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Stay At Work After A Period Of Disability Due To An Occupational Injury: A Complex Process Marked By Social Exchanges, Alexandra Lecours, Marie-José Durand, Marie-France Coutu, Charles Groleau, Roxanne Bédard-Mercier

Études primaires

Purpose Rooted in a social exchange lens, this study aimed to explore the interactions between the factors influencing stay at work after a period of disability due to an occupational injury. Methods Based on a descriptive interpretative research design, interviews with 15 participants (i.e., representatives of workers, workplaces, insurers, and the health care system) were conducted to gather their perspectives about stay at work. Qualitative data was analyzed through thematic analysis. Results Ten different factors interacting together and influencing stay at work were identified. These factors prevail either during stay at work or previously. They are either related to the …

Relationship Between Ethnic Diversity Of Nursing Leadership And Bedside Nursing Engagement, Neneh Iyesha Kamara

Walden Dissertations and Doctoral Studies

Ethnic diversity in the U.S. nursing workforce had not been well researched. This aspect of nursing is important to the advancement of the profession because ethnic diversity of nursing helps reduce health care disparities. The purpose of this quantitative correlational study was to examine the possible relationship between the perceived ethnicity of nurse leaders and the engagement of bedside nurses. Culture of care theory was the theoretical foundation for this study. The Utrecht Work Engagement Scale with additional demographic questions was used to survey 53 bedside nurses with 2 or more years of experience. Simple regression was used to analyze …

Organizational Commitment As A Mediator Between Organizational Climate And Employee Silence, Jennifer Sherer

Walden Dissertations and Doctoral Studies

Unethical organizational behavior negatively impacts organizations, and despite the benefits of whistleblowing, some employees are hesitant to report employee misconduct. The specific research problem examined factors that influence employee silence when confronted with employee misconduct. Prior researchers have explored how organizational climate and organizational commitment can contribute to or inhibit the decision to report misconduct. What remained unclear is how these factors may interact on their influence on employee silence. The purpose of this study was to examine whether organizational commitment mediated the relationship between organizational climate and employee silence. The theoretical foundations for this study were the social information …

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …

Predictive Effects Of Satisfaction With Life, Self-Esteem, And Loneliness On Alcohol Related Problems In College Students At A Minority-Serving Institution, Roy K. Chen, Wei-Mo Tu, Rebecca R. Sametz, Bryan S. Austin

School of Rehabilitation Services & Counseling Faculty Publications

Objective: Little research has focused on the drinking issues at minority serving institutions. The purpose of this study was to examine the relationships among personal psychological distress, mental well-being, self-esteem, and alcohol-related problems. Participants: 360 undergraduate students were recruited at a public university in the Southwest US. Methods: A cross-sectional design survey was conducted. One-way ANOVA and multiple regression analyses were utilized. Results: Male students experienced more alcohol-related problems than female students. Statistically significant correlations were found among life satisfaction and loneliness, life satisfaction and self-esteem, life satisfaction and alcohol-related problems, and self-esteem and loneliness. The predictor variables accounted for …

Spontaneous Coronary Artery Dissection, Amy N. Wagner

Graduate Dissertations and Theses

Spontaneous coronary artery dissection (SCAD) causes 35% of myocardial infarctions in women under the age of 50 years old. Typically, these are healthy, active women without risk factors for atherosclerotic coronary artery syndromes. SCAD is a myocardial infarction caused by a coronary arterial dissection and not atherosclerotic plaques. Because of this, those effected do not present with the typical risk factors associated with acute atherosclerotic coronary syndromes. Therefore, clinicians must maintain a high level of suspicion for SCAD in young, healthy, women presenting with chest pain. Observation and pharmacological therapies are the preferred methods of treatment for a SCAD event. …

A Comparison Of The Risk Of Fracture In Rheumatoid Arthritis Patients With And Without Receiving Chinese Herbal Medicine, Hou-Hsun Liao, Hanoch Livneh, Yu-Jung Chung, Ching-Hsing Lin, Ning-Sheng Lai, Hung-Rong Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Patients with rheumatoid arthritis (RA) often suffer from bone complications due to persistent joint inflammation, especially incident fracture. Nowadays, Chinese herbal medicines (CHMs) have provided safe and effective therapy for treating skeletal conditions, but it is unclear whether CHMs can prevent fracture onset among RA individuals. This study aimed to determine the association between the use of CHMs and the risk of fracture among them.

