Digital Commons Network^™

Bridging The Gap: Psychopharmacologic Education And Side Effect Screening For Non-Prescribing Mental Health Professionals, Elaine Fitzgerald

Dissertations

Abstract

Problem: The United States is experiencing a growing demand for pediatric mental health support. Surges in mental health diagnoses and psychotropic medication prescriptions have occurred, compounded by a shortage of psychiatric providers. Non-prescribing mental health professionals are well-positioned to recognize psychotropic medication side effects. However, psychologists and counselors lack formal pharmacology education.

Methods: The quality improvement (QI) initiative was guided by the Plan-Do-Study-Act (PDSA) model. The evidence-based psychopharmacologic education for non-prescribers utilized a quasi-experimental pre- and post- test design. Data collected from clinicians included knowledge, confidence, and skill concerning psychotropic medications. The Psychotropic Medication Monitoring Checklist (PMMC) screen clients …

Improving Mental Health Outcomes For Amputees, Zachary Elmore

Dissertations

Problem: depression, anxiety, and other mental health disorders are more commonly diagnosed in the amputee population related to changes in mobility, activities of daily living, and quality of life (Turner et al., 2020.) As the amputation population is projected to reach over 3 million Americans in the next 25 years, additional screening is imperative to identify patients at high-risk for mental health deterioration (Ziegler-Graham et al., 2018).

Methods: this was a project that included screening all patients with the Personal Health Questionnaire for Depression (PHQ-8) meeting the inclusion criteria of being admitted to 7500 Vascular Surgery at Barnes-Jewish …

Social Work In Pediatric Primary Care, Courtney Maxey

Dissertations

Social Work in Pediatric Primary Care

Abstract

Social determinants of health significantly impact a child's health, and pediatric primary care providers are in the optimal position to help provide treatment and resources to children in need. Studies have shown that integrating social work and nurse care managers has improved many health outcomes for children. This study attempts to answer how the presence of a social work led team impacts pediatric primary care. This project includes children ages 0-18 years seen at a pediatric office with select chronic conditions. Epic was used to perform a medical record review to identify the …

Unveiling The Path To Lgbtq+ Inclusive And Culturally Competent Healthcare: A Multi-Dimensional Examination Of Trainings, Policies, And Perspectives, Hyunmin Yu

Dissertations

LGBTQ+ individuals encounter enduring discrimination and adverse healthcare encounters within the healthcare system, with profound implications for their health and wellbeing. Policymakers have advocated for the adoption of LGBTQ+ inclusive and culturally competent healthcare, including training for health professionals, to promote health equity among LGBTQ+ populations. However, implementation of these policies within healthcare systems varies, posing structural and individual-level barriers. In this dissertation, I employ an ecological model of LGBTQ+ health disparities and a conceptual model of determinants of health disparities in vulnerable populations within the healthcare system to examine the impact of structural inequities on the implementation of LGBTQ+ …

An Exploration Of Contributors To Intergenerational Trauma Transmission In American Families: Parental Life Experiences And Parenting Styles., Shantrell P. Sutton-Mckenzie

Dissertations

Preexisting research on intergenerational trauma transmission primarily addresses biological and behavioral routes of transmission, leaving little room for systemic influences. This research reviews preexisting biological and behavioral contributors and explores systemic contributors to intergenerational trauma transmission in American families as it relates to post-traumatic growth, parental centrality distress, and parenting styles. It was that post-traumatic growth and parental centrality of distress (comprised of ACES, centrality of events, and access to community resources) and PTG predict parenting styles. The research hypothesis was partially supported. It was found (1) Post-traumatic growth, ACEs, and perceived access to community resources while parenting added significantly …

The Role Of Work-Based Learning In Developing Future Skills And Competencies For The Workforce In The Fourth Industrial Revolution, Dorith Johnson

Dissertations

The study investigated the impact of work-based learning on developing skills and competencies required for the Fourth Industrial Revolution. Educators must adapt to what students need to succeed in this era. In this study, seven participants who oversee or have overseen a portion of various work-based learning initiatives engaged in a semi-structured interview process. The interview questions inquired about teacher preparation, practical strategies, programs or models of work-based learning, challenges and limitations, sustainability, and the impacts of different work-based models on employability skill development. The results provide hope that work-based learning can play a crucial role in today’s more technologically …

Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale

Dissertations

Harm reduction refers to public health policies and programs aimed at decreasing the adverse consequences associated with drug use. While harm reduction services (e.g., syringe exchange programs) can mitigate health risks, marginalized groups face barriers to service access and utilization, partially due to ineffective messaging approaches that fail to align with cultural values and experiences. A one-size-fits-all approach to messaging can negatively impact service utilization, health outcomes, and health disparities. Ineffective communication can lead to poor adherence to treatment, poorer health outcomes, and increased adverse events.

