Digital Commons Network^™

Non-Offending Mothers Of Sexually Abused Children: How They Decide Whom To Believe, Lynn Mcmillan

Theses and Dissertations

Professionals continue to study and refine their understanding of the complex dynamics of child sexual abuse and the role of the non-offending mothers. Of particular clinical and research interest is the response of the mother once she learns that her child disclosed being sexually abused and named the mother's intimate partner as the perpetrator. This qualitative study (n=20) uses in-depth interviews and constructivist grounded theory methods. The focus is how women decide about believing their children's disclosures of sexual abuse, both in terms of what happened to the children and who perpetrated the abuse. The study addresses various factors that …

A Qualitative Study Of An Urban Community Garden: Creating Healthier Neighborhood Environments, Lauren Workman

Theses and Dissertations

Neighborhoods influence population level health; the places where people live, work, and grow are an essential setting for health promotion interventions. In efforts to create healthier neighborhood environments, there is a movement to better understand neighborhood social characteristics. The neighborhood social environment potentially includes social relationships (including trust and cohesion), networks, norms, and the resources that may be generated from relationships. In addition, more work is needed to learn about how people may become engaged in neighborhood initiatives. Community gardens are a 1) potential strategy to promote health at community and individual levels 2) mechanism to involve community members in …

Foot Assessment In The Dialysis Unit, Karen Robertson

Theses and Dissertations

ABSTRACT In 2010 the number of patients requiring renal replacement therapy in the United States increased by 1% to 593,086. This number was comprised of 593,086 in center hemodialysis patients, 179,361 functioning kidney transplants, and 29,773 peritoneal dialysis patients.

A principal difficulty in the end stage renal disease (ESRD) population is lower extremity amputation from vascular complications and nonhealing wounds. The incidence of nontraumatic lower extremity amputation among the end stage renal disease population in the United States is ten times higher when compared to the general public. Mortality rates for ESRD patients following amputation are elevated with less than …

The Importance Of Counseling Self-Efficacy In School Mental Health, Bryn Elizabeth Schiele

Theses and Dissertations

Clinician or counseling self-efficacy (CSE), defined as beliefs about one's ability to effectively counsel a client in the near future (Larson & Daniels, 1998), is widely accepted as an important precursor of effective clinical practice (Kozina, Grabovari, De Stefano & Drapeau, 2010). While previous research has explored the association of CSE with variables such as counselor aptitude, achievement, and level of training and experience, little attention has been paid to the self-efficacy of school mental health practitioners. The current study examines the influence of quality training and supervision on the level of counseling self-efficacy amongst school mental health practitioners, as …

Postnatal Depression In Mexico: Healthcare Provider Conceptualizations And Policies In The Public Health Sector, Jean Marie Sims Place

Theses and Dissertations

Background: The World Health Organization (WHO) and the United Nations Population Fund (UNFPA) highlight education and training for healthcare providers and the development of a policy framework as core strategies to address maternal mental health in low- and middle-income countries. This research critically examines these strategies with respect to postnatal depression in Mexico. The research 1) addresses how healthcare providers in Mexico conceptualize postnatal depression, and 2) assesses the policies that exist in Mexico regarding postnatal depression, which will inform the next steps for policy development. The research informs appropriate healthcare provider education and training, as well as the next …

Readiness For Positive Behavior Interventions And Supports (Pbis) And School Mental Health (Smh) Interconnection: Development Of A Stakeholder Survey, Vittoria Anello

Theses and Dissertations

Positive behavior interventions and supports (PBIS) and school mental health (SMH) are prominent initiatives in the United States to improve student behavior and promote mental health and wellness, led by education and mental health systems, respectively. Unfortunately, PBIS and SMH are often separate initiatives in districts and schools, which usually results in many missed opportunities from this failed interconnection. The current paper details a necessary first step in the process by describing the development of a measure of assessing readiness to interconnect PBIS and SMH within the schools. Relevant literature, pilot data, and methodology are discussed, in addition to psychometric …

