations

Problem: One of the challenges facing many primary care providers is managing hypertension. Hypertension contributes to cardiovascular disease events. Consequently, the high occurrence of hypertension related visits signifies a clinical practice gap in hypertension management resulting in substandard blood pressure outcomes. The purpose of this clinical scholarship project was to assess the difference of pre and post Quality of Life Scale (QOLS) scores in a hypertensive population.

Methods: This quality improvement project used a longitudinal, observational design with prospective data collection. The sample included newly diagnosed hypertensive adults ages 21 to 64 years old. The sample was administered the World …

Media Narrative Competition Between The U.S. And China During Covid-19, Zhenzhu Zhang

Dissertations

This study examines the narratives that were presented in Chinese and American media by using Dr. Li Wenliang (one of the first people who tried to raise the alarm about the outbreak of COVID-19), and the COVID-19 origin controversy as case studies to understand how these news stories conflicted and which tellings became dominant. The way these two cases have been depicted in the media has changed over time. Understanding how that depiction changed is important because it helps demonstrate how narratives function to frame crises. The current study uses narrative, and framing theories to support thematic analysis of news …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

Narcan Can Save Your Loved One: Designing Messages For The Opioid Crisis Using The Extended Parallel Process Model, Braden Bagley

Dissertations

In 2017, the United States Department of Health and Human Services (HHS) declared the opioid epidemic a public health emergency. The opioid epidemic has become widespread because of over prescription and extreme addiction. In recent years, the crisis has become dire because of the staggering annual death toll from overdoses. Although the number of opioid-related deaths has risen, so too have the innovations designed to combat opioid abuse and overdoses. The use of naloxone is a safe and reliable option for treating overdose victims. In fact, many first responders are primarily relying on the medication in such emergencies. This study …

The Importance Of Responsiveness: Improving Health-Related Outcomes Among Ostomates, Carrie Reif

Dissertations

More than 750,000 individuals in the United States live with an ostomy appliance, and additional 130,000 patients undergo ostomy surgery each year (United Ostomy Association of America, 2018). Although a life-saving procedure, patients confront significant physical (e.g., bowel routine and activity levels) and emotional (e.g., poor body image and depression) challenges that impede the adjustment process. When faced with health-related threats, the transactional action model of stress and coping argues that patients use strategies, such as seeking support, to effectively cope. However, because of perceptions of felt and enacted stigma and health-related uncertainty, some patients conceal ostomy-related issues and limit …

Exploring Organizational And Professional Commitment, Servant Leadership, Occupational Stress, And Humor Perspectives: How Nurses Manage, Brian Steven Perna

Dissertations

The primary research objective of this study was to explore how nurses’ communication influences organizational commitment, professional commitment, servant leadership, occupational stress, and humor use. These concepts were approached qualitatively to obtain deep and rich information about communication influences on nurses’ work lives.

A total of 34 nurse participants from network sampling and snowball sampling techniques were interviewed for this study, most from a medium-sized southeastern hospital. Specifically, semi-structured interviews were conducted where participants were asked to provide perspectives regarding communication events of organizational commitment, professional commitment, servant leadership, occupational stress, and humor use. These perspectives were analyzed using Strauss …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

A Mixed-Methods Study: An Examination Of The Relationship Between Private Social Media Participation And Accountability, Adherence, And Social Connectedness In, Diana A. Cabori

Dissertations

Purpose: The purpose of this mixed-methods sequential explanatory study was to examine the influence of private social media usage on accountability, adherence, and social connectedness in weight loss and fitness program participants.

