Health Communication 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 …

Investigating The Experiences Of Evangelical Couples Coping With Painful Intercourse During Early Marriage, Arielle L. Leonard Hodges

Communication (PhD) Dissertations

Women who internalize evangelical purity messages face heightened risk for persistent pain or difficulty with penile-vaginal intercourse. Drawing on research in communication, psychology, and sexual medicine, the aim of this multilevel qualitative study is to increase understanding of how evangelical couples communicatively cope with painful intercourse and the memorable messages they believe contribute to their experiences of coping. This study involved conducting qualitative interviews with 20 evangelical married couples (40 total spouses) who currently or recently experienced a wife’s persistent pain during (attempted) penile-vaginal intercourse and 16 female clinicians (pelvic floor physical therapists and mental health professionals) who regularly work …

Beneath The Beauty: A Mixed Method Approach To Examining Identity Negotiation Among Asian Transracial Adoptees, Noel H. Mcguire

Communication (PhD) Dissertations

Making sense of one’s identity is an integral part of the human experience. This study examines identity negotiation and sense-making processes among individuals who have particularly complex identities: Asian transracial adoptees. In the past six decades, more than 280,000 infants and children in Asian countries were abandoned or surrendered to social welfare institutes and were subsequently adopted by American families, making Asian transracial adoptees (ATRAs) a substantial, if frequently overlooked, proportion of the Asian American community. Prior research indicates that identity negotiation is a particularly daunting task for this demographic due to ever-present paradoxical feelings toward their identity, as they …

An Examination Of Missing Person Social Media Engagement Through Data Mining And Experimentation: An Application Of The Crisis And Emergency Risk Communication Model, Cailin M. Kuchenbecker

Communication (PhD) Dissertations

According to the Federal Bureau of Investigation (FBI), approximately 600,000 individuals are reported missing each year in the United States (2022). When missing person cases do not meet alert (e.g., AMBER) criteria, law enforcement often utilize social media to crowdsource information to ultimately return the missing home. Therefore, guided by the crisis and emergency risk communication model (CERC; Reynolds & Seeger, 2005) and its recently clarified propositions (Miller et al., 2021), the purpose of this dissertation was to (a) identify strategies law enforcement use to crowdsource missing person information and (b) experimentally test message characteristics that facilitate prosocial sharing of …

“Vacation, All I Ever Wanted?” A Qualitative Analysis Of Travel Narratives From Interabled Families, Mary Heather Johnson

Electronic Theses and Dissertations

The present study researched and investigated the travel narratives of 13 interabled families through qualitative research methods of thematic and contrapuntal analysis. Participants were parents who have at least one dependent with a disability in their family unit. Theories used to guide this study include narrative theory, family systems theory, and relational dialectics theory. Narrative theory laid the groundwork for understanding how stories function to communicate and construct identity. Family systems theory provided definitions and terms for how to understand dynamics within families. Relational dialectics theory guided the understanding for what tensions are at play for interabled families and how …

The Use Of Figurative Suicidal Language By College Students And Its Impact On Mental Health And Suicide Stigma, Makayla Hooker

Senior Theses

Using suicidal language as a hyperbole in everyday conversation has become common for college students experiencing stress. Previous research analyzed use of suicidal language on social media with the intention of finding the best way to provide help to the individuals expressing true suicidal ideation on social media but found that many people do not literally mean what they are saying when they use suicidal language. It was hypothesized that the frequency with which individuals use suicidal statements figuratively as well as the frequency with which they hear others use these statements would negatively correlate with the level of seriousness …

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Empowering Caregivers In The Prevention Of Clinical Delirium For At Risk Older Adults Boarding In The Emergency Department Setting, Danielle Brewer

DNP Projects

Background: Emergency Department (ED) overcrowding is a global healthcare crisis documented in the literature for more than a decade, impacting patient outcomes and resource availability. While awaiting delayed transfer to an inpatient room, older adults in the ED remain vulnerable to developing acute delirium. Boarding potentiates the risk for worsening health outcomes, which are further compounded by delirium. Scarcity of resources and time constraints delay delirium detection and increase risk for down-stream hospital-acquired complications, higher cost, and prolonged length of stay. Current ED models do not prioritize caregiver partnership or involvement in delirium-conscious care, which is a holistic approach to …

Improving Spiritual Care Competency Among Intensive Care Unit Nurses: Promoting Holistic Patient Care Towards End-Of-Life, Joanne Nguyen, Dana Bagis

