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Meaningful Ethical Encounters:The Lived Experience Of The Genetics Nurse, Elizabeth A. Tinnon

Journal of Health Ethics

Meaningful Ethical Encounters: The Lived Experience of the Genetics Nurse

Abstract

Discoveries of the Human Genome Project, while beneficial to improving health, are accompanied by new and unique ethical concerns. The aim of this study was to describe and gain an understanding of the lived experience of genetics nurses as it relates to encountered ethical concerns. A hermeneutic phenomenological approach using van Manen’s thematic analysis was the method for this investigation. A sample of eight genetics nurses participated in the study. Seven essential themes emerged from the texts: (a) caring over time, (b) shared pain and suffering, (c) my job …

Dimensions Of Religiousness And Cancer Screening Behaviors Among Church-Going Latinas, Jennifer D. Allen, John E. Perez, Claudia R. Pischke, Laura S. Tom, Alan Juarez, Hosffman Ospino, Elizabeth Gonzalez-Suarez

Psychology

Churches are a promising setting through which to reach Latinas with cancer control efforts. A better understanding of the dimensions of religiousness that impact health behaviors could inform efforts to tailor cancer control programs for this setting. The purpose of this study was to explore relationships between dimensions of religiousness with adherence to cancer screening recommendations among church-going Latinas. Female Spanish-speaking members, aged 18 and older from a Baptist church in Boston, Massachusetts (N = 78), were interviewed about cancer screening behaviors and dimensions of religiousness. We examined adherence to individual cancer screening tests (mammography, Pap test, and colonoscopy), …

Speech Disfluencies Of Preschool-Age Children Who Do And Do Not Stutter, Victoria Tumanova, Edward G. Conture, Warren Lambert, Tedra A. Walden

Communication Sciences and Disorders - All Scholarship

Purpose—The goals of the present study were to investigate whether (1) the speech disfluencies of preschool-age children are normally distributed; (2) preschool-age children who do (CWS) and do not stutter (CWNS) differ in terms of non-stuttered disfluencies; (3) age, gender, and speechlanguage ability affect the number and type of disfluencies children produce; and (4) parents’ expressed concern that their child stutters is associated with examiners’ judgments of stuttered disfluency.

Method—Four hundred and seventy two children participated, of which 228 were CWS (56 girls), and 244 CWNS (119 girls). Participants provided conversational speech samples that were analyzed for frequency of occurrence …

One Health: Veterinary Involvement And Zoonoses In Humans, Jasmine Cheeks

Master of Public Health Program Student Publications

Introduction: As veterinarians are often first to identify zoonotic disease events in animals, their involvement in One Health should be facilitated and strengthened by support from zoonotic disease surveillance systems and health regulations specific to zoonotic disease surveillance.

Objectives: To identify relatable trends between the relationship of the number of active veterinary professionals and the incidence of zoonotic diseases in the developed countries of Australia, Brazil, Czech Republic, Denmark, Ireland, Israel, Netherlands, Spain, and the United States of America. Another objective was to illustrate potential barriers current health regulations place on veterinary contributions to One Health surveillance. Methods: Data were …

The Importance Of The Young Invincibles To The Success Of The Affordable Care, Ethel K. Ishimwe

Master of Public Health Program Student Publications

Health care reform in the United States, as codified in the Affordable Care Act (ACA), includes an individual mandate to insure that all citizens are participants in public or privately funded health insurance programs. Universal participation insures that the national risk pool of insured persons will include the broadest spectrum of patient utilizers from the very healthy, who are low utilizers, to the very sick who are high utilizers of health care services. It is only through this high level of participation that the increased services and cost savings of health care reform can be realized. Key to this comprehensive …

Polish Healthcare System In Transition - Perceptions Of The Old And New Systems, Paul Puchta

Master of Public Health Program Student Publications

Poland is the largest country in central Europe. During the Second World War (WWII) Poland lost 39% of its physicians. After WWII, Poland fell under Soviet influence. Socialist parties dominated its government until 1989. Poland was the first country from the Soviet block to adopt economic reforms and turn away from centrally planned system.

