Digital Commons Network^™

Barriers To Mental Health Treatment In Patients Referred By Primary Care, Rebecca Palmer

Dissertations

Problem: Limited access to mental health treatment is one of many potential barriers to treating mental illness in the United States. Where resources are readily available, reportedly high no-show rates for established mental health appointments suggests further investigation is necessary to identify frequent barriers within that population. This was a quality improvement project to identify common themes in patient-reported barriers to care.

Methods: A 4-question phone survey was offered to individuals that did not appear at their mental health appointment. Data was analyzed to identify the most commonly reported barriers to mental health treatment. Additional data collected includes reported history …

A Quality Initiative To Reduce Pneumonia Readmissions And Mortality In Older Adults, Terri Morris

Dissertations

The United States (U.S.) healthcare system journey for making improvements in the quality and value of healthcare continues. Hospital organizations are required to compose and make publically available their health quality outcome data. The publication transparency and increased availability of local, regional and national health quality metrics, including readmission and mortality rates, to governmental agencies, health plans, investors, other hospitals, providers and potential patient and families’ knowledge, creates a competitive pressure for a hospital to assure their quality outcomes data are the best. Despite breakthrough improvements using innovative care models that target vulnerable and potentially high cost of care areas …

Race-Based Trauma Care Training For Veteran’S Health Administration Nurse Practitioners, Vanessa Loyd

Dissertations

Abstract

Problem: Trauma informed care has become a priority for persons exposed to psychological, physiological, emotional consequences as a result of traumatic experiences. Veterans are from different cultures, including gender, race, religion, sexual orientation and other social groups. The Veterans Health Administration (VHA) is responsible for the health of this culturally diverse patient population. Healthcare providers without any prior military experience may experience difficulty obtaining an accurate history and physical exam due to the military’s cross-cultural environment. The project aim was to increase confidence and competence in race-based trauma care by incorporating training into a new acute care fellowship …

Should I Stay Or Should I Go? The Emergence Of Partitioned Land Use Among Human Foragers, Jacob Freeman, John M. Anderies, Raymond P. Mauldin, Robert J. Hard

Sociology, Social Work and Anthropology Faculty Publications

Taking inspiration from the archaeology of the Texas Coastal Plain (TCP), we develop an ecological theory of population distribution among mobile hunter-gatherers. This theory proposes that, due to the heterogeneity of resources in space and time, foragers create networks of habitats that they access through residential cycling and shared knowledge. The degree of cycling that individuals exhibit in creating networks of habitats, encoded through social relationships, depends on the relative scarcity of resources and fluctuations in those resources. Using a dynamic model of hunter-gatherer population distribution, we illustrate that increases in population density, coupled with shocks to a biophysical or …

July 11, 2019 Faculty Senate Minutes, University Of South Carolina

Faculty Senate

No abstract provided.

Volume 56, Number 47: July 10, 2019, University Of North Dakota

University Letter Archive

No abstract provided.

Multi-Cultural And Multi-Professional Work In The Std's Mobile Clinic For People In Prostitution, Inbal Faran Farah

International Nursing Research Congress (INRC)

Israel's Ministry of Health established a mobile clinic to provide outreach assistance to the needs of multicultural women prostitutes in Haifa as a public health service. This poster presents the multidisciplinary work carried out in the clinic to reduce the medical, social and psychological harm caused by prostitution.

Students' Perceptions Of Learning And Evaluation Using Aesthetic Projects, Kelly L. Dyar, Holly A. Dever

International Nursing Research Congress (INRC)

A convenience sample of pre-licensure BSN students were surveyed to explore their perceptions of learning professional concepts and caring and being evaluated using aesthetic projects.

Engagement Of Scholarly Inquiry For Frontline Clinicians: A Literature Review, Mei Lin Chen-Lim

International Nursing Research Congress (INRC)

The nursing profession continues to struggle to engage frontline nurses in research or application of evidence into practice globally. This session will provide the current state of clinical nurses' engagement in scholarly inquiry, organizational support of the engagement, and implications in education, practice, administration and research.