Culturally insensitive communication contributes to stigma, mistrust, and lack of perceived relevance, discouraging service …

A Non-Weight Centered Approach To Modifying Eating Attitudes In Polycystic Ovarian Syndrome, Jo'quishia A. Lethermon

Dissertations

Polycystic Ovarian Syndrome (PCOS) is an anovulatory disorder characterized by insulin resistance and endocrine dysfunction. Infertility and abnormal weight gain in women of childbearing age are often a result of PCOS, impacting quality of life and posing potential long-term health sequelae. Prescribing weight loss has been adopted by clinicians as an effective intervention to improve insulin resistance. For some patients, this practice has led to the negative effects of weight cycling and disordered eating attitudes which can result in long term adverse cardiometabolic outcomes. A quasi-experimental pre-and-post-test study was conducted to evaluate how a non-weight centered program influences eating attitudes …

Addressing Barriers To Medication Adherence: An Evidence-Based Screening Instrument Validation Study, Donna Washburn

Dissertations

Adherence to a prescribed medication regimen is often critical to successful disease management. Cancer diagnoses often further complicate control of the comorbid diseases. Older cancer patients with multiple comorbidities receiving chemotherapy treatment are at increased risk for adverse health outcomes from uncontrolled disease when nonadherent to their medication regimen. The intent of this pilot study was to test the validity of an evidence-based screening instrument designed to identify patients at risk for medication nonadherence and uncontrolled illness. The W-BMA (Washburn-Barrier to Medication Adherence) screening criteria were applied to retrospective data of cancer patients with multiple co-morbidities. SPSS was used to …

A Quantitative Correlational Study Of Job Satisfaction Among Critical Care Nurses In Hawai'i, Hazel Downing

Dissertations

One way of reducing nurse shortage and providing effective patient care within critical care units includes addressing the relationships between job satisfaction and nurse socio-demographics. The current quantitative correlational study identified a moderate level of overall job satisfaction among critical care nurses in Hawaii. The highest level of job satisfaction was in flexibility of scheduling and lowest in child care facilities. Rejection of the null hypothesis for six of the eight hypotheses suggested presence of a relationship between socio-demographics and the subscales of job satisfaction. The linear combination of the 10 socio-demographics does not predict the rewards and the professional …

Integrating Geriatric Content Into Traditional Undergraduate Baccalaureate Nursing Curriculum, Gina B. Diaz

Dissertations

Geriatric content in baccalaureate nursing curriculum is essential. Nursing students need the knowledge, skills, and attitude in providing quality care to older adults. The goal of this project was to integrate geriatric content into the traditional undergraduate (TUG) baccalaureate nursing curriculum. This was completed by providing a 16-week didactic learning experience in the classroom and clinical experiences in the community setting and long-term care facility. Fourteen TUG baccalaureate nursing students from a private college participated in the project. Results indicate that the integration of geriatric content into baccalaureate nursing curriculum increases students' knowledge and skills and enhanced attitude towards older …

Counseling Students’ Experiences Of Religious/Spiritual Transitions: A Narrative Inquiry, Lexi Gene Heringer Wimmer

Dissertations

Religious and spiritual (R/S) identities are not stagnant constructs, as may often be believed (Strawn, 2019). The landscape of religion and spirituality is shifting rapidly, and these changes point to individual experiences of R/S transition. One place these kinds of individual changes are occurring is within counselor training. Counselor training can be a transformative experience, and these transformations can include religious and spiritual changes (Nogueiras et al., 2019). Little research explores a broad understanding of religious/spiritual transition, and this gap widens when considering counselors-in-training (CITs) specifically. The purpose of this narrative inquiry was to more fully understand the narratives of …

