Digital Commons Network^™

Nurse Retention In Workplace Adversity, Deborah Lewis

Student Scholarly Projects

Practice Problem: Nurse turnover rate and lack of retention are issues that have an impact on safe patient care, patient mortality, quality outcomes, and patient experiences in the acute care units at the identified project setting. Turnover leads to excess labor utilization of overtime and increased hospital costs.

PICOT: The PICOT question that guided this project was (P) In acute care hospital nurses, how do (I) nurse retention strategies (C) compared with no nurse retention strategies (O) reduce nurses’ intention to leave and increase job satisfaction over (T) eight weeks?

Evidence: Twenty-one articles were reviewed that identified autonomy, recognition, …

Health Equity And Quantifying The Patient Experience: A Case Study, Maria R. Moreno, Brandon Sherrets, Danielle J. Roberts, Kristen Azar

Patient Experience Journal

The COVID-19 pandemic has invigorated efforts to address health inequities disproportionately burdened by racial/ethnic groups and individuals of low socioeconomic status. Measuring and monitoring patient experience is crucial to understanding why the gaps exist and identifying mechanisms necessary to close them. Electronic health records and digital health tools hold much promise in this regard and can lead to change. We present a case study describing the innovative efforts undertaken at Sutter Health, a large integrated health network in Northern California, to quantify gaps in health equity using electronic platforms and visualization modalities. More work is needed to identify and address …

江門市居家養老需求研究報告 : 城市深度訪談 = The Needs Of Ageing In Place In Jiangmen City : In-Depth Interviews In Urban Area, 嶺南大學-五邑大學居家養老聯合研究創新中心

APIAS Research Report 研究報告

本次研究旨在調查江門市老年人居家養老的現狀，探索服務需要，提升江門市老年人的生活質素。研究採用定性研究方法，對21名城市老人進行了深度訪談，調查日期從2020年7月到2020年9月。在這21名受訪者中，女性是11人，男性是10人；60-74歲的老人有9名，12名老人在75歲以上；與他人同住的老人有10名，11位老人是獨居。

研究檢視了江門市老年人的健康狀況和居家養老方面的需求，包括住房滿意度、社區設施情況、患病者個人護理需要及生活水準、健康資訊獲取方式、社會支援途徑和方式、老年人喜歡的活動、上門服務的選擇情況、社會組織分佈情況、患病老人的經濟狀況、及智能設備使用情況。

根據被訪者的需要，本文從醫療費用、養老中心和活動、可承擔服務、資訊傳遞、智能設備、家用電器及家居維修等六個方面提出了幾點建議，希望可以提升老年人的生活質素，使他們可以在家安享晚年。

Growth And Resilience During Covid-19: Research On The Impact Of The Pandemic On Older Adults In Singapore, Centre For Research On Successful Ageing

ROSA Research Briefs

It has been a year since the Centre for Research on Successful Ageing (ROSA) was established in place of the Centre for Research on the Economics of Ageing (CREA). While it was a year full of challenges (least of all the COVID-19 pandemic), the team at ROSA adapted and worked hard to overcome these challenges, and we are grateful for the opportunity to share this annual report that presents a snapshot into the centre’s work to better understand the ‘ageing Singaporean’. Much of the work that has been done in the first year has been focused on establishing a good …

Age Friendly North Reading: A Community Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

By the year 2030, 35% of North Reading residents will be age 60 and older1. In response to this demographic shift as well as in response to the desire of most residents to remain living in their community, the resident leaders of North Reading, with support of the Town, have embarked on the journey to become a more age friendly community. The Age-Friendly North Reading initiative means to ensure that North Reading is, and remains, a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research …

Self-Reported Health Among Sexual Minorities In The United States, Christopher Burton

Electronic Theses and Dissertations

Previous literature on LGBTQ+ people (lesbian, gay, bisexual, transgender, queer/questioning, and other sexual minorities) reports that this community experiences greater health problems than heterosexuals. LGBTQ+ people experience higher rates of chronic conditions, STIs, addiction, poor mental health, and cancer, which highlights the importance of capturing data regarding health. A growing concern is that social surveys fail to find meaningful ways to gather gender and sexuality data to understand possible health disparities for LGBTQ+ people. This study uses data from the General Social Survey to examine the physical and mental health outcomes of LGB people compared to straight people in a …

