Digital Commons Network^™

An Examination Of The Use Of Mental Health Services By Refugees In An Upper Great Plains City, David Wal Jal

Theses and Dissertations

No abstract provided.

An Exploration Of Satisfaction, Psychological Stress, And Readiness For Interprofessional Learning In Medical, Nursing, Allied Health, And Social Work Students In An Interprofessional Health Care Course, Anne M. Haskins

Theses and Dissertations

Medical errors are a prominent problem in health care systems in many countries, including the U.S. One source of medical errors is communication and collaboration between health care team members. Many medical, nursing, and allied health care programs have implemented interprofessional health carecourses to improve communication between future team members. However, a dearth of literature on the effectiveness of interprofessional education and the variables that may influence its efficacy continues to persist.

This survey research explored medical, nursing, occupational therapy, physical therapy, and social work students' achievement of knowledge, psychologicalstress, and satisfaction in an interprofessional health care course. Ninety-six students …

Community Interest In An Assisted Living Facility In Warren, Minnesota, Richelle L. Kruger

Theses and Dissertations

No abstract provided.

Physicians' Communication With Older Patients, Particularly Older African American Women, About Sexual Health And Sexual Risk Behaviors For Human Immunodeficiency Virus (Hiv) And Acquired Immune Deficiency Syndrome (Aids)*, Regina Vaughn Gibson

Theses and Dissertations

HIV/AIDS is rising among people age 50 and older in the U.S. but primary care physicians may not be talking to their older patients about sexual health and high-risk sexual behaviors nor routinely testing them for HIV/AIDS. Do primary care physicians in Arkansas obtain sexual histories on their older patients? Are primary care physicians in Arkansas knowledgeable enough about HIV to impart risk-reduction information to their older patients? These are but two of the questions this research seeks to answer. Contrary to what the medical or general population believes, many older persons remain sexually active throughout their lifetime. The problem …

Psycho-Sexual Politics Of Life On The Streets: Narratives Of Homeless Women And Women Who Experienced Homelessness As Children, Jane Stallcup Rampona

Theses and Dissertations

Eleven homeless women and eleven providers of homeless services were administered qualitative surveys asking about the experience of homelessness for women. Both groups were asked, “Is it possible for a woman to be safe while on the streets?” Most homeless women emotionally and vehemently answered, “No!” Most providers also answered, though less passionately, that it was impossible for women to be safe on the streets. When asked, “What was the worst thing that happened to you while on the streets?” Most of the women spoke of rape and gang rape. The other eighteen per cent became suddenly uncommunicative regarding the …

The Effects Of Family, School And Peer Support On The Achievement Outcomes Of African American Adolescents, M. Annette Clayton

Theses and Dissertations

This study used survey design to explore the relationship between protective influences (support from parents, teachers and peers, social capital assets, and social support use), contextual risks, and two achievement outcomes in a representative sample of male and female African American high school seniors (N=317). Responses to two questionnaires, weighted cumulative grade point averages, and eleventh grade Virginia English Reading Standards of Learning test scores were analyzed. Multiple regression analysis revealed that some support variables were predictive of better achievement outcomes and others were associated with poorer outcomes. Three of the parent support predictors were associated with poorer achievement outcomes, …

Informal Caregivers Of Advanced Cancer Patients: The Impact Of Geographic Proximity On Social Support And Bereavement Adjustment, John Garland Cagle

Theses and Dissertations

This research explored the social and psychological needs of caregivers of advanced cancer patients, and their subsequent bereavement adjustment. The study focuses exclusively on informal caregivers who provide assistance to patients receiving hospice care for end-stage cancer. Those individuals living furthest from the dying care recipient, the long distance caregivers, were of particular interest. This study used a prospective design to explore how a caregiver's geographic proximity impacted their social support and bereavement adjustment. A 2 x 3 repeated measures design was used to gather data from caregivers before a patient's death (using a pre-death questionnaire) as well as after …

Faith-Based Organizations And Legislative Advocacy: A Qualitative Inquiry, M. Lori Thomas

Theses and Dissertations

Since the early 1990s, religion and matters of faith and spirituality have become a focal point in numerous arenas beyond the individual and traditionally sacred. With President George W. Bush's White House Office of Faith-Based and Community Initiatives of 2001, the Charitable Choice provision of the Personal Responsibility and Work Opportunity Reconciliation Act that preceded it in 1996, and the myriad of legal challenges that followed, matters of religion have become paramount in political discourse regarding social welfare. The viability of faith-based social service provision and the organizations providing the direct services have been the focus of speculation, debate, and …

