Health Communication Commons^™

Message Convergence In Information Seeking And Decision Making Among Adult Children Regarding Their Parent's Diagnosis, Collyn Leggett

Master's Theses

Adult children have a unique role in caregiving and decision-making for a parent diagnosed with a life-threatening illness or condition. In this qualitative study, 15 individuals participated in one-on-one interviews to share their experience seeking information for their parent’s life-threatening diagnosis. This study utilized deductive and inductive coding approaches through axial coding, and two coders analyzed the data through a lens of message convergence framework and uncertainty management. The results show participants engage in information seeking from personal connections to the medical field to retrieve additional information from a more familiar, trusted source. The participants managed uncertainty retrospectively by reassessing …

Blind Spot: Implicit Bias In Health Care And Its Awareness Among Nursing Students At The University Of Southern Mississippi, Debora Skaliks

Doctoral Projects

While prejudice and bias are eminent topics in our society, implicit bias or unconscious bias is not as easily detected. Even though implicit bias may be a familiar concept to many, numerous healthcare workers frequently do not recognize the extent of harm such biases can impose on patients' health and outcomes. The Blind Spot DNP project exposed in this research paper explores the relentless question of the correlation between implicit bias awareness, implicit bias education, and its impact on health care. This Doctor of Nursing Project (DNP) project aimed to analyze whether implicit bias education and testing could increase unconscious …

Theory Building As Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, And Ethics, Andrea Vicini, Ashley P. Duggan, Allen F. Shaughnessy

Journal of Health Ethics

Grounded in a presupposition that a single explanatory framework cannot fully account for the expansive learning processes that occur during medical residency, the article examines developing physicians’ reflective writing from three disciplinary lenses. The goal is to understand how the multi-dimensional nature of medical residency translates into assembling educational experiences and constructing meaning that cannot be fully explained through a single discipline. An interdisciplinary research team across medical education, communication, and ethics qualitatively analyzed reflective entries (N=756) completed by family medicine residents (N=33) across an academic year. Results provide evidence for moving toward an integrated thematic explanation across disciplines. The …

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 …

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 …

The Rhetoric Of Blame: A Rhetorical Framing Analysis Of Othering And Blame In Historical Health Crises, Colin G. Cameron

Master's Theses

The United States’ response to the COVID-19 pandemic was hallmarked by blame rhetoric and fluid social and political expedience. However, the pervasiveness of othering and blame in contemporary pandemic discourse is perhaps consistent with the blame rhetoric of health crises throughout history. Using a rhetorical framing analysis approach, this study aims to explore the various elements of blame rhetoric embedded in newsprint media frames regarding historic infectious disease outbreaks. In doing so, this study investigates three case studies: the San Francisco smallpox outbreak of 1876, the Spanish Flu pandemic of 1918, and the AIDS crisis of the 1980s – 1990s. …

Reddit As A Source Of Covid-19 Information: A Content Analysis Of R/Coronavirus During The Early Pandemic, Brent Hale, Mark Alberta, Seung Woo Chae

Faculty Publications

Emerging research has begun examining the utility of social media platforms for information dissemination during the COVID-19 pandemic. Following this developing thread, this work examines discourse within r/coronavirus, a Reddit forum (i.e., subreddit) developed to curate COVID-19 information that burgeoned during the early months of the pandemic. Through a content analysis of 226 posts and 2260 corresponding comments generated between February and May, 2020, this study investigated early-pandemic communication patterns in this platform, including what information was deemed important and how users framed causes and solutions. Overall, findings indicate that users of r/coronavirus prioritized information about COVID-19 spread, public health …

Including A Chaplain And Culturally Sensitive Notary In End-Of-Life And Earlier Difficult Healthcare Issues, John Stonestreet

Journal of Health Ethics

Would patients and families benefit from a Doctor Body Cam? Linked from www.DoctorBodyCam.com, this article explores innovations providing accountability for ethical communication surrounding major healthcare decisions. One of the greatest challenges physicians face is living up to their own ideals, let alone others’ expectations, for high-stakes doctor-patient/family communication, especially at the end of life. From emotional strains to time limitations, a multiplicity of factors obfuscates the pursuit of excellence in this vital endeavor. Evidence suggests that, like nearly every other sector of healthcare and society, African American patients and families are most likely to get the short end of the …

Leadership, Job Stress And Uncertainty Among Nurses During The Covid-19 Pandemic: Impacts And Implications In Lieu Of Pertinent Theoretical Constructs, Davis Woodson

Honors Theses

The purpose of this study is to determine the effect of the COVID-19 pandemic on practicing nurses in the United States. The study considered the effect of communication, self-efficacy, intolerance to uncertainty, and life satisfaction on nurses’ job satisfaction; additionally, this study considered the extent to which nurses perceived organizational response efficacy was predicted by their perceptions of communication and perceived threat susceptibility. A total of 191 nurses participated in the online survey. The study revealed that life satisfaction was positively predicted by communication, self-efficacy, and life satisfaction in multiple regression analyses. Perceived communication positively predicted perceived organizational response efficacy …

The Wakefield Phenomenon: A Rhetorical Examination Of The Resurgence Of The Anti-Vaccination Movement In The 20th & 21st Century, Karen Boger