Poland is presently a stable democracy with a growing economy, and was accepted to the European Union as a full –fledged member in May 2004. Startling results of the population perception of national healthcare system were published in 2013. Polish customers rated current system poorly, giving …

The Effects Of Communication Partner Training On Aac Users, Jessica Marie Phillips

Undergraduate Honors Theses

This study investigated the acquisition of communication skills of children who use AAC systems following their parents' participation in a communication partner training program. Communication skills evaluated were mean length utterance (MLU), number of different symbols used, initiations, and responses. Communication partner training was divided into two phases, training and follow-up. Participants included 4 children between the ages of 3 and 9 years who used a high tech AAC system. Data was collected over the course of a year via 15 minute video observations. Parents also completed surveys pre- and post-study to evaluate perceptions on increases in communication behaviors, as …

Acoustic Divergence In The Rut Vocalizations Of Persian And European Fallow Deer, J. B. Stachowicz, E. Vannoni, B. J. Pitcher, Elodie F. Briefer, E. Geffen, A. G. Mcelligott

Veterinary Science and Medicine Collection

We conducted a study of the male rut vocalizations (groans) of two closely related species, Persian and European fallow deer. Persian fallow deer are endangered, restricted to Iran and Israel, and their rut vocalizations have never been studied. By contrast, European fallow deer are one of the most common deer species in the world, and have been the subject of numerous detailed studies. Persian bucks are approximately 16% larger than European bucks, and this can have important implications for vocalizations. Persian bucks were recorded in Israel, and European bucks were recorded in the UK and Ireland. We measured temporal, fundamental …

Differences Between Children With Fetal Alcohol Spectrum Disorders And Attention Deficit Hyperactivity Disorders: Rural Social Work Implications For Prevention, Assessment And Treatment, Susan M. Ryan, George S. Leibowitz, Jeanne M. Nauheimer, Paul Force-Emery Mackie

Social Work Department Publications

This literature review examined nine quantitative research studies published between 1992-2013 that compared children with Fetal Alcohol Spectrum Disorders (FASD) and Attention Deficit Hyperactivity Disorder (ADHD) to identify: (a) the differences between these children (e.g., intellectual, behavioral); and (b) the diagnostic tools that may be used to distinguish between them, thereby providing a differential diagnosis. Special focus was placed on rural treatment implications. These studies revealed differences between the intellectual, executive functioning, adaptive behavior, motor, and behavioral skills of children with FASD and ADHD. This review identified neurodevelopmental assessments used in these nine research studies that appear to support learning …

Increasing Chlamydia Retesting Rates In Std Clinics, Michelle L. Bellando

Master of Public Health Program Student Publications

Background: Chlamydia is the most common STD in the United States (Mishori, McClaskey, & WinklerPrins, 2012). Due to the high reinfection rate of Chlamydia, the CDC recommends retesting three months after initial treatment (Park, Amey, Creegan, Barandas, & Bauer, 2010).

Objective: The purpose of this study is to investigate strategies that might improve STD follow-up rates in a clinic setting.

Methods: Public Health - Dayton and Montgomery County STD clinic patients 18 years and older who tested positive for NonGonococcal Urethritis (NGU) or Mucopurulent Cervicitis (MPC) and who agreed to participate were given an opinion survey.

Results: Of the 31 …

Graduate Medical Education 2013-2014 Annual Report, Children's Mercy Hospital

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Sign Language Ability In Young Deaf Signers Predicts Comprehension Of Written Sentences In English., Kathy N Andrew, Jennifer Hoshooley, Marc F Joanisse

Brain and Mind Institute Researchers' Publications

We investigated the robust correlation between American Sign Language (ASL) and English reading ability in 51 young deaf signers ages 7;3 to 19;0. Signers were divided into 'skilled' and 'less-skilled' signer groups based on their performance on three measures of ASL. We next assessed reading comprehension of four English sentence structures (actives, passives, pronouns, reflexive pronouns) using a sentence-to-picture-matching task. Of interest was the extent to which ASL proficiency provided a foundation for lexical and syntactic processes of English. Skilled signers outperformed less-skilled signers overall. Error analyses further indicated greater single-word recognition difficulties in less-skilled signers marked by a higher …

Acoustic And Respiratory Measures As A Function Of Age In The Male Voice, Mark Selent

ETD Archive

The purpose of this study was to extend understanding of the effects of aging on the male voice by obtaining and analyzing both acoustic and respiratory measures across the aging continuum. Aerodynamic measurements such as vital capacity (VC), maximum phonation time (MPT) and the acoustic measurement Speaking Fundamental Frequency (SFF) are used commonly in Speech-language Pathology to aid in the assessment and treatment outcomes of vocal dysfunction. However, current research lacks analysis of the interaction across these parameters within males and younger ages. This information may be important in understanding the normal changes in the speech mechanism with age and …

Recommendations For Interviewing Children About Repeated Experiences, Martine B. Powell, Sonja P. Brubacher, Kim P. Roberts

Psychology Faculty Publications

For just over two decades, researchers have been conducting empirical studies devoted to understanding children’s memory for, and ability to describe, individual occurrences of events they have experienced repeatedly. This knowledge is critical because children making allegations of repeated abuse are required to provide details particular to an individual incident in many jurisdictions internationally. Based on this theoretical foundation, we provide specific suggestions to practitioners to assist children in reporting as much information as possible about individual occurrences and techniques that may assist them in doing so accurately. These recommendations cover both presubstantive (i.e., “practice”) and substantive phases of the …