Methodology: This study utilized a mixed-methods sequential explanatory research design comprised of a multi-state quantitative survey of weight loss and fitness participants and subsequent qualitative interviews to elucidate the influence of private social media on weight loss and fitness program participants regarding program accountability and adherence, and social connectedness to others. The population included 3,000 participants of The Camp Transformation Center and 1,000 participants of Warrior Fitness and …

Group Empowerment Capacity And Capability In Associate Degree Schools Of Nursing In The United States, Christy Lee Savell

Dissertations

The purpose of conducting this research was to determine the perception of group empowerment capacity (EC) and group empowerment capability (E) among faculty and administrators in associate degree nursing programs (ADN) in the United States (U.S.), whether there was a significant difference in the scores of EC and E between the two groups and if there was a significant relationship between the mediating variables and EC. The study was conducted online with administrators and faculty of ADN programs throughout the United States (U.S.). Information letters with questionnaire links were sent to all members of the Organization of Associate Degree Nurses …

Family Communication Motivating Athletics Over Generations: A Mixed Method Expansion Of Self-Determination Theory, Elizabeth Hanson Smith

Dissertations

Mixed methods were utilized to test the communication within a model of self-determination (Deci & Ryan, 1985) in a multi-generational sports framework in order to argue for an update to self-determination theory (SDT) that includes a communication element. Fourteen qualitative research questions were posed to examine how communication functioned to move tennis players, golfers, and runners from the initial family influence in participating, to integrating family values to the extent that participants modeled athletic values to offspring and community members. Three hypotheses correlating the variables of self-efficacy, autonomy-controlling and autonomy-supportive family communication supported the argument that communication functioned to develop …

Maximizing Doctor-Patient Communication Of A Positive Hiv/Aids Test Result: A Best Practices Approach, Vikki Yashandra Spann

Dissertations

The purpose of this study was to examine healthcare practitioner (HCP) communication of a positive human immodeficiency syndrome/acquired immunodeficiency syndrome (HIV/AIDS) test result in an effort to find best practices. The population of this study included healthcare practitioners who had to disclose a positive HIV/AIDS status to a patient. Data from specific accounts recalled by the healthcare practitioners were analyzed using grounded theory approach. The first research question was concerned with the strategies used by healthcare practitioners. The results indicated that there are two primary strategies used in HIV/AIDS disclosure: strategic interactive facilitation and strategic interactive force. The second and …

Age, Gender, Race, And Culture In The Er: A Content Analysis Of End-Of-Life Issues In The Television Drama, Katrina Wilson Burtt

Dissertations

Within one of the most popular television dramas on American television, hundreds of depictions of end-of-life (EOL) care and decision-making conveyed impressions of how death and dying occurred in a hospital. This content analysis of EOL incidents that appeared in every episode of the television drama ER indicated that viewers got powerful messages about EOL. The long-playing, popular television drama exaggerated the role of physician within the EOL scenes and minimized the roles of women, racial minorities and ethnic groups. Notably lacking from the EOL content were accurate or positive representations of racial, ethnic or cultural differences in death and …

Planned Parenthood Takes On Live Action: An Analysis Of Media Interplay And Image Restoration Strategies In Strategic Conflict Management, Leslie Lynn Rasmussen

Dissertations

On February 1, 2011 the pro-life organization Live Action released videos that appeared to show Planned Parenthood clinic staff disregarding statutory rape and abortion reporting laws and aiding sex traffickers. The videos posted online quickly garnered over a million views and placed Planned Parenthood at the forefront of national news. The Federal government intervened and threatened to remove funding to the Title X organization. Planned Parenthood launched a campaign to retain funding using social media and controlled online media, and attempted restore its image as a reputable healthcare provider while engaged in conflict with Live Action.

A content analysis was …

The Rhetorical Strategies Of Pregnancy Support Centers Including The Visual Rhetoric Of Fetal Ultrasound Technology, Raymond Kyle Jones

Dissertations

This study examined the rhetorical strategies, including verbal and visual rhetoric, of pregnancy support centers that provide clients with fetal ultrasounds to persuade those who may be considering abortion as a means of resolving their unplanned pregnancy to carry to term. Qualitative data were gathered from 12 interviews of directors and ultrasound personnel from 7 states as well as from television advertisements and printed material. Eighteen research questions investigating the rhetorical transactions between centers and clients were answered. Rhetorical analyses were performed on the verbal and visual messages used in client interactions.

The grounded theory approach of inquiry resulted in …