"W"- Men: Male Nurses' Negotiation Of Masculinity In A Predominantly Female Profession, Deborah Yoder (Deborah Jane Yoder) Miranda

Theses and Dissertations

This qualitative study explores male nurses’ negotiation of masculine gender identities in the nontraditional work of registered nursing. Few registered nurses in the United States are men, and men leave the profession within the first four years after graduation at twice the rate of women. This study builds on previous work by seeking to understand why male nursing graduates of an institution formerly for women only, made the decision to become nurses, how they decided to attend a women’s college over a more gender balanced campus experience, and in what ways they negotiate gender identities in the configuration of nursing …

The Role Of Inspiration In Scientific Scholarship And Discovery: Views Of Theistic Scientists, Kari Ann O'Grady

Theses and Dissertations

This qualitative research study examined the ways those who identify themselves as theistic scientists and scholars experience inspiration, as defined as divine guidance or influence, in their scientific scholarship and discovery. It also explored participants' beliefs about how scientists and scholars can seek and prepare to receive inspiration in their work. Open-ended surveys of 450 participants from the behavioral and natural sciences and from a variety of religious backgrounds were analyzed for content themes in the areas of experiences with inspiration, preparing to receive inspiration, and further thoughts on inspiration in science. The themes extracted indicated that these scientists and …

The Berlin Poplars: A Translation, Lene Johansen

Theses and Dissertations

This thesis is a translation of a section of Anne Birkeland Ragde's Berlinerpoplene, or The Berlin Poplars, a contemporary Norwegian novel about how' family dynamics shape and haunt following generations. The narrative alternates between three brothers and reflects how each of them experiences and deals (consciously or not) with feelings of belonging, alienation, and isolation. The Berlin Poplars is a strong novel: the character development and the interpersonal dynamics are rich, and Ragde presents her very flawed protagonists in a dark, brutally honest, yet humane manner. Furthermore, the novel strongly reflects Norway and traditional Norwegian culture.

The complexity of the …

Coordinating Student Experiences In The Health Care Setting - A Design For Efficient And Effective Learning, Communication And Patient Care, Mary Amundson

Theses and Dissertations

Clinical courses are an essential part of the curriculum for any major involving health care careers. These courses provide the health care student the opportunity to transition from the classroom to the health care environment prior to graduation through guided practice in the provision of patient care. Clinical experiences leave the student with a greater understanding of wellness as well as the pathophysiology of disease, recognition of the relationship between interventions and outcomes, realization of the interplay of culture, spirituality and emotional status with the physical response of the body and provide the student with the ability to provide care …

The Relationship Between Family Composition And Social Behavior For Students With Mild Disabilities In Schools, Amanda Clark

Theses and Dissertations

Previous research identifies significant differences in children's problem behavior across various family structures, particularly noting more challenging behaviors in children from single parent families. Utilizing a pre-existing data set of Behavioral Objective Sequence (BOS) scores, this study investigated teacher ratings of social behavioral skills in students with mild disabilities, focusing on differences between groups of students from a variety of family compositions. Results indicated no significant difference in social behavioral skills among children from different family groups, taking into account the student's age. The covariate of age was significant on each of six BOS subscales, suggesting that children develop and …

Stereotyped Seniors: The Portrayal Of Older Characters In Teen Movies From 1980-2006, Dawn Leah Magoffin

Theses and Dissertations

This content analysis examined the 60 most popular teen movies from the 1980s, 1990s, and 2000s to determine how older people (those over 55) are portrayed. This study found that some portrayals of older people in teen movies were favorable. For example, the most positive finding of the current study was the physical portrayal of older characters. The overwhelming majority of older characters were portrayed as active and healthy and rarely portrayed as sick or ugly. The negative physical stereotypes associated with children's media, such as “toothless/missing teeth" and older characters' reliance on physical aids were mostly absent from teen …

A Gentlemen's Benevolence: Symptoms Of Class, Gender, And Social Change In Emma, Nicholas Nickleby, And The Mill On The Floss, Aubrey Lea Hammer

Theses and Dissertations

Austen, Dickens, and Eliot each responded to discussions of their time concerning class, gender, and social change. One of the ways they addressed these issues, and sought to find solutions to the problems facing their culture, was through benevolence. Knightley, in Emma, uses benevolence as a means of mediating self-interest and sympathy. By acting out of sympathy, through benevolence, he achieves the self-interested benefits of reinforcing the class system and achieving his romantic conquests. Likewise, Dickens' Nicholas Nickleby learns how to use benevolence as a means of social mobility from his mentors, the Cheerybles. Throughout Nicholas Nickleby the hero learns …