Nursing | Senior Theses

Intensive care unit (ICU) nurses play a crucial role in providing physiological stabilizing care in a dynamic and fast-paced environment, often marked by constant changes and variability in complex patients. Despite their specialization, the aspect of spiritual care tends to be overlooked, particularly in the context of end-of-life care. This is significant because previous studies have shown that a lack of spiritual care leads to poorer health outcomes, decreased coping, increased depression, and diminished quality of life for patients. This research proposal aims to investigate the spiritual care competency among ICU nurses who partake in spiritual care-based training, with the …

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …

A Test Of The Extended Theoretical Model Of Communal Coping Among Graduate Students: Investigating The Influence Of Communal Coping On Graduate Students’ Psychological Well-Being, Rebekah M. Chiasson

Graduate Theses, Dissertations, and Problem Reports

The purpose of this dissertation was to test the extended theoretical model of communal coping (T. Afifi et al., 2020) in a graduate student sample by exploring predictors and outcomes of communal coping processes among 554 graduate students. The extended theoretical model of communal coping specifies that communal coping occurs when individuals within a community—such as graduate students within an academic program—perceive stressors as shared and are willing to take joint action to overcome those stressors. Results of this dissertation provided evidence that graduate students’ academic stress and the severity of individual academic stressors negatively impacted their psychological well-being. The …

Media Coverage Of The Covid-19 Pandemic: A Case Of New Vision And Daily Monitor In Uganda., Eve Atukunda

Theses & Dissertations

The media performs a significant role in shaping and transforming public perceptions during pandemics. This study analysed the media coverage of COVID-19 in Uganda, focusing on its impact on public awareness, government response, and societal behaviour. The study applied a quantitative approach to content analysis of news articles and official government communication, with interviews of journalists at the helm of COVID-19 reporting. The analysis assessed the framing of COVID-19 news in print media platforms. It examined the dynamics between media, government, and public health officials, evaluating the effectiveness of information dissemination and management of misinformation. The initial focus of media …

Implementation Of Implicit Bias Training In A Doctor Of Nurse Practitioner Program, Macdana Selecon

Doctor of Nursing Practice (DNP) Projects

Background: Implicit bias in healthcare delivery refers to the unconscious mental associations healthcare providers make about patients from various social groups. Numerous studies suggest implicit bias contributes to health disparities primarily amongst marginalized groups. Furthermore, patients report a lower quality of communication from healthcare providers with higher implicit racial bias. In 2021, Assembly Bill 1407 (Nurses: Implicit Bias Courses Act) was passed to address the negative impact of bias on patient outcomes and requires California nursing schools to provide implicit bias training for nursing students.

Problem: All graduate nursing programs do not provide implicit bias (IB) training. As a result, …

Enhancing Recovery With The Use Of Animals, Christina Martinez

Capstone Projects and Master's Theses

Avenues is a program designed to help adults lead happier and more productive lives by overcoming mental health and chemical dependency challenges. The problem is, participants are not fully prepared for independent living following these programs. The plan was to provide participants a therapeutic approach to gaining hands-on experience while combating symptoms of mental illness with the use of animals, with hopes that participants would be better prepared for life after leaving the program. If the project met the expected outcome, the agency would see a lower rate of participants returning to the program and a higher success rate of …

Factors Affecting The Healthcare Of Adults With Communication Difficulties Due To Autism Spectrum Disorder And/Or Intellectual And Developmental Disability, Kathryn L. Shady

MUSC Theses and Dissertations

Purpose: This dissertation explores the healthcare barriers and facilitators experienced by autistic adults and adults with intellectual and developmental disabilities (IDD) who have communication difficulties (CD).

Problem: Approximately 5-10% of Americans have CD, including difficulties such as stuttering, aphasia, apraxia, and other forms of language impairment(1,2). Communication difficulties are present in about 25-30% of autistic individuals and 57.9% of those with IDD, which accounts for a large and poorly studied portion of those with CD(3,4). Individuals with CD report negative healthcare experiences and decreased levels of satisfaction with healthcare providers secondary to practices such as communication solely with a …

Meet Me In The Middle: A Scoping Review On Understanding Adolescent Needs In Climate Communication, Gwendolyn Monica Hoff Anderson

Master's Projects and Capstones

The greatest effects of climate change are likely to be felt by youth. Young people are disproportionately affected by climate change due to their critical developmental stage and lack of power, and they experience both higher severity and prevalence of mental health issues related to climate change. Strong emotions have long been recognized as potential catalysts for action, or they may lead to paralyzing feelings of being overwhelmed. Climate communication is a critical tool to spark climate concern and encourage action. Activism, in turn, may help youth manage their anxiety about climate change. This scoping review examines emerging evidence on …

The Association Of Patient-Provider Language Concordance With Healthcare Comprehension Among Latino/As In Oregon, Grace Parra

University Honors Theses

Background: The purpose of this study is to describe the need and preferences among Mexican-origin Latinos in Oregon for language-concordant healthcare providers. We hypothesize that the presence of a language concordant provider is associated with greater health care comprehension.