Food Environment And Birth Outcomes In South Carolina, Xiaoguang Ma

Theses and Dissertations

An increasing number of studies examined the association between neighborhood characteristics and birth outcomes. However, the results can be difficult to compare because of the variety of indicators used to characterize the neighborhood. As an important neighborhood characteristic, the food environment is associated with residents' nutrition status, diet quality, and related health outcomes. In addition, the food environment has been found to influence women's diet quality during pregnancy, which is a key factor in predicting birth outcomes. However to date, studies on food environment and birth outcomes are extremely limited.

This study examined the association between food environment (evaluated by …

Religious/Spiritual Beliefs And Practices Of Asian/Asian American Mental Health Professionals & Students And The Impact On Treatment, Georgia Yu

Theses and Dissertations

Religion and spirituality is often an overlooked feature of culture and diversity. Robust research suggests that that religion and spiritual beliefs and practices of clinicians and clients can influence the treatment process and provide benefits to overall mental health and psychological well-being. This dissertation study provides an overview of the religious and spiritual beliefs, practices, and affiliations of psychologists compared to the general population. A specific focus is placed on that of mental health professionals and students of Asian and Asian-American descent, particularly given the religious and spiritual diversity among this ethnic group. Despite nearly 3 decades of research among …

Influence Of Grassroots Groups To Affect Educational Change, Delia Castillo

Theses and Dissertations

Little research is recorded regarding the effects of grassroots groups on educational change. The purpose of this study was to examine how grassroots groups coalesce and attempt to influence decision-making in an urban School District in California. The research design utilized an exploratory qualitative case study of the development of two high schools. This case study focused on the efforts of four grassroots groups, four power brokers and nine members from the School District--2 parent groups, 1 teacher group, and 1 property owners' group. The data included demographic questionnaires from all 32 participants; three focus group sessions; 25 individual interviews; …

How Welfare Reform Act Affects Elderly Immigrants' Health And Healthcare Service Utilization: Comparisons Before And After Welfare Reform, Younsook Yeo

Theses and Dissertations

Background: The intended result of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Public Law 104-193: PRWORA) was to conserve public funds while addressing welfare deficits. To achieve this end, the PRWORA (1) requires immigrants who came to the United States after the law took effect to show proof of U.S. citizenship to be eligible for federally funded public benefits, including Medicaid, unless the states where they lived provide state-funded benefits; (2) reinforced the `public charge law,' indicating that once the Immigration and Nationalization Service deems a post-welfare reform immigrant a public charge, this could result in the …

School Psychologist Leadership In Rti Implementation: Administrators' View Of School Psychologists As A Resource In Rti, Allison Rice

Theses and Dissertations

The purpose of this study is to examine the leadership role of school psychologists in Response to Intervention (RTI) implementation, as well as school psychologists' usefulness to principals in successful implementation of RTI. The researcher asserts, that through the fulfillment of certain roles, school leaders recognize the benefit of involving school psychologists in RTI implementation. The study asks the following questions: 1) To what extent are the specific leadership characteristics associated with school psychologists' roles related to the level of RTI implementation being exemplified? 2) To what extent are the specified school leadership characteristics present in school psychologists in Dorchester …

Examining The Relationships Between Religiosity, Spirituality, Internalized Homonegativity, And Sexual Risk Behaviors Among African-American Men Who Have Sex With Men: The Sexual Health In Faith Traditions (Shift) Study, Stacy Whichard Smallwood

Theses and Dissertations

Background: African-American men who have sex with men (AAMSM) are at disproportionate risk for HIV infection. Although the disparities in infection rates between AAMSM and MSM of other groups have been well-documented, little is known about the factors that contribute to the disparity, particularly psychosocial factors. One such factor, internalized homonegativity (IH), has been identified as a potential predictor of AAMSM engagement in risky sexual behaviors. However, little has been known about the ways in which IH manifests itself in the lives of AAMSM, or the role that sociocultural institutions, such as African-American faith communities, play in the development of …