Food Insecurity And Older Adults: An Analysis Of Food Insecurity Among Elderly Households In The Us During The Covid-19 Pandemic, Stephanie Alexandra Morales

Open Access Theses & Dissertations

Past research has shown that food insecurity rates among the elderly have significantly increased during the COVID-19 pandemic. Nonetheless, there are yet to be peer-reviewed articles that specifically address food insecurity among the elderly during the COVID-19 pandemic. This cross-sectional study utilized a nationally representative sample (50 states and the District of Columbia, n = 29,779) using data derived from the Household Pulse Survey (HPS). One generalized estimating equation (GEE) was estimated along with bivariate analyses. The GEE revealed that Hispanics, Asians, and those who identified as other race were significantly more likely to be food insecure in comparison to …

Association Between Greater Cerebellar Network Connectivity And Improved Phonemic Fluency Performance After Exercise Training In Older Adults, Junyeon Won, Yasmeen Faroqi-Shah, Daniel D. Callow, Allison Williams, Adewale Awoyemi, Kristy A. Nielson, J. Carson Smith

Psychology Faculty Research and Publications

Little is known about the effects of exercise training (ET) on lexical characteristics during fluency task and its association with cerebellum functional connectivity. The purposes of this study were (1) to investigate whether ET alters response patterns during phonemic and semantic fluency tasks and (2) to assess the association between ET-related changes in cerebellum functional connectivity (FC) and lexical characteristics during fluency tasks. Thirty-five older adults (78.0 ± 7.1 years; 17 mild cognitive impairment (MCI) and 18 healthy cognition (HC)) underwent a 12-week treadmill ET. Before and after ET, cardiorespiratory fitness tests, phonemic and semantic fluency tests, and resting-state fMRI …

Subjective Age And Inflammation Risk In Midlife Adults: Findings From The Midlife In The United States (Midus) Studies, Andree Hartanto, Nadyanna M. Majeed, Wee Qin Ng, Colin Kai Ning Chai, Verity Yu Qing Lua

Research Collection School of Social Sciences

Recent studies have suggested that subjective age—a subjective evaluation of one's own age—is a promising construct in gerontology that may contribute our understanding of risk for immune dysfunction. Nevertheless, studies documenting the association between subjective age and inflammatory biomarkers remain limited and provide mixed findings. In the present study, we revisited the relation between subjective age and systemic inflammation by utilizing a range of well-established inflammatory biomarkers (C-reactive protein, interleukin-6, fibrinogen, E-selectin, and intercellular adhesion molecule 1) through the collection of fasting blood samples before breakfast. In a large-scale dataset of midlife adults (N = 1800), we found some evidence …

A Secondary Data Analysis Of The Prevalence Of Reported Dementia And Subjective Cognitive Decline Across U.S. National Surveys, Matthew C. Picchiello

Arts & Sciences Graduate Student Theses and Dissertations

Within the United States, many large-scale, nationally representative studies exist with the goal of tracking and monitoring aspects of health. These studies are often used to establish the prevalence of dementia and subjective cognitive decline (SCD) in the population. The goal of the current study is to examine how different population-based studies probe respondents about conditions related to cognitive impairment, and to assess similarities and differences in point estimates. We reviewed eight studies and identified comparable items related to dementia and SCD. We calculated design-appropriate point prevalence estimates and compared weighted estimates across studies, finding a wide range and statistically …

A Thematic Analysis Of The Attitudes And Perceptions Of Faculty Towards Inclusion Of Interprofessional Education In Healthcare Curriculum, Jitendra Singh, Tracy Eisenschenk

International Journal of Health Sciences Education

This qualitative study aimed to explore attitudes and perceptions of faculty towards inclusion of interprofessional education (IPE) in healthcare curriculum. Efforts were made to explore faculty members’ definition of IPE, significance of including IPE in content and curriculum and resources available to implement such initiatives in healthcare education programs. Further, challenges faced while including IPE in curriculum were also explored. Face to face semi structured interviews were conducted, and a six-step thematic analysis framework was utilized to analyze the collected data. Further, four dimension criteria was utilized to establish the rigor of the study. Eleven participants across undergraduate and graduate …