Methods: This retrospective, population-based study retrieved administrative health data from the Taiwan National Health Insurance (NHI) database to identify patients with newly diagnosed RA between 2000 and 2009. Of the 6178 incident …

Exploring Self-Perceived Employability In People With Disabilities And Other Intersecting Identities, Kerra Lajoy Daniel

Theses and Dissertations

People with disabilities are the largest minority group in the world representing 26% of the world’s population. More specifically, in the U.S. 61 million Americans have a diagnosed disability. However, intersectionality studies have not been inclusive of this particular population and disability studies have yet to extensively examine intersectionality in PWDs. Centering individuals with disabilities who also identify with multiple marginalized social identities , such as being a woman, a person of color or a member of the LGBT community is important since these individuals’ experiences are not uniform in nature. PWDs experience higher rates of discrimination, unemployment, and …

A Grounded Theory Study: Barriers And Expectations Of Elementary Educators Who Teach Students With Autism, Abbie M. Munoz

Theses and Dissertations

This qualitative research study’s purpose is to garner a better understanding of the barriers and expectations of general and special education elementary teachers when teaching students with autism. Pervious research indicates that school aged children being identified with Autism Spectrum Disorder has significantly increased (Evans, 2016). According to federal law (Individuals with Disabilities Education Improvement Act, 2004; No Child Left Behind, 2001) teachers are required to educate all students in their classroom including students with special needs. While several studies have been conducted on how to education and support students with autism in the classroom, few qualitative studies have been …

Positive Well-Being And Satisfaction With Life: Variables Affecting The Quality Of Life Of People With Bipolar Disorder, Maria Del Trevino-Zuniga

Theses and Dissertations

Bipolar disorder (BD) is a highly prevalent and severe mental illness of significant public health importance. Characteristics of BD include dramatic shifts in mood, energy, and activity levels affecting a person's ability to carry out day-to-day tasks. These shifts in mood and energy levels are more severe than everyone's regular ups and downs (Rihmer & Kiss, 2002). Managing BD is complex; and social and occupational life disruptions are well-documented, including higher divorce rates, unemployment, and suicide (Marrag et al., 2015). Research has consistently shown individuals with BD have a higher mortality rate compared with the general population (Walker et al., …

How Domestic Violence Counselors With Personal Histories Of Trauma Experience Their Clients Who Were Victims Of Domestic Violence: A Heuristic Study, Janis Edralin

Dissertations

The heuristic inquiry-based phenomenological approach values focusing on a question or problem that has been a personal challenge in one’s quest to understand oneself and the phenomenon. Previous research has shown that counselors with a personal history of trauma who provide services to victims with a similar history report a range of negative consequences. The researcher utilized a heuristic research design to answer the following question: How do domestic violence counselors who have personal histories of trauma experience their clients who were victims of domestic violence? The methodology involved interviewing eight counselors, from whom four themes were identified: awareness of …

Bridge To The Future: A Career Exploration Frame Of Reference For Students With Disabilities, Chia-Yang Chiang, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

Exploring and facilitating the transition process from school to employment for young adults with intellectual and developmental disabilities (IDD), especially those still in the school system, has now become an important concern for researchers, educators, and service providers working in this area. The Bridge to the Future (BTTF) Frame of Reference offers a new approach to facilitate the school-to-work transition for secondary school students with IDD in a self-contained classroom setting by adopting the Social Cognitive Career Theory and Self-Determination Theory as its main theoretical foundation. The BTTF Frame of Reference was developed for use by the team of transdisciplinary …

Relationships Between Perceived Quality Of Life And Spiritual Beliefs, Education Level, Socioeconomic Status, Gender, And Ethnicity In Cancer Patients And Cancer Survivors, Eva Arjona

