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“How To Have Courageous, Culturally And Soulfully Competent Conversations At End-Of-Life”, Jana Dluehosh

Doctor of Leadership

Signature Healthcare at Home (Hospice, Palliative, and Home Health) workers are often not prepared to facilitate courageous and culturally competent “Goals of Care” conversations with their patients as they approach the End-of-Life. Working in Hospice has given me a direct line of research as I worked on ways to help healthcare workers gain confidence in talking with patients about death and dying in what we call a Goals of Care conversation.

One of the challenges I found in my research was finding healthcare workers who could give the time to participate in stakeholder workshops. Much healthcare operates at high demand, …

Development Of A Nursing Clinical Evaluation Instrument Using The Cipp Model, Carolyn W. Milburn

Doctor of Education (EdD)

National nursing education organizations are responding to the trends and challenges in healthcare with updated professional guidelines and a call for transformation in nursing education. The purpose of this study was to improve clinical performance evaluation in a baccalaureate prelicensure nursing program by developing a clinical evaluation instrument that is aligned with The Essentials: Core Competencies for Professional Nursing Education. The Context Input Process Product (CIPP) Evaluation Model was used as a framework to guide decisions and appraise the quality of the end product. During instrument development, I revised an existing instrument to align with the Essentials, assessed the face …

Effective Hospice Chaplain Ministry, Dawn M. Linder

Doctor of Ministry

This project is a book which examines how Christian hospice chaplains can maintain and utilize their Christian identity and minister effectively to non-Christian/non-religious patients and their families without evangelizing them. It was determined that narrative, or story, is an essential part of each person's life, especially as a person looks back on their life while approaching death. A person's life goals change as death becomes imminent, and with change comes grief. Hospice chaplains can companion the patient as they navigate this unfamiliar territory and help them recognize new goals. Chaplains can help patients look back on their lives to see …

Spirituality Integrated Interventions For Caregivers Of Patients With Terminal Illness: A Systematic Review Of Quantitative Outcomes, Yongqiang Zheng, Anna Cox Cotton, Longtao He, Leslie Wuest

Faculty Publications - College of Social Work

This systematic review of published quantitative research was conducted to explore the effects of spirituality-integrated interventions for informal caregivers of terminally ill patients. Multiple databases were searched for articles published between January 2004 and November 2019. Twelve randomized controlled trials were identified. Methodological quality was assessed using the revised Cochrane Collaboration’s tool for assessing risk of bias. Studies were notably diverse in terms of spiritual background, intervention design, technology used, and outcomes measures. Spirituality-integrated interventions were found to show positive outcomes for caregivers. However, methodological flaws negatively affected the quality of most studies, warranting further and rigorous research into the …

Efficacy Of Concreteness Training With Persons Qualifying For Palliative Care: Piloting An Ios Application, Diana Zarb

Doctor of Psychology (PsyD)

Palliative care services (PCS) seek to increase quality of life and manage symptoms of persons with chronic illnesses. Depression and anxiety are common concerns for persons receiving PCS. One intervention that has demonstrated some effectiveness and requires further research is a brief concreteness training (CT) intervention based on cognitive-behavioral techniques. This study piloted the implementation of a brief CT intervention via an iOS application for persons qualifying for PCS. Forty-one people completed all of the pretest measures, and 9 participants completed the entire study. Variables measured were anxiety, depression, spiritual well-being, health-related quality of life (HRQOL), and patient activation. Participants …

Item Fairness Of The Nonverbal Subtests Of The Stanford-Binet Intelligence Test, Fifth Edition, In A Latina, Simone C. Harlow

Doctor of Psychology (PsyD)

No abstract provided.