Digital Commons Network^™

An Exploration Of Military Doctoral Students' Journey To Degree Completion, Nicola Jane Hall

Walden Dissertations and Doctoral Studies

Little is known about the experiences of doctoral students who are active duty military or veterans seeking a degree in counselor education and supervision (CES). The purpose of this research was to positively impact the counseling profession by ensuring adequate representation of military-competent counselors through an exploration of the academic journey of military students. This research sought to highlight military students' perceptions of barriers and contributors to degree completion. Selection criteria for participants involved any United States military personnel classified as active or inactive. These military personnel had to have earned within the past 12 months or were currently enrolled …

Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd

Walden Dissertations and Doctoral Studies

In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …

Nurses' Lived Experiences Of Comfort Care Among Residents At The End Of Life, Ezekiel Olufemi Osundina

Walden Dissertations and Doctoral Studies

Nurses provide comfort care for individuals who are at the end of life and reside in the long-€term care environment. However, how nurses provide comfort care to those who are dying and nurses' perceptions about providing comfort care are not known. The purpose of this phenomenological study, guided by Kolcaba's theory of comfort, was to examine nurses' lived experiences of comfort care among residents at the end of life in long-term care facilities. The research questions were designed to elicit rich data about the lived experiences of nurses in providing comfort care to dying residents to find out factors that …

Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El

Walden Dissertations and Doctoral Studies

Social workers often take on the role of providing case management to Medicaid recipients; however, there is little clinical research on social workers' perceptions of their case management role. The purpose of this study was to develop an understanding of the social worker case management role by exploring social workers' perceptions of their roles when providing case management to Ohio Medicaid managed care enrollees. This action research study was grounded in organizational role theory. A semi structured focus group was facilitated using open-ended questions related to social workers' role perceptions, role conflict, role ambiguity, case management, and managed care. Qualitative …

Perceptions Of Court Appointed Special Advocates On Volunteer Turnover, Salwa Mohamed El Habib

Walden Dissertations and Doctoral Studies

There is a high turnover rate among court-appointed special advocates (CASA) in the United States. The purpose of this qualitative case study was to explore the perception of the retention of CASA volunteers. Maslach'€™s burnout theory and Greene'€™s theory of resilience provided the framework for the study. A sample of9 active and 5 inactive CASA volunteers, one CASA volunteer recruiter, 3 program supervisors, and one administrator were interviewed. The data was organized and coded manually to facilitate auto-coding using qualitative data software. All responses to each question were compiled in one place allowing for thematic analysis based on the frequency …

Experience Versus Education: Empathy In Substance Use Disorder Counselors, Frances Malcolm Horn-Charnesky

Walden Dissertations and Doctoral Studies

Empathy is one of the most important skills a mental health counselor can have. For instance, empathy plays a key role in retention and engagement in therapy for substance use disorder (SUD), which leads to improved client outcomes. Historically, SUD treatment has been provided by those in recovery with little formal education about counseling. Currently, academic requirements for SUD counselors vary, and most master'€™s level education programs rarely address SUDs. To determine whether SUD experience alone is related to empathy, a 2x2 factorial ANOVA was used in this study to examine the relationship between two independent variables (education status and …

Phenomenological Study On Social Workers With Children With Special Needs, Natasha Yvette Mike

Walden Dissertations and Doctoral Studies

Parents with children with special needs experience challenges when caring for their children. These challenges may be uniquely affected by the parent'€™s employment. Because social workers are in professional roles, understanding their lived experiences provides awareness of the needed services and resources that help social workers maintain effectiveness in their home and work life. This phenomenological study explored the lived experiences of social workers who have children with special needs. Bronfenbrenner'€™s ecological theory guided this study. Criterion and snowball sampling were used to recruit 8 participants. Data were gathered through 3 in-depth semistructured interviews. Moustakas phenomenology method was used to …

School-Based Social Work And Socioemotional Learning Interventions In Alternative Education Programs, Heather Oosterhoff