The Role Of Nurse Advocate In Cesarean Sections On Maternal Request, Julia Imanoff, Cynthia Mannion, Graham Mccaffrey

International Nursing Research Congress (INRC)

Women's choice for cesarean delivery is complex. This choice challenges maternity care provider given the difference in values between patients and care providers. The findings of this study suggest that nurses can provide supportive care in the role of an advocate to promote positive birth experiences.

Closing The Gap Between Academe And Practice: Creation Of An Interprofessional/Interdepartmental Collaborative, Elsabeth Jensen, Rani Hajela Srivastava

International Nursing Research Congress (INRC)

The need for health care disciplines to demonstrate best practices challenges both current practicing professionals and students being prepared for practice. Partnerships, research and knowledge mobilization are keys to addressing these interdisciplinary challenges. This presentation describes one solution to bridging the gap between those two worlds.

Acute Care Nurses' Spiritual Well-Being And Spiritual Care Perspectives: Predictors For Provision Of Spiritual Care, Barbara J. Kitchener

International Nursing Research Congress (INRC)

This study investigated how acute-care Registered Nurses' spiritual well-being (SWB), and spiritual care perspectives (SCP) relate to their provision of spiritual care (SC). Findings revealed nurses with high SWB and positive SCP provided regular SC with ease and confidence. Implications exist for clinicians, nurse educators, researchers, and policy makers.

Transforming The Classroom With Reflection, Rebecca D. Toothaker, Pamela Cook

International Nursing Research Congress (INRC)

This presentation highlights a research study which assessed generation Z's perception on the active teaching strategy: reflective journaling through the use of one-minute paper. A mixed method study was conducted to measure Generation Z's perspective of the use of one-minute paper as a reflective tool.

Cultivating Self-Care Among Health Professionals: An Interdisciplinary Approach, Abby Grammer Horton, Allison M. Curington, Kimberly Gibson

International Nursing Research Congress (INRC)

The goal of this project is to promote interdisciplinary collaboration among nursing and social work students to support a healthy learning environment by educating and empowering students. The presenters will offer strategies for developing self-care practices, such as reflective journaling and mindfulness.

Growing An International Palliative Care Exchange Program: An Approach That Can Be Replicated, Linda M. Quinlin, Wendy Schmitz

International Nursing Research Congress (INRC)

Countries with robust palliative care programs struggle offering services to every terminal patient. It's easy to imagine how countries without a substantial program are profoundly challenged. This presentation outlines the approach to establishing a sustainable program; focusing on necessary program elements, effective use of interdisciplinary team members, and education collaboration.

Effectiveness Of An Educational Intervention On Palliative Care For Registered Nurses In Lebanon, Mary Arevian, May Naifeh Khoury, Souha Fares, Ghina Al Khatib

International Nursing Research Congress (INRC)

Purpose: Assess effectiveness of educational intervention, adapted from End of Life Care Curriculum for nurses.

Method: Quasi experimental pre-post-test. Assessment: 34 multiple choice questions.

Results: Mean pretest score 48.53 (SD = 9.23), post- test 70.05 (SD = 12). Significant increase between pre-post-test scores (p < 0.001). Replicate study.

Expanding The Bsn Role: The Integration Of Nurse Visits Into Undergraduate Nursing Curriculum, Tanya Haas, Rebecca Sutter

International Nursing Research Congress (INRC)

In order for undergraduate nursing students to become better prepared in the care of complex patient populations, enhanced skills in public health and primary care are needed. This educational offering details how nurse visits have been integrated into the BSN curriculum for patients needing chronic disease management.

Why Don't Cancer Survivors Attend Cancer Support Groups? A Pilot Study, Tsorng-Yeh Lee

International Nursing Research Congress (INRC)

Professionally or nonprofessionally led support groups have been recognized as a significant source of psychosocial support for cancer survivors. Participants will learn the reasons why Chinese cancer survivors left or did not attend a cancer support group in Toronto.