Theses and Dissertations

The purpose of this study was to identify a relationship between perceived Quality of Life and religious/spiritual beliefs. Additionally, it aimed to explore relationships between perceived QOL and age, gender, ethnicity, education level, and Socioeconomic Status (SES). The research question examined in this study was: What is the relationship between perceived quality of life and spiritual beliefs, education level, socioeconomic status, age gender, and ethnicity in cancer patients and cancer survivors? A total of 100 cancer patients or cancer survivors were surveyed for this study. A regression analysis was conducted to explore relationships among the variables; the alpha level was …

The Role Of Counseling Trainee Adversity, Attachment Style, And Trauma-Informed Principles In Clinical Supervision, Nicole Hurless

Dissertations

Current supervision literature suggests that supervisees with insecure attachment styles may perceive a poorer relationship with their supervisor and feel less satisfied with supervision. Studies across disciplines indicate a relationship between traumatic and/or adverse experiences and insecure attachment; however, this association has not been studied within the context of supervision. This dissertation explores a structural equation model assessing the associations between student’s adverse experiences, insecure attachment, and quality of the supervision relationship. It was hypothesized that greater prevalence of adverse experiences would negatively relate to supervision relationship quality, and this relationship would be mediated by insecure attachment. The results of …

Implementation Of Pediatric Adverse Childhood Experiences Screening In Primary Care, Alexzandra Hillyer

Dissertations

Implementation of Pediatric Adverse Childhood Experiences Screening in Primary Care

Problem: Over half of children worldwide have experienced abuse in the past year. In 2012, The American Academy of Pediatrics released a policy statement emphasizing the importance of primary care providers implementing Adverse Childhood Experience (ACE) screening into all well-child examinations.

Methods: This quality improvement project was a descriptive, observational pilot study in which Center for Youth-Well ACE Questionnaire (CYW-ACE-Q) was implemented into a large, metropolitan pediatric primary care clinic. A convenience sample was utilized composed of pediatric patients between the ages of 5 and 18 being seen for a …

Concussion And Class: Returning To College After A Mild Traumatic Brain Injury (Mtbi), Andrew Friedman, Gabrielle Khalifa, Rebecca Smith, Emily Strickberger

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives

• Identify how concussion management to increase academic function falls within the scope of occupational therapy practice
• Describe effective concussion protocols and timelines as they apply to students’ recovery from mTBI and return to academics.
• Apply evidence based practice to treatment plans for patients post-concussion or mTBI injury returning to academics.

PICO Question
In college-aged adults that experienced a concussion, what are effective interventions within the scope of occupational therapy for return to university?

Scoping Review Of Eating Disorders And Occupational Therapy Interventions, Jessica Goethals, Olivia Keeley, Justyna Leja, Anna Riccius

Systematic Reviews

A scoping review was conducted to determine which occupational therapy interventions are used with individuals with eating disorders and what effect they have, if any. Four databases were searched to identify sources of evidence, initially resulting in 527 sources. Inclusion and exclusion criteria were used to further review and determine the eligibility of each source. A total of 48 studies were included in the final scoping review. Data extraction of eligible articles resulted in 11 categories of eating disorder based interventions. The research showed the significant role occupational therapy has in the treatment of individuals with eating disorders, although there …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

A Quality Improvement Approach To Reduce 30-Day Readmissions And Mortality In Patients With Acute Decompensated Heart Failure, Yee Yin Hoo, Wardati Mazlan-Kepli, Wan Nurul Huda Wan Hasan, Fan Jie Chen, Prashanthini Devadas, Yan Yee Chow, Qian Yi Sow, Azrol Amar Azizan, Abdul Muizz Abd Malek, Glendon Seng Kiong Lau, Ping Lik Chua

Journal of the Saudi Heart Association

Objectives: Heart failure [HF] hospital readmissions are a continued challenge in the care of HF patients, which contribute substantially to the high costs of the disease and high mortality rate in lower to middle income country. We implemented a quality improvement project to improve patient outcomes and resource utilization. Methods: This study was a prospective cohort design with a historical comparison group. It was conducted to assess the difference in 30-day readmissions and mortality and to assess compliance rate with HF guideline between the historical pre-intervention audit 1 cohort and prospective post-intervention audit 2 cohorts. Audit 1 cohort were recruited …