Walden Dissertations and Doctoral Studies

Active school social workers are tasked with teaching social-emotional learning to students, including high need youth placed in alternative education settings. Multitiered systems of support provide a framework utilized by school systems to identify and address all student needs. However, a gap in research exists for evidenced-based social-emotional learning practices for students falling within Tier 3 of the multitiered systems of support framework, particularly those separated from the mainstream population and educated in alternative programs. This study explored how school social workers address the social-emotional learning needs of students in alternative education settings within the state of Illinois. The qualitative …

Reducing Door-To-Provider Times By Using Nurse Practitioners In Triage, Megan Lynnell Anderson

Walden Dissertations and Doctoral Studies

Increased patient wait times it the emergency department (ED) have been linked to poor patient outcomes and adverse health care events. The purpose of this quality improvement project was to determine if placing a nurse practitioner (NP) in the triage area would reduce door-to-provider times and improve patient throughput within the ED. The primary question for this quality improvement project was whether the use of NPs in the triage area would improve patient throughput and decrease wait times in the ED. A secondary question identified was if implementing an NP in the triage area would decrease patient length of stay …

Trauma-€Informed Care For Persons With Opioid Use Disorder In Ohio, Kimberly Toler

Walden Dissertations and Doctoral Studies

Prevention, social work, and community awareness programs have not led to the successful reduction of opioid overdose deaths nationwide, and particularly in Ohio. This study explored social work perspectives about trauma-€informed care (TIC) for persons with opioid use disorder in Ohio. The research questions for this study examined how social workers in Ohio implemented TIC when providing outpatient treatment to opioid users and what challenges they faced when providing TIC. Using an action research methodology, data were collected through individual semistructured interviews with 5 social work professionals, selected through purposive sampling based on experience in the field of substance use …

Association Of Adaptive Early Phase Study Design And Late Phase Study Results In Oncology, Donna Elise Levy

Walden Dissertations and Doctoral Studies

This quantitative study assessed the association of the design methods used for early phase oncology studies (adaptive versus traditional) and the outcome of late stage clinical trials. Differences by cancer type and by drug classification were also assessed. The theoretical and conceptual frameworks used were the general systems theory and the design and evaluation of complex interventions, respectively. Units of analysis were individual oncology studies in the ClinicalTrials.gov database and Bayesian logistic modeling was applied on a random sample of 381 studies initiated after November 1999 to December 2016. When assessing study design and outcome, there were lower odds of …

Forecast, 2019, Illinois State University, College Of Applied Science And Technology

foreCAST

Magazine of the Illinois State University College of Applied Science and Technology

Relationship Between Novice Counselors' Supervisory Attachments And Boundary Practices And Perceptions, Glenda Hill Nanna

Walden Dissertations and Doctoral Studies

Novice counselors may struggle to understand and follow ethical guidelines for boundary behaviors with clients. When counselors violate therapeutic boundaries, harmful consequences can result for clients and counselors. The purpose of this quantitative study was to examine the possible relationship between novice counselors' (NCs') attachment to supervisors and NCs' ethical perceptions and boundary practices. This study addressed the possible predictor variables of age, gender, relationship status, and practice setting. Bowlby's attachment theory provided the framework for the study. Survey data from 114 NCs were analyzed using descriptive statistics and hierarchical linear regression. Each regression analyzed predictors of age, gender, relationship …

Depressive Symptoms Among Farm Women Aged 50 And Older, Cheryl Dean Witt

Theses and Dissertations--Nursing

Alarming rates of suicide among production farmers have prompted researchers to investigate factors associated with depressive symptoms among this population. Aspects of farm life and farming can contribute to higher levels of depressive symptoms. Higher levels of depression can also increase an individual’s risk of injury and development of chronic disease, impacting overall quality of life. Despite the approximate 3.5 million farm women in the U.S., current research has focused on the male farmer.

