Social and Behavioral Sciences Commons^™

Racial Disparities In Pain Management In Primary Care, Miriam Ezenwa

Journal of Health Disparities Research and Practice

This descriptive, cross-sectional, secondary data analysis was conducted to examine racial disparities in pain management of primary care patients with chronic nonmalignant pain using chronic opioid therapy. Data from 891 patients, including 201 African Americans and 691 Caucasians were used to test an explanatory model for these disparities. We predicted that: (1) African American patients would report worse pain management and poor quality of life (QOL) than Caucasians; (2) the association between race and pain management would be mediated by perceived discrimination relating to hopelessness; and (3) poor pain management would negatively affect QOL. Results revealed significant differences between African …

Nursing Student Receives Tylenol Future Care Scholarship, Bethany Brock

News Releases

Ashley Short, a junior nursing student minoring in cross-cultural nursing, is one of 40 recipients of the Tylenol Future Care Scholarship out of over 25,000 students who applied.

The Relationship Among Maternal Parenting Stress, Coping, And Depressive Symptoms Across Time, Karen Foren Lake

Theses and Dissertations

This study was a secondary analysis in which the relationship among maternal parenting stress, coping, and depressive symptoms over time in 161 low-income mothers who participated in an Early Head Start Pathways Project were examined. Measurements were assessed longitudinally over a 12 year period of time. Direct and indirect relationships were proposed between maternal mastery, pre-existing depressive symptoms, relationship with significant other, child behavior, child temperament, maternal parenting stress, coping, and later depressive symptoms. Results from path analyses showed that when assessed earlier in the childbearing years, mastery, depressive symptoms, relationship with significant other, child temperament, child behavior, and maternal …

Promoting Early Skin-To-Skin Contact And Its Effect On Breastfeeding, Jamie Atkins, Grace Frederick, Ellen Lintemuth

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

This study explores the implementation of skin-to-skin contact between mother and baby immediately following birth and its effects on: successful breastfeeding initiation, duration of breastfeeding, and breastfeeding exclusivity.

Open Access Journals: A Good Way To Go?, Joshua Neds-Fox, Alexandra Sarkozy

Library Scholarly Publications

Presentation to the faculty of the Wayne State University College of Nursing, Office of Health Research Brown Bag Series, on issues pertaining to publishing in open access nursing journals and implications for tenure, citation, copyright, etc.

Negotiating With Cultural Sensitivity: Reduction Of Medical And Medication Errors Through Meaningful Cross-Cultural Communication, Luanne Linnard-Palmer

Luanne Linnard-Palmer

Path Tortuosity In Everyday Movements Of Elderly Persons Increases Fall Prediction Beyond Knowledge Of Fall History, Medication Use, And Standardized Gait And Balance Assessments., William D. Kearns Phd, James L. Fozard Phd, Marion Becker Rn/Phd, Jan M. Jasiewicz Phd, Jeffrey D. Craighead Phd, Lori Holtsclaw Ba, Charles Dion Ma

William D. Kearns, PhD

Abstract Objectives: We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. Design: Prospective, observational study using telesurveillance technology. Setting: Two ALFs. Participants: The sample consisted of 69 older ALF residents (53 female) aged 76.9 (SD=11.9 years). Measurement: Daytime movement in ALF common use areas was automatically tracked using a commercially available ultra-wideband radio real-time location sensor network with a spatial resolution of approximately 20 cm. Movement path variability (tortuosity) was gauged using fractal dimension (fractal D). A logistic regressionwas …

De”Myth”Ifying Mental Health – Findings From A Community University Research Alliance (Cura), Rick Csiernik, Cheryl Forchuk, Mark Speechley, Catherine Ward-Griffin

Rick Csiernik

Many myths exist regarding mental illness and those with mental health issues. Under the auspices of a Community-University Research Alliance on Housing and Mental Health, a partnership between academics, community health and social service agencies and representatives of consumer-survivor groups, fourteen consumer-survivor and eight family member focus groups were held throughout Southwestern Ontario. Individual interviews were also conducted with 150 male and 150 female community-based mental health system consumer-survivors living in a variety of housing environments in London, Ontario. The findings dispute beliefs around four myths: that people with mental health problems are a homogenous population, which was highlighted by …

Rethinking Notions Of Diversity In The Context Of Homelessness, Rick Csiernik, Carolyne Gorlick, Helene Berman, Cheryl Forchuk, Susan Ray, Elsabeth Jensen, Libbey Joplin

Rick Csiernik

No abstract provided.

Diversity And Homelessness: Minorities And Psychiatric Survivors, Cheryl Forchuk, Elsabeth Jensen, Rick Csiernik, Carolyn Gorlick, Susan Ray, Helene Berman, Pamela Mckane, Libbey Joplin

Rick Csiernik

No abstract provided.