Professional Socialization In Nurse Anesthesia Educational Programs: Attitudes And Beliefs Of Faculty Members And Recent Graduates, Kevin Buettner

Theses and Dissertations

The purpose of this study was to better understand professional socialization in nurse anesthesia educational programs through an exploration of the attitudes and beliefs of faculty members and recent graduates. Participants for this cross-sectional, quasi-experimental online study included a convenience sample of 178 nurse anesthesia faculty members and 399 recent graduates of nurse anesthesia educational programs in the United States. Measures in this study explored the importance, recent graduate preparation, and influence on professional socialization outcomes (e.g., professional development, scholarly activity/critical inquiry, professional ethics, and professional and social responsibility). The effect of cohort size and instructional delivery method were also …

Exceeding Expectations: Key Strategies To Increase High School Graduation Rates, Shannon Dick

Theses and Dissertations

An alarmingly number of students drop out of high school every day; however, the need for a high school diploma has become increasingly more important for the U.S. to remain globally competitive. Minority students and students living in poverty are disproportionally affected by this issue dropping out at significantly higher rates. Throughout the years, a number of reform efforts have been targeted at the federal, state, and local levels to address this issue. Some of these efforts have shown promising results. In an Education Week report (Diplomas Count, 2010), 21 urban school districts were identified as districts that are defying …

Cultural Attributes And Retention Strategies Within Millennial-Founded And Millennial-Run Companies, Mary Price

Theses and Dissertations

Millennials represent the future generation of our workforce, as well as our future thought leaders, decision-makers, entrepreneurs, and business owners. The purpose of this study was to identify the cultural attributes of and retention strategies used at companies founded and run by Millennials. This qualitative study collected data through interviews with 10 Millennial managers and 11 Millennial employees. Examination of the data led to the identification of artifacts, behaviors, values, implicit assumptions, and characteristics of these companies. Six common retention strategies also were identified. The concepts underlying these attributes and strategies include openness, egalitarianism and autonomy, immediacy, collaboration and connectedness, …

Reducing Disparities In Palliative Care For Pediatric Intensive Care Nurses: Utilizing The Synergy Model Of Patient Care, Meghan E. Braden

Theses and Dissertations

No abstract provided.

Interprofessonal Education: Two Analyses Of Revised Instruments, Comparisons Of Professions, And Effectiveness Of An Interprofessional Health Care Course, Andrew Knight

Theses and Dissertations

The purposes of study #1 were to assess the reliability of the Readiness for Interprofessional Learning Scale (RIPLS-2010, Parsell & Bligh, 1999) instrument that was used in an Interprofessional Health Care (IPHC) course at University of North Dakota from 2010-2012 and compare students by discipline. The IPHC course curriculum team includes the director of Interprofessional Education, a course coordinator, and one faculty representative from medicine, nursing, physical therapy, occupational therapy, social work, music therapy, communication science and disorders, and nutrition/dietetics. The purposes of study #2 included an analysis of the reliability of a different version of the RIPLS (called RIPLS-2013) …

Exploring The Role Of Culture And Race In Stroke Rehabilitation Disparities, Jennifaye Verdina Greene

Theses and Dissertations

A study found that racial differences exist in stroke rehabilitation care and outcomes between African Americans (AAs) and Caucasian Americans (CAs). In addition to health status, the rehabilitation care of AAs with stroke (AAwS) may be influenced by cultural and or racial similarities or differences that exist between themselves and their physical therapists (PTs). Distorted perceptions of culture and race in the patient-PT relationship may contribute to disparities in stroke rehabilitation care and outcomes for AAwS. Current stroke rehabilitation literature lacks qualitative research that examines racialized differences in treatment. The purpose of this qualitative exploratory research study was to investigate …

The South Carolina Sanatorium: The Landscape Of Public Healthcare In The Segregated South, Amanda Noll

Theses and Dissertations

This site-specific study examines the development of the South Carolina Sanatorium, which operated as a state-funded tuberculosis treatment center between 1915 and 1953. Using the South Carolina Sanatorium as a case study, this thesis draws upon the history of the Progressive Era, medicine, and architecture to analyze the influence of segregation on public healthcare in the South. By looking at the development of individual buildings and the site as whole, the built environment of the South Carolina Sanatorium is used as a framework to assess the effects of segregation on tuberculosis treatment in South Carolina.