Men and women have different responses to stressors, and women in general have a higher prevalence of depressive symptoms. Farm women can be further subjected to …

Social Workers’ And Teachers’ Feelings Of Self-Efficacy In Dealing With School Bullying, Sharon Lynn Simmons

Theses and Dissertations--Social Work

Bullying continues to be a serious problem in schools. School social workers and teachers face challenges daily to deal with bullying. This author examined school social workers’ and teachers’ perceptions about their feelings of efficacy to deal with bullying and what may account for those feelings in a population of 71 teachers and 26 social workers employed in Kentucky schools. Research was gathered using a self-report, electronic survey consisting of subscales of the Teachers’ Attitudes about Bullying Questionnaire (Beran, 2005), the School Bullying Questionnaire (Nicolaides, Toda & Smith, 2002), the Toronto Empathy Questionnaire (Spreng, McKinnon, Mar & Levine, 2009) and …

Veterans' Treatment Courts In Kentucky: Examining How Personal Characteristics And During-Program Occurrences Influence Program Completion And Criminal Recidivism, Monica Lynn Himes

Theses and Dissertations--Social Work

Military veterans are disproportionately represented in United States (U.S.) jails and prisons, with nearly 10% of current inmates being veterans. Veterans’ criminal justice involvement is often precipitated by underlying mental health and substance abuse that are connected to their military service. Veterans’ treatment courts are the judicial response to a need for more coordinated provision of mental health and substance abuse services to veterans involved in the criminal justice system. Modeled after drug courts and mental health courts, veterans treatment courts are a judicial innovation that aim to honor the service of veterans by providing them an alternative to incarceration. …

Suicide Attitudes And Terror Management Theory, Athena Kheibari

Theses and Dissertations--Social Work

Virtually every mental health problem carries stigma, but suicide appears to run so counter to our accumulative, achievement-oriented society, that it poses even greater threat of stigma. While suicide is inherently troubling in that it opposes the fundamental human instinct for self-preservation, the tendency to stigmatize and reject individuals affected by suicide appears to be counterproductive and excessive. Hence, the purpose of this three-manuscript dissertation is to gain a more nuanced understanding of suicide attitudes from an exploratory and terror management theory perspective. More specifically, this dissertation attempts to answer three general questions: (1) how do suicide attitudes differ from …

How Does He Do It?: A Phenomenological Study Of Men’S Experience As Teaching-Family Model Providers, Dallin Douglas Parkinson

Theses and Dissertations--Family Sciences

About half a million children live in out-of-home care, generally due to state intervention (Children’s Bureau, 2016). The outcomes of youth in treatment are improved when they have stable relationships with caregiving adults. Group homes based on the Teaching-Family Model utilize a married couple who live in the home and are the primary care treatment providers. The present study employed a phenomenological approach to explore the lived experience of eight men who have worked in this role for at least a year. Intrapersonal and interpersonal processes and motivations were identified as common themes among respondents for how and why they …

Beyond Telling: A Phenomenology Of Adoptive Parents' Adoption Communication Openness With Early Adolescents, Jane D. Samuel

Theses and Dissertations--Family Sciences

Despite calls for increased Adoption Communication Openness (ACO) within the adoptive family, research indicates that families still struggle to accomplish the recommended elements and levels of openness. What could be holding families back from this key process? Three focus groups comprised of 17 adoptive parents of early adolescents (aged 10-14) who were age 0-2 at the time of placement were thematically coded. This inductive analysis revealed the complexity rooted in being —sometimes successfully and sometimes not—communicatively open. Four key themes emerged painting a vivid and rich picture of: a) the breadth and depth of this experience; b) the work entailed; …

The New Jersey Department Of Education’S Implementation Of New Special Education Policies, Jennifer Winkler

Student Works

No abstract provided.