Gaining Ground, Losing Ground: The Paradoxes Of Rural Homelessness, Cheryl Forchuk, Phyllis Montgomery, Helene Berman, Catherine Ward-Griffin, Rick Csiernik, Carolyn Gorlick, Elsabeth Jensen, Patrick Riesterer

Rick Csiernik

The study examined rural housing and homelessness issues and looked at similarities and differences between rural and urban areas. It involved a secondary analysis of focus group data collected in a 2001-06 Community University Research Alliance study of mental health and housing. The findings highlight concerns regarding the lack of services, which can precipitate a move from a rural to an urban community. Inadequate transportation services often posed a challenge to rural residents attempting to access services. Many participants preferred rural living but felt they had to choose between residing where they wanted to and having access to essential services. …

Cultural Sensitivity, Communication, And Negotiation: Transcending Differences And Barriers Toward Better Healthcare Outcomes, Luanne Linnard-Palmer

Luanne Linnard-Palmer

Design From Within: A Resident-Based Approach To Nursing Home Design, Maureen D. Carland Ma

All Student Scholarship

This paper examined the value and impact of obtaining stakeholder input in the design of long-term care facilities. Most previous literature focused on obtaining input from an architect’s or nurse’s perspective, and very few studies have analyzed input from the residents—the primary stakeholder (Woo, Mak, Cheng & Choy, 2011). Specifically, this paper identifies and examines stakeholder input at The Maine Veterans’ Home in Scarborough, Maine.

Standardized Query Formatting, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

Evolving more than thirty years ago, the Diagnosis Related Groups (DRGs) covers a wide variety of applications that impact all health care segments throughout the United States. The DRGs are a patient classification scheme originally developed as a means of relating the type of patients a hospital treats (i.e., casemix) to the costs incurred by the hospitals.

The DRG terminology has experienced evolutionary growth through later generations: Major Comorbidities and Complications (MCC), Comorbidities and Complications (CC) and All Patient Refined Diagnosis Related Groups (APR DRG). This process directly impacts the reimbursement or payment re-distribution by Medicare and Medicaid.

Medicare continues …

Before You Write: Six Keys To Success - Creating Self Contained Information Literacy Modules, Shannon Johnson, Tammy Toscos

Shannon F Johnson

In today's competitive job market, many working adults are returning to graduate school with rusty information literacy and computer skills. Before You Write: Six Keys to Success was designed to re-introduce returning adult students to the basic skills they will need for success in a graduate program. These six modules are self-paced and utilize real world scenario based assessments. In this session, a librarian and an informatics professor will discuss the inception and implementation of this collaborative information literacy/informatics initiative.

Curriculum-Integrated Information Literacy (Ciil) In A Nursing School: A Practical Model, Carlos Arguelles

Publications and Research

No abstract provided.

Commencement Program 2012, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2012 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

24 | The University Honorees

36 | The School Honorees

54 | The Program

• School of Medicine, 55
• School of Pharmacy, 72
• School of Dentistry, 79
• School of Science and Technology/School of Behavioral Health and School of Religion, 97
• School of Nursing, 109
• School of Allied Health Professions - Physical Therapy, 117
• School of …

Chhs June 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.

Influences Of Health Insurance And Primary Care On Breast And Cervical Cancer Screening Among Black Women In Boston, Gail Barlow Gall

Graduate Doctoral Dissertations

Healthy People 2010 promoted breast and cervical cancer screening to reduce cancer among all women and reduce disparities in cancer deaths between Black and White women. The REACH 2010 program targeted improving screening rates among Black women and funded a demonstration project to provide outreach, screening, patient navigation and case management for Black women in Boston. The purpose of this study was to describe associations between health insurance and primary care (having a primary care provider [PCP], quality of communications and relationship with PCP) on differences in breast and cervical cancer screening reported by Black women born in the United …

Delivering Quality Care: The Roles And Future Of Midwives In Southern California, Abigail Jones

Scripps Senior Theses

The United States is ranked 27^th in the world for maternal mortality, yet spends twice as much on maternity care services as countries with better maternal health indicators. Stuck in a technocratic and physician-dominated maternity care system, the U.S. depends on expensive technologies to control birth out of fear of pain and litigation, costing Americans billions of dollars and depriving women of the opportunity to have a transformative birth experience. Through an analysis of the medicalization of birth and the current biomedical model in birth, in conjunction with open-ended interviews with 5 hospital midwives and 3 homebirth midwives, the …

A Multi-Component Intervention To Reduce Alcohol Consumption In College Freshmen, Kimberley L. Jelinek

Evidence-Based Practice Project Reports

Alcohol consumption is a health concern on all college campuses in the United States. College students’ alcohol consumption is a highly prevalent behavior, with 44% reporting that they are consuming alcohol at the binge level or greater (Wechsler & Nelson, 2008). The purpose of this evidence-based practice (EBP) project was to answer the clinical question: In college freshmen, how does a multi-component intervention influence alcohol consumption over a four-month period? The Transtheoretical Model of Behavioral Change (TTM) and Diffusion of Innovations (DoI) were used to guide the project. Evidence demonstrates that implementing brief intervention, promoting substance-free events, and increasing campus …