Children’S Use Of A ‘Time Line’ To Indicate When Events Occurred, Leanne L. Gosse, Kim P. Roberts

Psychology Faculty Publications

Children who allege abuse are often asked to provide temporal information such as when the events occurred. Yet, young children often have difficulty recalling temporal information due to their limited knowledge of temporal patterns and linguistic capabilities. As time is an abstract concept (we cannot see it), some investigators have begun to use ‘time-lines’ or pictorial representations of time to aid children. Yet, there is no published research testing whether children are able to use time-lines and whether they can provide adequate temporal information using them. We tested whether children could indicate the time-of-day of events using a pictorial time-line …

Development And Initial Psychometric Testing Of The Perceived Racism Shifting Survey (Prss), Saran Hollier

Wayne State University Dissertations

ABSTRACT

DEVELOPMENT AND INITIAL PSYCHOMETRIC TESTING OF THE PERCEIVED RACISM SHIFTING SURVEY (PRSS)

by

SARAN T. HOLLIER, MSN, RN

May, 2015

Advisor: Dr. Rosalind Peters

Major: Nursing

Degree: Doctor of Philosophy

Perceived racism experienced from those of a different race (intergroup), and those of the same race (intragroup), is a stressor that may be contributing to health disparities among African Americans. As a result, coping strategies are necessary for African Americans to navigate in both a "Black" and "White" world. Hence, African Americans may use "shifting" as a way to cope with inter- and intragroup racism. Shifting has been defined …

No Shows: Effectiveness Of Termination Policy And Review Of Best Practices, Maalinii Vijayan

Master of Public Health Program Student Publications

The primary objective of the study was to identify whether the implementation of Patient No Show and Termination policy at Five Rivers Health Centers (FRHC) is associated with a significant reduction of its no show rate. The secondary objective was to perform the best practices review on other strategies to reduce no shows. The data for this study was obtained retrospectively from the electronic medical records of the seven clinical centers of FRHC. Individual clinic's no show rates and cumulative no show rates for pre-implementation and post-implementation period were calculated. Chi-squared test were used to detect statistical significance between pre- …

Hispanic Construction Workers And Assertiveness Training, Pramen Shrestha, Nancy Menzel

Nursing Faculty Research

BACKGROUND: Hispanic (Latino) construction workers experience disparities in occupational death and injury rates in the United States. The cultural value of respect for those in authority may hinder these workers from requesting safe working conditions from supervisors.

OBJECTIVE: To evaluate whether Hispanic construction workers in Las Vegas, Nevada found assertiveness training more useful than non-Hispanic trainees and whether or not they practiced this behavior at work after the training.

METHODS: An assertiveness training simulation was part of fall prevention classes offered to area construction workers. Eight weeks after the training, participants were interviewed by telephone about class topics they found …

Implicit Sequence Learning In People With Parkinson's Disease, Katherine R. Gamble, Thomas J. Cummings, Steven E. Lo, Pritha T. Ghosh, James H. Howard, Darlene V. Howard

Neurology Faculty Publications

Implicit sequence learning involves learning about dependencies in sequences of events without intent to learn or awareness of what has been learned. Sequence learning is related to striatal dopamine levels, striatal activation, and integrity of white matter connections. People with Parkinson’s disease (PD) have degeneration of dopamine-producing neurons, leading to dopamine deficiency and therefore striatal deficits, and they have difficulties with sequencing, including complex language comprehension and postural stability. Most research on implicit sequence learning in PD has used motor-based tasks. However, because PD presents with motor deficits, it is difficult to assess whether learning itself is impaired in these …

Trauma Resource Nurse: A Leadership Role In A Pediatric Level 1 Trauma Center, Claudia Hines

Theses and Graduate Projects

Nurses in a pediatric emergency department are accustomed to caring for critically ill and injured children. Pediatric trauma requires nurses to have a high level of expertise. However, along with this expertise, nurses need to demonstrate strong leadership skills to be an effective partner in the trauma team. Attaining a pediatric level I trauma designation by the American College of Surgeons generated uncertainty in emergency nurses' perceptions of their ability to care for trauma patients. Emergency departments within trauma centers have recognized the need for specialized nursing programs or nursing roles in the care of trauma. Nursing leadership competencies, interprofessional …