Methods: This is a cross sectional study in collaboration with the General Consulate of Mexico. We developed a 20-item survey that includes questions about socio-demographics, a validated language-based acculturation scale, and questions regarding language concordant care experience and preferences used in previous studies. We are recruiting at the Mexican Consulate 500 Latino/as ages 18 or older who had a healthcare visit …

Bridging Empathy, Qianwen Lu

Masters Theses

As a jeweler, ally, and sympathetic witness to the traumatic stories of survivors, my work aims to support the process of reconstruction and reintegration for victims and the greater community. To move beyond isolation, resentment, and debilitating helplessness requires care and support. I want my jewelry to act as catalysts in the healing process by straddling both sides of the trauma-induced situation, to create greater awareness and empathy. National Coalition Against Domestic Violence shows that women are more likely to become victims of domestic violence, sexual assault, or other forms of physical and psychological abuse in unhealthy emotional relationships. These …

Building Up Cal Poly Global Brigades Student Group: Reflections On Designing And Implementing One Undergraduate-Led Community Info Session, Caroline Nicole Smith, Jafra D. Thomas

Kinesiology and Public Health

Intro: Global Brigades, an international non-profit organization, trains college students and other pre-professionals in community-based health promotion by mobilizing community service trips around the world, which are taught and led by local community groups. Cal Poly’s Global Brigades student group was founded in 2018, and thus far, they have carried out three annual, medically-focused brigades to Honduras (two in-person, one virtual).

Purpose: The aim of this report is to present the findings of one experiential senior project to promote Cal Poly’s Global Brigades student group^[1] (conducted January to March 2023).

Methods: The student designed material for …

Fighting The Invisibility Of Domestic Violence, Yesenny Fernandez

Dissertations, Theses, and Capstone Projects

Analyzing the invisibility of domestic violence in New York City as 32% of women in the city experience intimate partner physical violence. In this project, domestic violence refers to all different kinds of violence that occur in a home between all the members who live there regardless of whether they are intimate partners or not. The data focuses on all the daily calls received by the New York Police Department (NYPD) and NYC Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV) regarding domestic violence related incidents such as physical, psychological, emotional, and sexual violence, or murder. Even though many …

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 …

The Role Of Social Media Activism In Achieving Good Water And Sanitation In Ghana, Inusah Mohammed

Communication ETDs

This thesis examined the role of social media activism in ensuring good water and sanitation in Ghana. The study conducted a thematic analysis of Facebook posts (403) from March 2020 to December 2022 and found seven themes on how social activists are presenting issues concerning water and sanitation in Ghana. The study also found outcomes of the activism and also found theoretical implications of activism on social media usage in Ghana.

Implementation Of A Nurse-Led Clinical Algorithm For Pressure Injury Prevention Associated With Non-Invasive Ventilation Medical Device Use, Capri Steinkuhler, Kaitlin Rogge

Doctor of Nursing Practice Projects: College of Nursing

Purpose and Aims

Medical device related pressure injuries (PI) account for as much as 61-81% of all hospital reported wound incidents (Gefen et al., 2020) and are frequently caused by respiratory devices such as non-invasive ventilation (NIV). Use of NIV in critically ill patients dramatically increased during the pandemic. PI are one of the leading causes of injury to hospitalized patients and lengthens hospital stays (National Pressure Injury Advisory Panel [NPIAP], 2019). The NPIAP recommends routine skin assessment under devices, proper mask fit, protective barrier, moisture reduction, and interdisciplinary collaboration to prevent PIs from NIV masks. This feasibility study’s purpose …

Talk Box In Music Therapy With Speech And Language Impairments Resulting From Tracheostomy: A Critical Review Of The Literature, Jonathan Kang