Community Health Nursing Service Learning, Joyce K. Edmonds, Diane Coste

Office of Community Partnerships Posters

Through the Service Learning Course, College of Nursing and Health Sciences, RN-BS Online Program, Senior Level Course, Community Health for RN’s and NU 461, 6 credits Student Body Registered Nurses (70-105 each semester) throughout the state seeking to obtain a Bachelor in Science of Nursing. The Institute of Medicine, Future of Nursing Report recommends increasing the proportion of nurses with a baccalaureate degree to 80% by 2020. Instructional Aim Students obtain a better understanding of public health and nursing theory and practice as they further develop their professional and civic identities through meaningful service to their communities. Service Learning Requirement …

Library Impact Statement For Nrs/Bio 517 Herpetology, Michael A. Cerbo Ii

Library Impact Statements

Library Impact Statement for NRS/BIO 517 Herpetology. No new library resources are needed to support this course. Responding library faculty member: Micael A. Cerbo II. Requesting faculty member: Nancy E. Karraker.

Gender Identity, Ethnic Identity, And Smoking Among First Nations Adolescents, Lorraine Greaves, Joy Johnson, Annie Qu, Chizimuzo T.C. Okoli, Natalie Hemsing, Lucy Barney

Nursing Faculty Publications

Smoking rates among Aboriginal adolescents are the highest of any population group in British Columbia, Canada. Recent studies suggest that substance use is affected by gender and ethnic identity among youth. The purpose of our study was to explore the association of gender and ethnic identity with smoking behaviour among First Nations adolescents. This study is based on a convenience sample (i.e., an on-hand, readily available sample) of 124 youth (123 First Nations and 1 Métis) recruited at youth drop-in centres, health fairs, and cultural activities. We obtained information on demographics, smoking history, Bem Sex Role Inventory (BSRI), composite measure …

Intrapsychic Predictors Of Professional Quality Of Life: Mindfulness, Empathy, And Emotional Separation, Jacky T. Thomas

Jacky T. Thomas

A growing literature documents the inherently stressful nature of working with persons who are suffering or traumatized, and the potential for the development of stress disorders among social workers and other helpers. Previous studies of compassion fatigue and burnout have provided important information about professional and workplace variables that might influence risk, but little attention has been given to studying intrapersonal skills/abilities that might reduce risk and/or increase resilience and work satisfaction among helping professionals. This exploratory study asked whether levels of mindfulness, empathy, and emotional separation would influence professional quality of life, including compassion fatigue, burnout, and compassion satisfaction. …

Increasing Consumer Involvement In Medicaid Nursing Facility Reimbursement: Lessons From New York And Minnesota, Edward Alan Miller, Cynthia Rudder

Gerontology Institute Publications

Medicaid is the major purchaser of nursing home care in the United States. States design their methods of reimbursing nursing homes to achieve desired policy objectives related to facility cost and quality, access to care, payment equity, service capacity, and budgetary control. The incorporation of multiple, sometimes conflicting incentives into state reimbursement systems has resulted in enormously complex and demanding methodologies that inhibit consumer participation in state rating setting decisions. In turn, the lack of consumer involvement has the potential to result in the adoption of reimbursement systems that favor industry and government interests at the expense of issues important …

Library Impact Statement For Nrs 518 Ecohydrology, Michael A. Cerbo Ii

Library Impact Statements

Library Impact Statement for NRS 518 Ecohydrology new course proposal. No new library resources are needed to support this course. Responding library faculty member: Michael A. Cerbo II. Requesting facutly member: Arthur J. Gold.

Workplace Violence: Emergency Department Versus Medical Surgical Nurses, Dakeita K. Roakes

Nursing Theses and Capstone Projects

The purpose of this study is to answer the following question: Does a registered nurses department, medical-surgical versus emergency department, change the amount of workplace violence they may experience? To accomplish this, a cross sectional descriptive study using an anonymous web-based Workplace Violence questionnaire survey by Wolters Kluwer Health was used to collect data from nurses working on medical-surgical units and in the emergency department at the facility. The findings indicate more physical violence with more frequent or occasional occurrences in emergency departments. The medical-surgical nurses reported more intimidation or emotional violence and never experience workplace violence.

Does Self-Efficacy Influence The Application Of Evidence-Based Practice?, Kathleen Abrahamson, Priscilla Arling, Jenna Gillette

Scholarship and Professional Work - Business

Background: Implementation of Evidence-Based Practice (EBP) is complex and consequently, even within organizations that have made efforts to promote EBP use, EBP is often underutilized by individual clinicians.

Purpose: The aim of our study was to better understand the relationship between self-efficacy and EBP implementation in clinical environments that have undergone efforts to increase EBP utilization. We suggest that EBP is a set of behaviors that result from individuals acquiring, applying, and sharing new knowledge with others in the organization. We hypothesize, based upon a social cognitive theoretical approach, that these behaviors are influenced by clinician perception of self-efficacy.

Methods: …

Advancing Employee Engagement Through The Development And Responsible Use Of An Internal Social Media Wiki, Marci Timlin

Nursing Posters

The purpose of this Evidence-based practice project is to increase employee engagement on the Surgical Care Unit through the use of social media. The fundamental reason for the project is to increase cohesion among employees by increasing communication, team building, and personal relationships.