Therapists' Perceived Influence Of Language: Second Language Spanish Speaking Therapists With Native Spanish-Speaking Clients, Cameron D. Mount

Theses and Dissertations

Experiences of the bilingual client in therapy have received attention in the literature but accounts of the experience of the bilingual therapist are strikingly sparse. The purpose of this study was to focus on the bilingual therapist's perception of the impact of language on the therapeutic process. To achieve this goal, the researcher interviewed therapists who speak Spanish as a second language and work with native Spanish-speaking clients. Data analysis was completed using ethnographic research methods, which resulted in the emergence of three themes. The first theme included therapists' perceived obstacles to second-language therapy. Each of the participants in the …

Attachment Style, Self-Esteem, And Perceived Peer Norms As Predictors Of Sexually Risky Behavior Among 17-24 Year Old College Students, Susan Harris Eaves

Theses and Dissertations

Unhealthy sexual behavior continues to increase among the college student population despite education regarding its risks and consequences. Counselors are continually being faced with consumers reeling from such consequences. Because prior research has indicated statistically significant relationships between attachment style and sexual behavior, self-worth and sexual behavior, and peer norms and sexual behavior, this study examined the explanatory and predictive value of each of these variables when analyzed simultaneously. Specifically, the age at first intercourse, number of sexual intercourse partners, number of oral sex partners, frequency of cheating behaviors, and number of one-night stands were assessed across 855 students attending …

Religion And Remarriage Among American Women: Evidence From The National Survey Of Family Growth, Susannah Mercedes Brown

Theses and Dissertations

Divorce has been and remains a prevalent occurrence in the United States and, while rates are not increasing as they once were, it still remains an extremely common phenomenon. As of the most recent U.S. Census Bureau report on divorce and remarriage, 56% of men and 59% of women ever married have been divorced. Despite these statistics, the vast majority of Americans still value marriage as an institution. This study aims to examine the role religion plays in the propensity and timing of remarriage. Using logistic and OLS regressions, and data pooled from the 1995 and 2002 National Survey of …

Capital And Punishment:Supporting The Death Of Deterrence, Amanda Paige Cook

Theses and Dissertations

Previous research has examined certainty and severity of punishment as serving a deterrent function. This research examines the effects of economic, cultural, and social capital, as well as the effects of certainty, severity, and prior punishment on likelihood of re-offending. Data collected at the Central Mississippi Correctional Facility suggest that traditional deterrence indicators are insufficient for predicting likelihood of re-offending. This research finds that prior punishment increases likelihood of re-offending, a finding completely counter to that of traditional deterrence. Re-offending may be best understood by considering the effects of punishment on increasing prison capital and decreasing real world capital. The …

Climate For Sexual Minorities In Counselor Education Programs, George R. Beals

Theses and Dissertations

The counseling profession requires its professionals to be ethically aware, culturally aware, and personally aware. Counselor Education departments strive to create environments that foster multicultural interactions and environments that provide sufficient safety for persons to be self-expressive and self-reflective. Such environments support the personal growth required to be effective counselors and agents of change. The purpose of this research was to measure the climate for sexual minorities in Counselor Education programs. Using the Climate for Sexual Minorities in Counselor Education Programs Survey (CSMCEPS) to collect information from faculty and graduate students, this research attempted to describe the level of acceptance …

County Level Suicide Rates And Social Integration: Urbanicity And Its Role In The Relationship, Jacob Travis Walker

Theses and Dissertations

This study adds to the existing research concerning ecological relationships between suicide rates, social integration, and urbanicity in the U.S. Age-sex-race adjusted five-year averaged suicide rates for 1993-1997 and various measures of urbanicity are used. Some proposed relationships held true, while others indicate that social integration and urbanicity are so intertwined in their effects on suicide that no clear, unidirectional pattern emerges. The religious affiliation measure captured unique variations in the role religion plays in this relationship; depending on how urbanicity was measured. Findings suggest closer attention needs to be paid to how both urbanicity and religious affiliation are measured. …

Economic Freedom And Social Capital Determinants On Economic Growth Of Developed And Developing Nations, Debjani Chakrabarti

Theses and Dissertations

This dissertation explores the determining effects of non-economic factors on economic growth of developed versus developing nations. While earlier economic theories have traditionally focused on land, labor, capital and technology as the principle determining factors of economic growth, latter-day normative theorists demonstrated the importance of cultural forces and human capital variables on economic growth of nations. This dissertation is an extension of this emphasis put on economic growth by the latter-day normative theorists. Economic activities for developed and developing nations have been used as a proxy stock variable (for economic growth) for three points in time ? 1980, 1990 and …