Convening The Counter-Conversation: Critical Participatory Action Research Against Real-Time Repression, Connor Maguire, Leo Jalipa, Anne Grass

Dissertations

This dissertation presents the anti-fascist Critical Participatory Action Research (CPAR) process of three doctoral student participants/co-researchers, all practicing educators, with varied experiences in public and private education at the middle school, high school, and collegiate level. This research examines the convergence of the participants/co-researchers in response to their shared concerns about ascendent authoritarianism and rising repression and the subsequent formation of this study’s in-process CPAR research collective organized to critically counter, rather than reiterate, this repression.

Enacting the theoretical/methodological frameworks of Critical Theory and Habermas’s Theory of Communicative Action, the participants/co-researchers dialogically determined contemporary fascism to be the focus of …

A Holistic And Collaborative Behavioral Health Detection Framework Using Sensitive Police Narratives, Martin Keagan Wynne Brown

Dissertations

Identifying behavioral health is paramount for law enforcement officers to provide appropriate follow-up community care. In the current practice, law enforcement offices manually identify these behavioral health cases to allow the designation of the relevant follow-up resources. Police reports generated by officers' response to 911 calls remain an untapped resource for identifying such incidents. Therefore, we advocate for the incorporation of manual annotations from experts, natural language processing (NLP), active learning, advanced machine learning, and ensemble techniques to detect behavioral health cases within police reports. In this dissertation, we develop tools and frameworks to automatically detect behavioral health cases from …

"There Is Power In Being Out": A Three Article Approach Celebrating The Experiences Of Queer University Leaders, Andrew R. E. Lorenzana

Dissertations

Institutions of higher education were historically built to serve a wealthy, White, straight male student population and the leaders of these institutions still largely reflect these demographics. This project specifically aims to celebrate and amplify the life and career of university administrators who identify within the LGBTQ community. Mainly through the use of a portraiture methodology, this three-article study attempts to examine the ways in which LGBTQ identity and career influence one another.

Worldmaking and narrative will be used as a theoretical frame to help analyze the ways in which the telling of a queer individual’s story makes the world …

Who Cares?! Fostering Inclusive And Empowering Environments For Black Students In Predominantly White Institutions: Strategies For Retention And Cultural Engagement, Joel Mandell Stancer, Danielle Allen, Angela Haywood-Gaskin, Kelly Atkins, Rhonda Lingard, Kuriston White-Dunlap

Dissertations

This research focuses on the critical components of caring relationships and how they relate to first-generation Black students’ achievement in higher education. It will reveal how staff-led collegiate programming could benefit first-generation Black college students by allowing them to establish caring relationships and mentorships that allow them to construct a solid support system that is easily accessible to them from the moment they begin college until graduation.

Using data collected from interviews with current college students enrolled in a retention program at a PWI (Predominately White Institution) and in connection with a conceptual framework informed by theorists Nel Noddings, Vincent …

A Qualitative Case Study Of An Ultra-Brief Trait Emotional Intelligence Intervention For University Student Leaders, Britne K. Bacca-Haupt, Melinda R. Dilley, Fletcher J. Ferguson, Lisa C. Gillis-Davis, Jacqueline M. Schneller

Dissertations

Emotional intelligence gained interest in the early 1990s from researchers in hopes of assessing how understanding and developing emotions can help individuals be “healthy, rich, successful, loved, and happy” (Mayer et al., 2001, p. xi). Because of the expanded interest, increasing implications began occurring at the postsecondary level of education (Petrides et al., 2018). Trait emotional intelligence focuses on perceptions of oneself and others, illustrating how we regulate our emotions and recognize them in others. This qualitative study aimed to explore the impact of an ultra-brief intervention on the trait emotional intelligence development of university student leaders and how they …

For Black Women - When The Rainbow Was Not Enough (Shange, 1976, New York City): An Autoethnographic Collection About Spirit Assassination, Teresa Quarles, Tamika Galvin, Sherrie Mcclellan