Master's Theses

This thesis explores the phenomenon of the anti-vaccination movement and existing publications documenting significant points in its resurgence in the late 20^th and early 21^st century following the now redacted publication by the former Dr. Wakefield asserting a correlation between children receiving vaccinations and children exhibiting the onset of developmental disorders, with Autism Spectrum Disorder (ASD) garnering the most public attention. With increasing numbers of parents delaying or forbidding their children from receiving vaccinations, along with the re-emergence of previously eradicated disease outbreaks and casualties, questions about the salience of Wakefield’s anti-vaccination statements arise. Investigation here is key …

Online And Offline Identity Gaps: Cross-Contextual Predictors And Psychological Outcome, Ningyang Wang

Master's Theses

Using Communication Theory of Identity as a framework, this study compared an individual’s online and offline personal-enacted identity gap and examined the effect of each personal-enacted identity gap on individuals’ psychological well-being, as well as tested four cross-contextual predictors for online and offline personal-enacted identity gaps.

Survey data were collected from 214 participants on Amazon M-Turk. A sequence of hypotheses was tested. A questionnaire used for measuring individuals’ online personal-enacted identity gap was generated.

The result suggested individuals experience larger personal-enacted identity gap offline, which significantly negative predict individuals’ psychological well-being, whereas online personal-enacted identity gap positively predicts psychological well-being. …

Barriers To Health: Understanding The Barriers Faced By Community Intervention Projects, Vera Landrum

Master's Theses

Health disparities affect significant portions of the population and are most often experienced by marginalized communities (Wilkin, 2013). Health disparities are also impacted by geographical location, and hunger often affects rural areas (Dutta, Anaele, & Jones, 2013; Rural Health Information Hub, 2017). This study aims to understand how nonprofit organizations focused on addressing food insecurity disseminate information to members of the local community and how the input of community members impacted the overall food insecurity campaign. This study was conducted by interviewing five nonprofit directors and conducting three focus groups with clients of the. aforementioned organizations. The author found that …

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 …

Zika Message Analysis, Alexandria Phipps

Master's Theses

The following study employs the Extended Parallel Processing Model and Theory of Planned Behavior to understand how to create health messages with the greatest influence on individuals’ behavioral intent to adopt mosquito-borne virus protection behaviors. The study employs a 2 (susceptibility) x 2 (self-efficacy) factorial design, evenly distributing the participants between four messages (N=186). Although the selfefficacy manipulation was ultimately unsuccessful, the findings highlighted the significance of perceived susceptibility on one’s intent to adopt protective behaviors. The results exemplify the importance of the theoretical critical point of the EPPM, where danger control shifts to fear control, and the importance of …

The Road To Recovery: Injured Athlete's Perspectives On Recovery Through Social Support, Brooke Kuhn

Master's Theses

Injured athletes’ perspectives on different aspect of their recovery process were analyzed using concepts such as social support, responsiveness, and self-disclosure based on three different sources: coaches, trainers, and teammates. 39 participants were used for this study. With an age range from 18-44 years old, the participants are both current college and former college athletes. Many of them ranged from the different types of sports played and at different divisional levels. 82.1% of participants were Caucasian, 12.8% were African American, and 5.1% selected other as their ethnicity. The results exemplify, through linear regression, that trainers are the most effective source …

Patient-Perceived Stigma & Communication In Mental Healthcare: Predictors Of Medication Adherence And Mental Health Outcomes, Cameron A. Cloud

Honors Theses

Patients with mental illness often report feeling stigmatized by their mental healthcare providers, which may deter them from seeking care services altogether. Although workplace interventions can be implemented to reduce stigma, outcomes are limited and may not be long-lasting. The objectives of this study are to investigate which variables of interpersonal communication are significant predictors of medication adherence and mental health outcomes in patients with mental illness. This study surveyed 258 participants from the United States who were at least 18 years of age and reported seeing a mental healthcare provider and taking psychotropic medication within the past five years. …

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 …

The Language Barrier In Healthcare: Quality Of Care And Health Literacy, Jacob Warren Garrett

Honors Theses

As the number of Spanish speaking immigrants coming to the United States increases, there will also be an increase in the number of LEP patients will seek medical care. In Hattiesburg, Mississippi alone there are over 7,000 people listed as Hispanic/Latino (2010 Census, U.S.gov). This research examines the experiences of LEP patients in the Hattiesburg area and focuses on three main areas: (1) if a language barrier exists for these patients when they seek care (2) if the quality of care of these patients is affected by the inability of the patient and provider to orally communicate (3) if the …

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 Influence Of Parental Communication About Sexual Health On Quality Of Emerging Adult Romantic Relationships, Jaclyn Denise Powers

Master's Theses

The research on relationships between parent-child communication about sexuality and sexual communication between adult partners is currently lacking. The current study aims to examine the influence of parent-child sexual communication on adult sexual communication when those children reach adulthood and engage in romantic relationships. Parent-child sexual communication, attachment styles, sexual attitudes, and partner sexual communication were examined for influence on the physical and emotional relationship satisfaction of emerging adults. Study 1 included a quantitative analysis with 553 emerging adults participating in an online survey, and study 2 incorporated a qualitative analysis with an additional 7 emerging adults participating in online …

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 …