Doctoral Capstone Experience In Program Development - Valley Rescue, Kyra P. Brown

Department of Occupational Therapy Entry-Level Capstone Projects

Homelessness is an increasing problem with various implications on individual’s physical, mental, and occupational wellness (Tsang et al., 2013). Occupational therapy is positioned to provide holistic, client-centered, and trauma-informed care to those experiencing homelessness (Salsi et al., 2017). While residents at Valley Rescue Women and Children’s Center (Valley Rescue) have access to a variety of services, occupation-based education and interventions are extremely limited. This paper describes the completion of a capstone experience at Valley Rescue, with a focus in program development and advocacy. Residents of the shelter expressed interest in education on mental health and wellness and occupational engagement. Throughout …

The Interhemispheric Connectivity Of The Auditory Cortices, Taylor Stansberry

Honors Theses

Objectives: The corpus callosum of the brain is an important and complex structure that allows communication between the two cerebral hemispheres. In the absence of knowledge about the relationship between the corpus callosum and the auditory cortices, this study aimed to investigate how the structure changes. Specifically, we explored the age associated changes of interhemispheric connectivity between left and right cortices through the corpus callosum.Methods: Using Diffusion Tensor Imaging (DTI) data from enhanced Nathan Kline Institute- Rockland Sample (NKI-RS), we isolated the auditory corpus callosum, or the section of the corpus callosum that transfers auditory information, in each individual subject …

A Descriptive Case Study Of The Challenges Of Drug And Alcohol Counselors, Ruben Herron

Graduate Theses and Dissertations

Substance abuse is the number one public health problem in Oklahoma and nationally. Annual related expenses of substance abuse in Oklahoma are nearly $2 billion. This qualitative descriptive case study asks the question what are the challenges of substance-abuse counseling? The researcher will be describing in detail the history of drug and alcohol treatment and counseling in America. Using interviews, observations and document collection which will allow the interviews voices to be heard.

Transitioning To Housing First: Perceptions Of The Role Of The Rehabilitation Counselor In Serving Homeless Individuals With Disabilities In Puerto Rico, Ana Vanessa Serrano Garcia

Theses and Dissertations

Since the 1980s, the federal government has developed strategies to eradicate homelessness in the US and its territories. The introduction of evidence-based practices like the Housing First Model helped decrease the number of people living homeless. Still, it continues to be a public health problem, especially among chronically homeless individuals, defined broadly as people with disabilities and substance abuse problems experiencing homelessness. Rehabilitation counselors are professionals specialized in serving individuals with disabilities. However, their role in programs identified as Housing First was unclear.

Thus, the study aimed to identify service providers' views, opinions, knowledge, and experiences about the role of …

A Longitudinal Study Of Interprofessional Education In Graduate Students From Rehabilitation Sciences, Francesca Julia Hernandez

Open Access Theses & Dissertations

Background: The importance of interprofessional collaboration (IPC) and interprofessional education (IPE) have been well recognized in the healthcare field and health professions programs. However, the long-term benefits of IPE experiences for students from various health professions has not been well investigated.

Purpose: The purpose of this study was to examine the long-term effectiveness of IPE experiences on rehabilitation sciences graduate students’ interprofessional knowledge and perceptions of other disciplines’ roles and responsibilities across time.

Methods: A group of seventy-one students from occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP) graduate programs at the University of Texas at El Paso …

Sustainable Return To Work Following A Musculoskeletal Disorder: Courses Of Action For Supervisors, Iuliana Nastasia, Marie-France Coutu, Romain Rives, Jessica Dubé, Sarah Gaspard, Audrey Quilicot

Rapports de recherche scientifique

Les troubles musculosquelettiques (TMS) demeurent un problème majeur de santé au travail dans les pays industrialisés. Les conséquences de l’incapacité au travail représentent un fardeau important pour les travailleurs et leurs familles, mais aussi pour les organisations. Même si plusieurs études sur l’incapacité au travail soulignent le rôle important du superviseur dans le contexte de différents programmes de retour au travail, peu se sont intéressées spécifiquement au rôle de celui-ci, à ses responsabilités ainsi qu’à ses actions pour faciliter la réintégration des travailleurs qui ont eu une blessure musculosquelettique reliée au travail.