Literature Review; Culturally Competent Care For Native Americans With Mental Illness, Pamela V. Merrifield

Theses and Dissertations

There is a great n eed f or cu 1t urally competent nurse practitioners within the health care system H . . · owever, the literature 1s lacking regarding the utilization of services or the health-seeking behaviors of Native Americans with mental illness. There is increased morbidity and mortality afflicting racial and ethnic populations. Poor health of these populations may be attributed to poverty, lack of health care access, and cultural competence of health care providers (Geiger, 2001 ). As diversity increases within the general population, health care providers have a greater responsibility to become culturally competent to provide better …

Culturally Adapted Mental Health Treatments: A Meta-Analysis, Derek Griner

Theses and Dissertations

In recent years psychologists have increased awareness and concern regarding the quality of mental health services provided to people of color. For several reasons clients of color often find traditional mental health services foreign or unhelpful. To help diminish obstacles faced by clients of color, several authors have advocated traditional mental health treatments be modified to better match clients' cultural contexts. Researchers have also begun investigating outcomes associated with culturally modified mental health treatments, often contrasting them with traditional mental health services. Recently numerous studies containing empirical data have been published. To date there has been no attempt to review …

Addressing Issues In The Detection Of Gene-Environment Interaction Through The Study Of Conduct Disorder, Elizabeth Prom-Wormley

Theses and Dissertations

This work addresses issues in the study of gene-environment interaction (GxE) through research of conduct disorder (CD) among adolescents and extends the recent report of significant GxE and subsequent replication studies. A sub-sample of 1,299 individual participants/649 twin pairs and their parents from the Virginia Twin Study of Adolescent and Behavioral Development was used for whom Monoamine Oxidase A (MAOA) genotype, diagnosis of CD, maternal antisocial personality symptoms, and household neglect were obtained. This dissertation (1) tested for GxE by gender using MAOA and childhood adversity using multiple approaches to CD measurement and model assessment, (2) determined whether other mechanisms …

Sociocultural Strain Theory, Amy L. Proctor

Theses and Dissertations

In reaction to criticisms of existing strain theories, Agnew (1992) developed General Strain Theory, and in doing so moved toward micro-level conceptions of strain. A return to the cultural concepts found in traditional strain theories may provide a more complete examination of delinquency/criminality, as it would incorporate the influence that culture has on rates of delinquency/criminality among certain groups in American society. This thesis adds to the knowledge base of criminological thought through the creation of a new strain theory. Sociocultural Strain Theory (SST) may provide a better explanation of delinquency/criminality, particularly among racial/ethnic minorities, by taking into consideration cultural …

Merging Task-Centered Social Work And Motivational Interviewing In Outpatient Medication Assisted Substance Abuse Treatment: Model Development For Social Work Practice, Andreas Fassler

Theses and Dissertations

To advance social work practice and decrease the research practice gap, this dissertation followed a model development paradigm consisting of several phases. Based on the task-centered model of social work practice and motivational interviewing, a new combined model was construed. The two underlying models were analyzed and synthesized, using technical eclecticism as the integrative approach. The resulting combined model was described by guidelines and manualized. To test the combined model in an applied setting, a study was designed in collaboration with social workers at a substance abuse counseling center. There, the combined model intervention was implemented in an outpatient medication …

Social Support Among Nontraditional University Students, Angela Osborn

Theses and Dissertations

No abstract provided.

Victims' Perspectives On The Process Of Seeking A Protective Order: Predictors Of Perceived Empowerment, Sara-Beth Plummer

Theses and Dissertations

This study examined victims' perceived sense of empowerment during the process of seeking a Preliminary Protective Order. A cross sectional survey design with stratified sampling was used to gather information from women seeking Preliminary Protective Orders in Richmond City, Virginia. During a six month period 89 women agreed to participate, for a response rate of 83 percent. In general, the sample consisted of women who identified themselves as African-American, single, with either a high school/GED degree, and/or some college education.Overall, the women found the steps during the process of seeking an Order, either easy or very easy. In general, the …

Constraints On Breastfeeding Choices For Low Income Mothers, Carol Grace Hurst

Theses and Dissertations

The choice to breastfeed a baby is a woman's concern with impact reaching beyond each individual mother and child to longer term health and mental health outcomes for society. The U.S. government has made increasing breastfeeding rates one of its major public health goals for 2010. Breastfeeding is a health disparity issue with mothers who are poor, young, less educated or Black less likely to breastfeed. This project examined impacts of sexual perceptions of breastfeeding, social support, and work on breastfeeding choices made by a sample of low income mothers. A cross-sectional survey design was employed to examine potential barriers …