A Multidimensional Welfare Status Of Leprosy Patients Living In A Suburban Area, Yunia Irawati, Sri Linuwih Sw Menaldi, Melinda Harini, Luh Karunia Wahyuni, Wanarani Alwin, Astari Dwiranti, Adhityawarman Menaldi, Sonny Tirta Luzanil, Qaishum Matsurah, Dadun ., Rico Kurniawan, Ida Ruwaida, Gunawan Wicaksono, Muhammad Hidayat Sahid, Febrina Rahmayanti, Florentina Priscilia, Anis Fitriana, Tri Rahayu, Made Susiyanti, Gitalisa Andayani, Anna Puspitasari Bani, Hisar Daniel, Yeni Dwi Lestari

ASEAN Journal of Community Engagement

Leprosy has a high incidence of physical complications that will impact directly the physiological, economic, and social status of patients. Indonesia has a high burden of the disease, and several leprosy settlements are still spread in the country. Neglasari Village, Sitanala, Tangerang serves as one of the places of residence of people who have had leprosy. A health service initiative known as Identifikasi Tanda-Tanda Mata, Ekstremitas, dan Kulit pada Kusta (KATAMATAKU) was launched as a collaboration of health services among multi-departments (ophthalmology, dermatovenereology, and medical rehabilitation). Sitanala has a relatively high incidence of people who have had leprosy with disabilities …

Subjective Cognitive Decline Higher Among Sexual And Gender Minorities In The United States, 2015–2018, Jason D. Flatt, Ethan C. Cicero, Nickolas H. Lambrou, Whitney Wharton, Joel G. Anderson, Erin D. Bouldin, Lisa C. Mcguire, Christopher A. Taylor

Social and Behavioral Health Faculty Research

Introduction: Subjective cognitive decline (SCD) represents self-reported problems with memory, a possible early sign of dementia. Little is known about SCD among sexual and gender minority (SGM) adults who identify as lesbian, gay, bisexual, and/or transgender or gender non-binary. Methods: Data were weighted to represent population estimates from 25 states’ 2015–2018 Behavioral Risk Factor Surveillance System to describe SCD in adults ≥ 45 years by SGM status. Logistic regression tested associations between demographic and health conditions. Results: SCD prevalence was higher in SGM (15.7%; 95% confidence interval [CI]:13.1–18.2) than in non-SGM adults (10.5%; 95% CI:10.1–10.9; P < .0001). SGM adults with SCD were also more likely to report functional limitations due to SCD than non-SGM adults with SCD, 60.8% versus 47.8%, P =.0048. Differences in SCD by SGM status were attenuated after accounting for depression. Discussion: Higher prevalence of SCD in SGM adults highlights the importance of ensuring inclusive screenings, interventions, care services, and resources for SGM adults.

Designing Educational Newsletter Interventions: An Example That Supported Grandfamilies’ Physical Wellness Needs, Priscilla Brenes, Mary Meck Higgins

Journal of Extension

Effective newsletters have theory-based content and designs tailored to their readers and offer limited-cost community-level approaches to providing helpful, relevant, and engaging information. In accordance with this, we offer an example of a newsletter intervention that supported grandfamilies’ physical wellness needs. Six issues of a brief mail-delivered newsletter were sent yearly for up to 5 years to low-income custodial grandparents. In evaluating the newsletter, most respondents reported reading it, discussing its information, and having greater awareness, knowledge, and motivation or confidence regarding wellness recommendations. Furthermore, 91% described improving 1 or more of their grandfamilies’ cooking, eating, or physical activity practices.

'There Are No Bathrooms Available!': How Older Adults Experiencing Houselessness Manage Their Daily Activities, Ellis Jourdan Hews

Dissertations and Theses

Older adults living unhoused encounter limitations and challenges that drastically decrease their wellbeing and quality of life. The purpose of my study was to understand how experiencing houselessness impacted older adults' ability to conduct their activities of daily living (ADLs) and instrumental activities of daily living (IADLs) within their communities. I conducted phone interviews with older adults aged 50 and older who experienced houselessness in the Portland metro area. The participants described the persons and places that shaped their community life when they were living unhoused, and they described how those entities intervened to alleviate barriers to daily activities. The …

Intergenerational National Service By, With, And For All Ages, Phyllis N. Segal

eJournal of Public Affairs

Intergenerational national service builds community ownership by connecting people of different ages around a common purpose addressing social problems. Federal policies have encouraged older and younger people to meet challenges facing the other’s generation, and bring the generations together to serve with each other. Although implementation has fallen short of the laws enacted, experience with intergenerational service confirms its benefits for participants, individuals who are served, and communities. In addition to making progress on pressing social challenges, engaging community members across the age spectrum to serve together increases understanding and empathy across generational divides. Bridging this as well as other …