L’objectif général de cette étude est de proposer …

Training Needs Of Counseling Trainees In Corrections: A Survey Of Clinical Directors, Frank Dicataldo, Brett Dejesus, Don Whitworth

Journal of Counselor Preparation and Supervision

As the mental health treatment needs of adults and adolescents within the criminal justice system has garnered increasing attention, the training of mental health professionals has increasingly focused on serving individuals in forensic and correctional settings. We surveyed 55 clinical directors of mental health programs in forensic and correctional settings in a New England state. Respondents reported that Clinical Mental Health Counselors (CMHCs) broadly participated in assessment, treatment and supervision within these programs. Counseling experience emerged as the most important knowledge/experience domain for prospective job applicants and CMHCs were rated as providing a large share of the treatment within these …

Use Of Chinese Herbal Medicines Is Related To A Reduction In Depression Risk Among Patients With Insomnia: A Matched Cohort Study, Yun-Wen Chiao, Hanoch Livneh, How-Ran Guo, Wei-Jen Chen, Ming-Chi Lu, Miao-Chiu Lin, Chia-Chou Yeh, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Subjects with insomnia have a higher risk of depression, thus possibly making them live with serious health conditions. To date, information regarding the effect of Chinese herbal medicines (CHMs), a commonly used complementary and alternative medicine, on depression risk among people with insomnia is still unknown. This study aimed to investigate the effect of CHMs on the risk of depression among individuals with insomnia.

Methods: This cohort study used a national health insurance database to identify 68,573 subjects newly diagnosed with insomnia, aged 20–70 years, who received treatment between 1998 and 2010. Using propensity score matching, we …

Social Participation In College Students With Chronic Pain, Karen Mccarthy, Megan Chamberlain, Megan Chinn, Jennifer Pineda, Camille Santiago, Jamie Spitzer, Patricia Tran

The Open Journal of Occupational Therapy

Background: College students with invisible disabilities, including chronic pain, often experience difficulty engaging in social occupations, both on and off campus, because of stigma, misconceptions, or social exclusion. Previous research has examined the use of academic accommodations to address these concerns or focused on the physical barriers to participation, failing to address the psychosocial and holistic impact of pain. Chronic pain can affect a variety of occupations, including social participation, which is a significant occupation for college students. This research explores the lived experience of chronic pain for college students and the impact of pain on social participation from …

Counselors-In-Training Reactions To Clients Living With And Without Hiv, Melissa Zeligman, J. Richelle Joe

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

An estimated one million people are currently living with HIV in the United States. Therefore, an important question remains pertaining to professional helpers’ preparedness in working with people living with HIV/AIDS (PLWHA). This study (N = 165) utilized an analogue design, with participants receiving one of four possible clinical case vignettes, to determine the relationship of client HIV status and race with counselor-in-training self-efficacy, multicultural competency, and empathy. Results revealed that client HIV status was predictive of counselor self-efficacy, and that self-efficacy held relationships with multicultural counseling competency and empathy. Findings suggest multicultural skills training may be particularly important to …

Research On College Professors’ Perception Of Classroom Disability Support Services In South Korea, Jeong Han Kim, Hyeyoung Kim, Dongil Kim

School of Rehabilitation Services & Counseling Faculty Publications

The present study is designed to examine college professors’ perception of classroom disability support services. A survey questionnaire was developed to measure college professors’ perception of three areas including: 1) expanding higher education opportunities for students with disabilities, 2) types of classroom disability support services, and 3) barriers in providing services, and implemented with eighty-two college professors. Overall, results indicate that college professors are permissive in providing disability-related classroom support, although they showed differences in terms of the type and scope of service depending on the nature of the discipline. To improve college disability support service in South Korea, the …