Expressive Therapies Capstone Theses

Tracheostomy patients struggle with one of the most significant and essential components to the human identity, that is, communication. When a person’s communication is obstructed, access to their intangible, inner world is also severed – leaving their thoughts, feelings, and memories, all of which are core to the human experience, unshared. Speech assistance for tracheostomy patients currently includes above cuff vocalization efforts using one-way speaking valves, augmentative and alternative communication methods such as speech generating devices and the electrolarynx. This thesis will introduce and discuss a musical instrument effect called the talk box as an integration of music therapy techniques …

Inner Portraits, Bethany Salisbury

Graduate Theses

This paper investigates the many interconnected layers of women’s mental health through portraiture and how animal and plant symbolism can represent the way women's hormones and bodily health affect their mental health. I reveal how the artwork created presents these connections and inner mental health narratives to the viewer, creating a space of empathy, destigmatization, and self-reflection. This body of portraiture art connects five women through a series of both two-and three-dimensional portraits based on interviews using my own adaptation of Sara Lawrence-Lightfoots’ (1983) portrait methodology.

Women and non-binary individuals have always dealt with difficult interactions of bodily and mental …

A Comparison Of The Expressive Language Characteristics In Schizophrenia And Wernicke’S Aphasia, Taylor Thomas

Electronic Theses and Dissertations

Mental illness and language disorders are rarely linked together as a way of making a comparison. In this study, a comprehensive scoping review was initiated to discuss the differential diagnostic characteristics of expressive language in Schizophrenia and Wernicke’s Aphasia (WA). This study will examine the domains of language where there are overlaps between the characteristics of expressive language. Semantics, pragmatics, and discourse will be further examined while comparing what aspects of expressive language are key in each domain. Schizophrenia being classified as a mental illness and WA being classified as an acquired language disorder, there are fundamental properties of language …

Program Evaluation: Utilizing Health Department’S Community Health Needs Assessment Data To Improve Emergency Preparedness Plans, Kathleen Gottschalk

Capstone Experience

Public health officials conducting emergency response plans must know how to easily identify the vulnerable populations in their community or jurisdiction. It is beneficial for access and functional needs appendices to include information and resources directed at the identified vulnerable groups before an emergency event to improve health outcomes. Community Health Needs Assessments (CHNA) can provide population-level statistics and information needed to easily identify vulnerable or at-risk groups. This report aims to evaluate the use of the CHNA data to guide the development of inclusive emergency response plans that account for vulnerable populations in local health department jurisdictions. The 2021 …

Message Framing For Covid-19 Vaccine Uptake: A Content Analysis Of Cdc Facebook Communication, Victoria Amoako

Electronic Theses and Dissertations

The study examined the frequent frames adopted by the CDC in the communication of the Covid-19 vaccine and how it impacts vaccine uptake through quantitative content analysis. The study builds on the framing theory and elaboration likelihood model. This study’s content collected 327 posts by the CDC on covid-19 vaccinations from December 2020- December 2022. A research randomizer was used to choose 200 posts as the final sample from the data that had been gathered. 122 posts out of the 200 total posts that the randomizer tallied were pertinent to the research questions for the study. It was found that …

Circumventing Ableism: A Grounded Theory Study Exploring Caregiver Strategies To Promote A Positive Identity, June Furr

All Dissertations

This qualitative research study explores how caregivers and persons with disabilities navigate the rhetoric of disability and caregiving through the interviews of fifteen caregivers and fifteen persons with disabilities using the lens of grounded theory and Burke’s (1952) dramatistic pentad. Significant findings describe how focused disability description can circumvent ableism when rhetorical resources that assist caregivers and persons with disabilities to navigate the rhetoric in disability descriptions are provided. Disability description theory includes the three stages that define, collaborate and revise, and practice and apply a disability description. This qualitative research offers an introduction into the phenomenon of …

Perceived Outcomes And Barriers Of Advance Care Planning From Healthcare Professionals, Faith Parsons

Electronic Theses and Dissertations

Advance care planning (ACP) is the process of aligning patients’ values and preferences to their future medical care. ACP is important in promoting patient autonomy and helping patients and their families prepare for end-of-life conversations. Healthcare teams, made up of physicians, nurses, or social workers, carry the responsibility to engage patients into such conversations. The purpose of this study was to explore the perceptions and experiences of healthcare professionals regarding ACP outcomes and barriers. This cross- sectional study used survey responses of a convivence sample of 18 allied healthcare professionals and 4 physicians in a not-for-profit, faith-based hospital system in …