Income Predicts Fpg, But Food Security Is The Mediator, Amy Blansit

eJournal of Public Affairs

This research was aimed at studying the RISE pilot program and stability factors of low socioeconomic groups. Self-sufficiency programs focus on households moving from crisis to empowerment; no longer relying on subsidies. Gaining employment and housing alone do not create socioeconomic stability. It was therefore determined that the RISE Program should be evaluated to determine the effectiveness at ending dependency. Methods: Thirty-four (30.6%) participants were included in this evaluation. Using logistic regression techniques, sixteen items on the RISE Self-sufficiency Assessment were explored. Results: RISE participants derived significant economic benefits, and that food security seemed to be the greatest mediator of …

Impact Of Aging Information On The Continuing Education Preferences Of Behavioral Health Clinicians, Nicholas Schmidt

Dissertations

The United States population is aging rapidly and the behavioral health workforce is ill-prepared to meet the concurrent rise in demand for services for older adults. Clinicians specializing in working with older adults make up a very small portion of providers and the majority of service provision falls on general practitioners. The discipline of counseling has emphasized multicultural competencies in training and practice but has not specified standards of competence for work with older adults; little is known about the interests and training preferences of Licensed Professional Counselors (LPCs). This study examined the impact of receiving foundational information about aging …

Literature In The Field Of Physical Medicine And Rehabilitation: A Bibliometric Analysis, Jagannathan Ramakrishnan Dr, Govindan Ravi Sankar Dr, Kotti Thavamani

Library Philosophy and Practice (e-journal)

This paper presents a bibliometric analysis of the literature in the field of Physical Medicine and Rehabilitation. The records as indexed in the field of Physical Medicine and Rehabilitation in MEDLINE data covered in PubMed for the period 2010-2019 considered. It is observed that a total of 49613 records are in the MEDLINE data covered by Pubmed. It is found that the maximum number of 8098 records was published in the year 2019. It was also found that 42.69% are journal articles. It is seen from this study that RGR has been decreasing trend and the Doubling Time (Dt) has …

Connecting Through Comments: A Thematic Analysis Of Blogging Comments, Megan N. Bell

Communication and Theater Association of Minnesota Journal

There are millions of blogs available for readers and a lack of existing research on the interactions occurring through the comment-based dialogue between bloggers and their readers. This study examines the comments from 14 blog posts from a well-established lifestyle blog, which yielded 640 unique comments, 25 emergent themes, and three categories for thematic analysis. An inductive approach was used to identify the emergent themes from the blog comments. The results of the study suggest interactions are occurring primarily between the blogger and their readers, with minimal reader-to-reader interaction taking place.

Aacp Basic Resources For Pharmacy Education, Jason Guy, Ivan Portillo, Robert D. Beckett, Leslie Ann Bowman, Daisy De La Rosa, Vern Duba, Juanita Draime, Kayce Gill, Neyda Gilman, Rebecca Hoover, Alison Kosnieczny, Scott Perkins

Library Association/Organization Work

"The AACP Basic Resources for Pharmacy Education is produced as a guide for those developing or maintaining the library collections that serve colleges and schools of pharmacy. The goal of the Basic Resources list is to make recommendations of books and other works to be included in pharmacy libraries, but not all titles are required to be purchased. Each pharmacy college has its own mission and its own program(s), and so each college’s library collection must reflect that mission and support the college’s program(s). Excellent library collections are built by knowledgeable librarians and drug information specialists using their professional judgment …

Electronic Resources Updates - 2021 Q2, Sean Kennedy, Gregg Harris, Melanie Mcgurr

Electronic Resources Quarterly Updates

No abstract provided.

Special Report On Covid-19 Vaccination Trends Among Older Adults In Singapore, Micah Tan, Paulin T. Straughan, Wensi Lim, Grace Cheong

ROSA Research Briefs

This report examines trends in vaccination among older adults in Singapore to better understand why segments of older adults continue to resist vaccination against COVID-19. We find that individuals who were most likely to still be waiting to vaccinate or to not want to be vaccinated as of June 2021; are relatively older (aged 71-75), are of lower socioeconomic status (lower education levels and living in 1-3 room HDB flats), were the least likely to rely on Newspapers and Government Sources as sources of information for COVID-19 related news in November 2020, were least trusting of all sources of information, …

External Funding Bulletin, January - June 2021, Uno Office Of Research And Creative Activity

Sponsored Programs Bulletins

No abstract provided.