Dissertations

ABSTRACT

We live in an America where the higher you elevate in your career as a Black woman, the greater your chances of being subjected to racism, discrimination, isolation, and bullying. We are underrepresented in various elevated roles, but we will not let that stop us. As Black women, we can attest to the experiences that we are subjected to with no question about our mental health. The Black community in America has been subjected to a considerable presence of systemic racism, oppression, and violence - with the objectives of exercising authority and oppressing the Black community, as well as …

Uncovering The Lifeworlds Of College Students Who Are Food Insecure: An Interpretive Phenomenological Inquiry, Amber L. Kolesar

Dissertations

Food insecurity (FI) is a concern for many college students, and contributes to significant physical, mental, and academic stressors. Experts have described the need for qualitative research. A better understanding of the experience of FI among college students may help to inform future research and interventions to support students on their educational journey. This study sought to interpret the lived experience of FI, with specific focus on the sociocultural context in which students experience FI, and its' contributing factors. Incorporating the philosophical perspective of Merleau-Ponty, the researcher utilized interpretive phenomenological analysis to uncover the life-worlds of food-insecure college students.

Nursing Student Attitudes Toward Mental Illness: A Quantitative Quasi-Experimental Study, Todd B. Hastings

Dissertations

Nursing students often harbor negative stereotypes and feel unknowledgeable and unprepared to work with mentally ill people. In addition, nursing students rarely choose the psychiatric specialty as a career option. A quantitative quasi-experimental study was conducted to examine nursing student feelings about engaging those with behavioral health problems. Over 300 nursing students in eight Bachelor of Science in Nursing professional nursing programs were surveyed on the first and last day of their program's psychiatric mental health nursing course (the independent variable). A valid and reliable survey instrument was used to collect nursing student responses characterizing attitudes, impressions of knowledge and …

The Postsecondary Success Of Historically Marginalized Black And Latino Male Students: Examining Factors That Impact College Readiness Preparation And Persistence, Molly Croghan, Ebonie Davis, Janci Finkley, Zehra Khan, Yvette Levy, Evans Mudanya, Lizbeth Roman

Dissertations

This qualitative research study investigates the multifaceted factors influencing the postsecondary success of historically marginalized Black and Latino male students, with a particular emphasis on understanding the impact of college readiness preparation and persistence. Employing a comprehensive research design, the study integrates semi-structured interviews with high school teachers and counselors, and Black and Latino male freshmen and sophomores to provide a holistic exploration of the challenges and opportunities within the educational journey. Situated within an interpretive phenomenological paradigm, this study elucidates the experiential realities and viewpoints of the subjects, thereby illuminating the socio-cultural, institutional, and individual factors shaping their trajectories …

Nonprofit Leader Experiences In Sector-Bending After Lean Six Sigma Training: Tension, Concepts, And Changed Behaviors, Beverly Codallos

Dissertations

Government, business, and nonprofit represent three distinct types of organizations governed by different legal frameworks designed to facilitate collective action (DiMaggio & Anheier, 1990). The emergence of hybrid forms and increasing isomorphic pressures in the nonprofit sector (Bromley & Meyer, 2017; McCambridge, 2014) have challenged the traditional separation of organizational forms. This study explored the phenomenon popularized as sector-bending, “a wide variety of approaches, activities, and relationships that are blurring the distinctions between nonprofit and for-profit organizations, either because they are behaving more similarly, operating in the same realms, or both” (Dees & Anderson, 2003, pg. 16). This qualitative study …

Experience Of Parents Caring For A Chid With An Acquired Disability, Brad Phillips

Dissertations

Parents caring for a child with an acquired disability often report a negative impact on physical, psychological, emotional, and spiritual health associated with caregiver burden related to their child's complex health needs. This is further complicated by additional challenges related to the loss of a previously healthy child. Traditional patterns of loss follow linear, time-bound stages that have been observed to be unrelated to the experiences of these specific parents and their families. Therefore, the concept transforming loss has been developed to better understand how these parents navigate loss and find meaning in spite of their suffering.