Vaccinating Vulnerable Populations, Paula B. Mcnabb

Theses and Graduate Projects

Influenza vaccination rates for all minority groups in Minnesota are lower than rates for Caucasians of all age groups. Since 2006, a collaborative partnership called Minnesota Immunization Networking Initiative (MINI) has provided free influenza vaccinations in convenient and trusted community settings throughout the Twin Cities metropolitan area of Minnesota in an attempt to address this health disparity. The literature highlights a number of barriers that negatively influence individuals' choices regarding acceptance of influenza vaccination but also highlights motivators, facilitators and processes that positively impact these decisions. Thirteen focus group interviews were conducted with individuals from the Ethiopian, Latino, Native American …

Aac Camp As An Alternative School-Based Service Delivery Model: A Retrospective Survey, Janet L. Dodd, Darla K. Hagge

Communication Sciences and Disorders Faculty Articles and Research

School-based speech-language pathologists are obligated to apply evidence-based practice and document progress of their students’ response to intervention in compliance with federal law. The purpose of this preliminary study was to explore the effects of an augmentative and alternative communication (AAC)–based intervention provided in a camp format and begin the exploration of examining strategies to monitor and document progress. Through the use of a survey, data were also collected regarding the demographics of camp attendees and their response to the camp-based intervention model. Results indicated children with autism and intellectual disability comprised a significant portion of the children referred for …

The Influence Of Task Type And Working Memory On The Syntactic Complexity Of Narrative Discourse Production In Healthy Aging Adults, Kacie N. Gamm

Theses and Dissertations--Communication Sciences and Disorders

This study investigated the lifespan influences of task type and working memory on the syntactic complexity of narrative discourse production. Participants included 180 healthy adults across three age cohorts: 20-29 years (Young Group), 60-69 years (Older Group) and 75-89 years (Elderly Group). Participants completed standardized working memory measures and four discourse tasks (single/sequential picture description, storytelling and personal recount). Syntactic complexity for each sample was measured via clausal density yielding a complexity index. For analysis, participants were placed into one of two groups based on working memory scores above (High Working Memory Group) or below (Low Working Memory Group) the …

Eastern Michigan University Graduate Catalog, 2014-2015, Office Of The Registrar

Graduate Catalogs

No abstract provided.

Best Practices: A Network Approach Of The Mandatory Influenza Vaccination Among Healthcare Workers, Greg Attenweiler, Angie Thomure

Master of Public Health Program Student Publications

A network simulation was applied to hospital social networks improve the influenza vaccination rate of healthcare workers in a healthcare system. Social network methods can be used to develop an understanding of structures of social relations. Over 200,000 U.S. patients are hospitalized annually for influenza, which attributes to 36,000 deaths and is the sixth leading cause of death in adults. The best way to prevent influenza each year is by receiving the influenza vaccination. The typical influenza vaccination rate among healthcare workers is 40- 50%. A Healthy People 2020 objective is to increase the percentage of healthcare workers who are …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

Acculturation And Social Support As Predictors Of Physical Activity In A Web-Based Intervention For Latinas, Tanya Benitez

All ETDs from UAB

Latinas in the United States report high levels of physical inactivity and are disproportionately burdened by associated chronic diseases, demonstrating the need for innovative approaches to reducing these disparities. The purpose of the current study was to evaluate self-reported changes in physical activity and social support, and to examine the association between physical activity and acculturation, following a one month culturally and linguistically adapted, theory-driven (Social Cognitive Theory and Transtheoretical Model) Internet-based physical activity intervention for Latina adults. Data was collected from Spanish-speaking Latinas (N=24) between the ages of 21-61 years (M=35.17, SD=11.22) enrolled in a web-based physical activity pilot …

The Long-Term Effects Of An Aac Communication Partner Training Program, Brooke Capp

Masters Theses

The current investigation was a follow-up study to a research project conducted in summer 2012 by Fanale. The Fanale (2012) study looked at the effectiveness of parent training on parents' perspectives of AAC, as well as parents' use of specific communication facilitating strategies. The follow-up maintenance study investigated long-term effects of training on parent perceptions' and use of communication facilitating strategies. Through this project parents received additional training and different levels of support over four months in order to enhance the parents' abilities to utilize AAC in other environments, activities, and communication partners, as well as gather information on parents' …

Understanding And Building Resilience With Art: A Socio-Ecological Approach, Meagan Shand

Theses: Doctorates and Masters

Resilience is a widely researched phenomenon, it means different things to different people and is perceived and measured according to the theoretical lens being applied. The following thesis reviews the theoretical development of resilience that has led to contemporary understandings, to establish a platform for the research topic - understanding and building resilience with Art. Narrative research methods are combined with art processes to illuminate the stories of eight culturally diverse women participating in a community based mental health art program, in Western Australia. Fifteen resilience themes emerged from the collective experience, and are presented in a socio-ecological framework to …