Going Hard, Going Easy, Going Home: Death And Dying In 20th Century African American Literature, Chayah Amayala Stoneberg-Cooper

Theses and Dissertations

This dissertation answers the question: How can art represent the essential human experience of death, particularly when the creative context is one of extreme violence? And, what can be learned about the risks and rewards of the living's relationship with the dead by way of these artistic representations? Further, how do these aesthetic renderings of death construct the ethics of life for survivors? In the case of African America, discussion of, and responses to, these questions have been primarily explored in novelist and creative writing. This dissertation examines these novelistic treatments of death-tropes, or thanatropes in eight novels written by …

The Experience Of Family Resilience Through Severe Traumatic Brain Injury, Shanda C.E. Hochstetler

Theses and Dissertations

Traumatic brain injury (TBI) is a leading cause of death and disability. Of these injuries, severe TBI (STBI) causes the most profound and long-term disabilities. The experience of STBI has been shown to affect the entire family. Social work professionals need to be aware of the experience of STBI and must be prepared support families through this trauma. The objective in this research was to explore how families experience STBI through the lens of family resilience. A mixed method approach, focused predominantly on the qualitative, was used to draw out the experience of five families wherein a child sustained an …

Viewpoints: Liberatory Ensemble And Character, Christopher Layton Clark

Theses and Dissertations

This dissertation, submitted in article format, explores how the physical movement theories of Anne Bogart's Viewpoints may lead to a liberatory setting, one which echoes the theories of Paolo Freire, for college theatre students. It examines whether Viewpoints is effective in creating a studio classroom culture and whether the Viewpoints exercises can lead to a heightened clarity in individual performance, with a much more satisfying and involved learning experience for students of the theatrical arts. In addition, this dissertation applies the theory of Mead's symbolic interactionism to the discoveries that students make while using Viewpoints exercises. Research methods include autoethnography, …

From Linkage To Gwas: A Multifaceted Exploration Of The Genetic Risk For Alcohol Dependence, Amy Adkins

Theses and Dissertations

Family, twin and adoption studies consistently suggest that genetic factors strongly influence the risk for alcohol dependence (AD). Although the literature supports the role of genetics in AD, identification of specific genes contributing to the etiology of AD has proven difficult. These difficulties are due in part to the complex set of risk factors contributing to the development of AD. These risk factors include comorbidities with other clinical diagnoses and behavioral phenotypes (e.g., major depression), physiological differences that contribute to the differences between people in their level of response to ethanol (e.g., initial sensitivity) and finally the large number of …

Who Participates In Ethnic Organizations: Immigrant Children In Los Angeles, Beatrice Uilani Tiptida Morlan

Theses and Dissertations

This exploratory descriptive study looks at the characteristics of immigrant children in the greater metropolitan Los Angeles area who participate in organizations associated with their parents' country of origin. By drawing on the 2004 Immigration and Intergenerational Mobility in Metropolitan Los Angeles (IIMMLA) survey dataset, I bring together aspects of the participation and assimilation literatures in order to better understand who participates in ethnic organizations. Results provide evidence that ethnic organization participants differ from the full sample and from respondents who participate in community organizations; they exhibit more ethnic resource characteristics. Significant determinants of participation in ethnic organizations include having …

Medication-Related Problems Experienced By Patients During Transitions To Assisted Living, Deanna Flora