The purpose of …

Clinical Supervisors Competency And Readiness To Supervise Telehealth Practices, Myriam Buitrago

Dissertations

The growing effectiveness of telehealth as an alternative practice is gaining acceptance not only by professionals in the healthcare field but also by people who have benefited from this approach. New training and supervision practices are required to meet the new telehealth approach. Clinical supervision is a new profession identifying the competencies that define their best practices. However, telehealth is forcing us to evaluate and redefine them to meet the new telehealth requirements. This study used two assessments, the Supervisor competence self assessment and the supervisor evaluation and the Supervisor Competence Scale, to measure supervisors' self-evaluation of their performance as …

Returning To School After A Pandemic: K-12 School Mental Health Practitioners’ Perspectives Returning To School In Regard To Mindset, Behavior, Performance, And Social Connections, Viridiana Benitez Esparza

Dissertations

Purpose: The purpose of this phenomenological study was to determine K-12 school mental health practitioners’ perceptions of their experiences working with students following the 2-year educational/social/emotional trauma of the COVID-19 pandemic with regard to the mental health practitioners’ mindset, behavior, performance, and social connections. Methodology: The researcher conducted a phenomenological study examining particular experiences of participants to understand their perspective during a phenomenon (McMillan & Schumacher, 2006). This qualitative study interviewed 12 school mental health practitioners who served in K-12 public schools after the pandemic in Los Angeles County, California. Semi-structured interview questions were used for data collection and aligned …

Licensed Nurse/Certified Nurse Aide Collaboration In The Nursing Home, Cynthia Beynon

Dissertations

The purpose of this dissertation was to explore how collaboration is perceived and experienced by the licensed nurse (LN) and the certified nurse aide (CNA) in the nursing home (NH) setting. Understanding perspectives and patterns in the process of LN/CNA collaboration is critical in the quest to secure safe, quality care delivery for NH residents.

Professional Counselor's Experience Of Providing Clinical Services While Experiencing Adversity, Cambria Jovanna Mcdonald

Dissertations

The purpose of this study was to understand the lived experience of professional counselors who provided clinical services while undergoing personal adversity. Despite the common belief that counselors are more equipped to handle personal adversity, counselors experience adversity alike others. Interpretative phenomenological analysis was the methodology implemented. Participants in this study consisted of six licensed professional counselors working at various clinical sites who continued to provide counseling services while experiencing an adverse event. Adverse events included the death of a loved one, marital concerns, family crises, divorce, infertility issues, and complex parenting situations. Findings revealed that all participants reported a …

The Contribution Of Mindfulness Practice To Supporting Children And Their Families’ Challenges Among School Social Workers: A Qualitative Multicase Study Of School Social Workers In California, Catalina Andrade

Dissertations

Purpose: The purpose of this qualitative multicase study was to describe the challenges school social workers experience when supporting students and their families in their schools. Additionally, the purpose of this study was to understand how school social workers use mindfulness practices to help them respond to the challenges of working with the students and their families in their school based on Lesser’s mindfulness model (2019): love the work, do the work, don’t be an expert, connect to your pain, connect to the pain of others, depend on others, and keep making it simpler. Methodology: In this multicase study, the …

Strong Partnerships Require Collaboration: The Investigation Of Interagency Collaboration Efforts Between Schools And Community-Based Organizations In Supporting Students Experiencing Homelessness, Iantheya K. Brown

Dissertations

This study provides valuable insights into effective interagency collaboration strategies for supporting students experiencing homelessness. Through qualitative analysis, three overarching themes and seven sub-themes emerged, highlighting the importance of partnership building, support system enhancement, and addressing the complex needs of students experiencing homelessness. The findings underscore the crucial role of early relationship establishment, McKinney-Vento education, transparent communication, and shared information in maintaining and expanding partnerships. However, challenges persist, including discrepancies in definitions and misconceptions about homelessness, necessitating a more empathetic approach. Leadership engagement and culturally responsive practices are essential for navigating these challenges and fostering effective collaboration. By adopting a …

The Lived Experiences Of School Counselors And Ell Teachers Who Support Ell Students Who Exhibit A Symptom Of Mental Illness, Trenise Duckens

Dissertations

The current literature regarding the lived experiences of ELL teachers and school counselors who support ELL students who may exhibit a symptom of mental illness in high school is very limited. Research is available discussing school counselors and their role when supporting students who may exhibit a symptom of mental illness or may have mental health concerns. This study sought to add to the literature by exploring the lived experiences of ELL teachers and school counselors who support ELL students who may exhibit a symptom of mental illness. By adding to the literature, the researcher hopes to provide a better …