Development And Initial Psychometric Evaluation Of The Computer-Based Prostate Cancer Screening Decision Aid Acceptance Scale For African-American Men, Otis L. Owens, Nikki R. Wooten, Abbas S. Tavakoli

Faculty Publications

BACKGROUND:

To reliably evaluate the acceptance and use of computer-based prostate cancer decision aids (CBDAs) for African-American men, culturally relevant measures are needed. This study describes the development and initial psychometric evaluation of the 24-item Computer-Based Prostate Cancer Screening Decision Aid Acceptance Scale among 357 African-American men.

METHODS:

Exploratory factor analysis (EFA) with maximum likelihood estimation and polychoric correlations followed by Promax and Varimax rotations. RESULTS: EFA yielded three factors: Technology Use Expectancy and Intention (16 items), Technology Use Anxiety (5 items), and Technology Use Self-Efficacy (3 items) with good to excellent internal consistency reliability at .95, .90, and .85, …

Interprofessional Eductation Innovation: A Palliative Care Interview Project Implementing Photovoice And Narrative Reflection, Barbara J. Braband, Anissa Rogers, Rebecca Gaudino

International Nursing Research Congress (INRC)

Students are challenged to accompany clients experiencing suffering and grief. An interprofessional team of nursing, social work, and theology educators designed an interview project, embedding photovoice and narrative reflections, to enhance students' deeper reflection and awareness related to effective palliative care interventions with those who suffer and grieve.

Exploring Substance Use And Mental Health For Minority Transgender Youth: Implications For Primary Care Providers, Austin Nation, Phyllis Raynor

International Nursing Research Congress (INRC)

Transgender youth, particularly if they are transgender female and/or those from a minority racial or ethnic group, are known to have higher incidences of substance use and mental health issues. Nurses and primary care practitioners will encounter and care for the needs of this population in many settings.

Social Networks Moderate The Syndemic Effect Of Psychosocial And Structural Factors On Hiv Risk Among Young Black Transgender Women And Men Who Have Sex With Men, Dexter R. Voisin

Faculty Scholarship

The interaction between the cumulative effect of psychosocial and structural factors (i.e. syndemic effect) and social networks among young Black transgender women and men who have sex with men (YBTM) remains understudied. A representative cohort of 16–29 year-old YBTM (n = 618) was assessed for syndemic factors [i.e. substance use; community violence; depression; poverty; justice system involvement (JSI)], social network characteristics, condomless anal sex (CAS), group sex (GS), and HIV-infection. The syndemic index significantly increased the odds of CAS, GS, and HIV-infection, and these effects were moderated by network characteristics. Network JSI buffered the effect on CAS, romantic network members …

Taking The Culture Out Of The Lab And Into The Office: A “Non-Lab” Approach To Public Service Transformation, Ryan Hum, Paul A. Thibaudeau

Learn X Design Conference Series

Over the years, “Innovation labs” have come and gone in public sector organizations. At Immigration, Refugees and Citizenship Canada, one low-key, co-design project over-delivered on client insights, service experience improvements and operational efficiencies. This case study shares one department’s success in embedding human-centered design into organizational culture by: competing against graduate design students, co-designing across the organization (from call agents, to policy, immigration officers, and communications), creating a design project alumni community, and adhering to rigorous measurement and experimentation. The case study will share opportunities and challenges that emerged from the process of embedding human-centered design (via a “non-innovation lab”) …

Academic-Community Partnerships: Effectiveness Evaluated Beyond The Ivory Walls, Rosemary M. Caron, Jessica D. Ulrich-Schad, Catherine Lafferty

Faculty Publications

Community-based participatory research (CBPR) has furthered our understanding of the working principles required for academic-community partnerships to address persistent public health problems. However, little is known about how effective these partnerships have been in eliminating or reducing community-based public health issues. To contribute to the literature in this area, the authors conducted a survey of U.S. schools and programs in public health and community groups working with these academic partners to: (1) identify the most common local public health issues addressed; (2) examine the characteristics of the partnership and the actual or perceived benefits and challenges for each partner; (3) …

Nine Times Out Of Ten, You Don't Die, Patrick Ronald Wensink

Dissertations and Theses

My novel, "Nine Times Out of Ten, You Don't Die," is the story of Layla Wisnewski and her quest to write a book about her famous father. In the 1970s, "Big Dan" Wisnewski was a motorcycle stuntman who broke more bones than anyone living. He jumped cars and buses and rivers atop a white Harley Davidson. Big Dan was considered an American Hero.