Preventing Complications Of Undiagnosed Diabetic Peripheral Neuropathy In Rural Healthcare Settings, Kendra Ward Harris

Doctor of Nursing Practice Projects

Background: Diabetic peripheral neuropathy (DPN) affects the lives of approximately 50% of all persons diagnosed with diabetes. Patients who are minorities, residents of rural communities, low income, or non-compliant with treatment, have a higher risk of developing DPN. The long-term effects interfere with the patient’s abilities to carry out activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Patients incur debt from medical expenses, depression from the inability to perform self- care, and became withdrawn because of their distorted body image.

Purpose: The purpose of this project was to use the Michigan Neuropathy Screening Instrument (MNSI) …

Gender Differences In Undergraduates' Sexuality: A Comprehensive Study Of Sexual Attitudes, Sindy Said

University Honors Program Senior Projects

The purpose of this study was to investigate correlated sexual attitude measures, gender differences in sexual attitudes, and the relationship between religious practice and sexual attitudes. The sample consisted of 92 undergraduate students (17 men and 75 women). The majority were young, Hispanic, straight, single, and were religious. An online survey was administered regarding 23-items from the Brief Sexual Attitudes Scale (BSAS) followed by demographic items. Main analyses showed that permissiveness and instrumentality attitudes were positively and weakly correlated with a medium effect. Additionally, birth control and communion were not correlated nor statistically significant. Men were insignificantly more permissive but …

Vulnerability To And Protection Against Covid-19 Fear, Threat, And Worry, Marsha Kim Huh

Graduate Theses and Dissertations

Drawing from a sample of 10,368 adults living in the U.S., the current study examines the role of social and psychological resources in lowering COVID-related fear, threat, and worry, controlling for a number of social vulnerabilities (e.g. gender, race/ethnicity, and presence of children). The impact of social location, particularly in regards to race, and how one accesses and/or utilizes social and psychological resources is also examined through disaggregated regression models. Results demonstrate that some social and psychological resources impact COVID-specific distress (fear/threat/worry), but depending on the resource, relationships vary in direction and significance. The strength of social ties and mastery …

Educating The Congregation On The Role Of The Pastoral Counselor, Richard Laverne Wilkins

Doctoral Dissertations and Projects

This thesis project is to educate the church staff, church members, and local surrounding community on the pastoral counseling practices of Good Shepherd United Methodist Church (GSUMC) and a licensed professional counseling center located on the church premises. The purpose is to ensure that those who attend the church, whether on a weekly basis or less frequently, are aware of the counseling services that are offered. Chapter one introduces the church’s ministry context, the thesis statement, purpose statement, and any limitations to the research. A literature review in chapter two discusses the challenges and difficulties for individuals seeking counseling as …

Cognition In Context: Pathways And Compound Risk In A Sample Of Us Non-Hispanic Whites, Jennifer W. Robinette, Jason D. Boardman

Psychology Faculty Articles and Research

The population of individuals with cognitive impairment and dementia is growing rapidly, necessitating etiological investigation. It is clear that individual differences in cognition later in life have both genetic and multi-level environmental correlates. Despite significant recent progress in cellular and molecular research, the exact mechanisms linking genes, brains, and cognition remain elusive. In relation to cognition, it is unlikely that genetic and environmental risk factors function in a vacuum, but rather interact and cluster together. The purpose of the present study was to examine whether aspects of individual socioeconomic status (SES) explain the cognitive genotype-phenotype association, and whether neighborhood SES …

Personal Mastery And All-Cause Mortality Among Older Americans Living With Diabetes, Ho-Jui Tung, Ming-Chin Yeh, Randall Ford, Gulzar H. Shah

Health Policy & Community Health: Faculty Publications

Introduction: Higher personal mastery is associated with better physical functioning, wellbeing, and longevity among older populations. However, few studies have focused on whether personal mastery is protective against mortality among older adults living with diabetes over time.
Methods: A total of 1,779 participants were identified from an off-year survey of the Health and Retirement Study. Proportional Hazard Models were used to evaluate the significance of selected variables in predicting the survival of participants over a 13-year period.
Results: A substantial proportion (46.7%) of the diabetic patients had survived by the end of 2016. Adults with lower mastery …