Theses and Dissertations

Medication reconciliation is a systematic and comprehensive review of medication regimens during care transitions aiming to prevent adverse drug events. Poorly executed transitions negatively impact patient welfare and cause financial burden. Medication-related problems (MRPs) experienced during transitions to an assisted living facility (ALF) were evaluated. Data was collected from pharmacy records for transitions to an ALF over three months, including demographics, medications, potentially inappropriate medications, and MRPs. MRPs were categorized and summarized using descriptive statistics. Forty-five patients (71% female) experienced 59 transitions. Average age was 85.6 years. Median length of stay away from the ALF was three days. There were …

Spatial Dimensions Of Conflict-Induced Internally Displaced Population In The Puttalam District Of Sri Lanka From 1980 To 2012, Deepthi Lekani Waidyasekera

Theses and Dissertations

During and after the Sri Lankan civil conflict of 1983-2009, the island’s Internally Displaced Population (IDP) became a key constituency requiring the central government4s attention. Thus, it is important to ask: What are the spatial dimensions and socio-economic implications of Sri Lanka’s Puttalam District IDPs? Archival and contemporary sources from various disciplines were utilized when reviewing the literature and revealed widely divergent opinions about the historical geography and the current initiatives regarding IDPs. The research study’s mixed method approach combined qualitative and quantitative techniques. Data collection extensively relied upon secondary sources from the Sri Lankan government and the United Nations. …

Successful Emergent Literacy Head Start Teachers Of Urban African American Boys Living In Poverty, John Michael Holland

Theses and Dissertations

This integrated methods study used a sequential explanatory design to explore the culturally relevant teaching beliefs of successful emergent literacy Head Start teachers of urban African American boys living in poverty. The study utilized emergent literacy gain scores as a measure of success, a survey of culturally relevant teaching beliefs to describe variation in beliefs within the sample, and two rounds of interviews to explore the context of teacher agency with urban African American boys living in poverty. The four teachers interviewed expressed culturally relevant beliefs integral to their teaching practices. These beliefs were conveyed through descriptions of relationships with …

School Counselor Training: Differentiated Site Supervision Based On Prior Work Experiences, Rachel Loving

Theses and Dissertations

Over a decade after the regulation change in Virginia allowing individuals without teaching experience to pursue school counseling careers, no known study had focused exclusively on differences site supervisors observe when training school counselors from different professional backgrounds and the extent to which those counselors employ a tailored supervision approach in the clinical setting. While site supervisor training has been an area of interest in recent articles (e.g., Dollarhide & Miller, 2006), its relationship to supervision philosophies and technique differentiation has not been previously addressed. The researcher investigated those topics using a mixed-method research design shaped by suggestions from recent …

Discovering How Community Organizing Leads To Social Change: Developing Formal Practice Theory For Social Workers Engaged In Empowering Community Organizing, Shane Brady

Theses and Dissertations

Community organizing as an area of social work practice has historic roots in challenging inequality, building capacity, and meeting the needs of local peoples through taking collective action. While the literature of community organizing is rich in conceptual frameworks, practice approaches, and case studies, it lacks the level of formal theory that exists in clinical social work. Formal practice theories provide social workers with evidence informed guidance about “what to do”, “how to do it”, and “what to expect”; however, social workers engaging in community organizing have little formal practice theory. The results of this study build the beginning foundation …

The Multiple Perspectives Of The Lived Experience Of Civil Detainment, Linda Love

Theses and Dissertations

Civil detainment can be confusing, frustrating, and scary especially if the criteria for civil detainment are being applied inconsistently. A constructivist inquiry, using qualitative techniques as the primary information gathering method, was conducted to gain a better understanding about the experience of civil detainment. Twenty-five stakeholders participated in this research effort. Questions regarding the meaning of civil detainment were explored in five stakeholder groups; individuals with mental illness, families, mental health professionals, first responders and judicial professionals. Civil detainment is described as a “necessary evil” however, mandated treatment is also described as a means to restore dignity. Implications are included …