Fast forward forty years, Big Dan has been dead for decades, and his daughter Layla is writing a book about his life. While researching the book, she learns she was kidnapped as a baby. This …

Efforts Targeting Factors Of Health Disparities That Impair Hiv Treatment Engagement, Graham F. Watts Sr, Heather Vaughan

Florida Public Health Review

Health disparities exist in Northeast Florida. Some locations experience morbidities at higher rates than others. Health zone 1 is a prime example. Differences in disease rates are interlaced with the social determinants of health, (SDOH). Long-standing social and structural influences of disparities are beyond the scope of Ryan White programs. However, empowerment for health promotion is a strategy for targeting health disparities. The Theory of Health Empowerment targets sense of agency and offers some leverage for helping people living with HIV/AIDS, (PLWHA) despite environments blemished by SDOH. Eclectic leadership occurring in a climate of respectful point-counter point discussions established the …

Lessons From The Field: A Systems Thinking Approach For Case Management Documentation, Graham F. Watts Sr, Angela E. Prince, Heather Vaughan, Porschia Mccray Watts, Beth Parker

Florida Public Health Review

Case management is a core HIV health service that focuses on service coordination—the seamless access to an array of integrated services. Integration aims to reduce barriers to medical care. In the busy HIV health services environment, inadequate documentation of case management activities limits the capacity of stakeholders to know what happens during care encounters. This study used theory and qualitative inquiry to uncover best practices that support optimal case management documentation. Two research questions guided the inquiry: What principles should arise in higher order cognitive functioning among case managers during client encounters? What characteristics of a system level approach to …

Exploring Relationships Between Needs And Solutions In Solution Focused Brief Therapy: A Recursive Frame Analysis, Annette Bovee-Akyurek, Ronald J. Chenail, Kara Erolin

The Qualitative Report

Focus is a critical component in solution focused brief therapy (SFBT; de Shazer et al., 1986), yet little research has been conducted on how SFBT therapists utilize the clients’ focus on their awareness of needs to relationally build solutions (Reiter & Chenail, 2016). To address this gap, we reviewed the notion of utilizing clients’ focus in SFBT conceptually and presented the results of our discovery-oriented qualitative study of a classic training case conducted by one of SFBT’s co-developers, Insoo Kim Berg (1994). We explored how Berg appeared to demonstrate relationally focused solution development. The findings suggest that Berg’s therapeutic style …

A Poetic Gaze Into Gay Aging, Austin G. Oswald

The Qualitative Report

The shift toward embracing creativity in qualitative research has opened up new possibilities for researchers who seek to represent themselves and their findings in ways that capture the complexities of human life. This case study on gay aging combined life history interviewing with arts-based techniques to explore how one individual made sense of his sexual orientation at a time when gay men were criminalized and pathologized. Using principles from poetic inquiry, interview data were transformed into a short poem that captures the emotional and affective undertones of gay aging. The findings reveal the utility of poetics as both a process …

Pathogens Without Borders: Ecological Determinants Of Sexual Risk-Taking Behaviors Among International Travelers Across The Life Course, Yok-Fong Paat, Luis R. Torres-Hostos

School of Social Work Faculty Publications

Purpose

Drawing insights from the ecological theory, the purpose of this paper is to explore social determinants related to pathways to high-risk sexual behaviors of international travelers across their life span.

Design/methodology/approach

Data were collected from 45 international travelers in Houston, a critical transit point frequented by international visitors.

Findings

Overall, several ecological settings (individuals, interpersonal, institutional and contextual) related to two typologies of international travelers (risk takers vs non-risk takers) and their inclination to engage in high-risk sexual practices in an international or/and local context were identified.

Research limitations/implications

This research calls for the need to assess high-risk sexual …