Advancing The Field Of Human Services: Lgbt Competencies, Narketta Sparkman-Key, Nicola Meade, Ne'shaun Bordern

Counseling & Human Services Faculty Publications

Ethical Standards for Human Services Professionals and Generic Human Services Professional Competencies adopted by the National Organization for Human Services do not include language or competencies specific to lesbian, gay, bisexual and transgender (LGBT) communities. Without a specific ethical code and/or competency outlined by the field, human services practitioners do not have clear guidelines for their work with these populations. Additionally, researchers lack a way to formally measure professionals’ abilities with these populations. This leaves potential for these historically marginalized populations to continue to be in a vulnerable position. To address these needs, authors reviewed established competencies in other helping …

Training Culturally Competent Practitioners: Student Reflections On The Process, Shuntay Z. Tarver, Melvin Herring

Counseling & Human Services Faculty Publications

A major aspect of cultural competence is developing critical self-reflection skills. Critical self-reflection is a culturally competent practice that positions practitioners with the ability to recognize and respond to the influence of power, privilege, and oppression within client interactions. Contributing to the existing literature on cultural competence, this article posits that teaching critical self-reflection is an essential aspect of training culturally competent practitioners. To investigate this connection, researchers qualitatively examined the retrospective accounts of 15 human services students who critically reflected on an assignment: exploring how they were personally impacted by issues of power, privilege, and oppression. Findings unveiled students’ …

Preparing Practice-Ready Collaborative Healthcare Human Services Students: Considerations On Developing Interprofessional Education Competencies In Human Services, Kyulee Park, Francisca Rivas, Ne'shaun Borden, Kristy L. Carlisle

Counseling & Human Services Faculty Publications

Interprofessional collaboration, consultation, and cooperation have long been a direct and indirect professional responsibility of human services practitioners in integrated healthcare settings. In order to effectively educate and train practice-ready human services students for rapidly changing healthcare settings, it is critical that human services organizations and programs examine the need for interprofessional competency education. This article provides timely considerations on developing interprofessional education competencies in human services education.

Ethics Education In Human Services: Course Context And Teaching Activities, Linda Wark, Tammi Dice, Shoshana Kerewsky, Tricia Hudson

Counseling & Human Services Faculty Publications

Ethical choices are a cornerstone of effective human services practice. Human services professionals are expected to adhere to ethical standards, but little is written on the teaching strategies that ready students for ethical practice with clients. This article meets the need for such literature by addressing the teaching context that influences student learning in human services courses and presenting four teaching activities. Future directions and suggestions for research to examine the effectiveness of these activities are offered.

Further Validation Of The Consultation Skills Scale (Css): Relationships Between Consultation Skills, Supervisory Working Alliance, And Interprofessional Collaboration, Gulsah Kemer, Jeffry Moe, Kaprea F. Johnson, Emily Goodman-Scott, Zahide Sunal, Chi Li

Counseling & Human Services Faculty Publications

We conducted a confirmatory factor analysis (CFA) to obtain validity support for the Consultation Skills Scale (CSS) in a sample of 369 counseling professionals and interns. Upon obtaining a poor model fit from an initial CFA, we utilized modification indices and removed nine items from the CSS. As a result, we achieved a better model fit for the shorter 8-item instrument (CSS-S). To further examine validity of the CSS-S, we also explored the relationships between counselors' consultation skills and two related professional activities, ability to foster supervisory working alliance and ability to engage in interprofessional collaboration. We discuss the results …

Occupational Therapy With An Adventurous Twist, Ashley Cambronne, Mikaela Karpen

Occupational Therapy Capstones

The purpose of this scholarly project is to increase knowledge and awareness of adventure therapy (AT) for occupational therapists (OTs) practicing in mental health settings or who are interested in practicing in mental health settings within the United States. Currently, there is a lack of knowledge and awareness of AT by OTs practicing within the United States. This lack of knowledge and awareness is due to a lack of research, especially research focused on AT implementation by OTs. The process for gathering data and creating the scholarly project was first, identifying a problem, then searching CINAHL, PubMed, PsychInfo, and Academic …

Occupational Therapy At Stable Days: Supporting A Christian Worldview, Liz Nerhus, Jordan Mooney

Occupational Therapy Capstones

Purpose: The purpose of this project was to provide a framework for use by an occupational therapist providing integrated services from a Christian worldview perspective within a faith-based setting.

Methodology: An extensive literature review was completed on the topics of occupational therapy in integrated faith-based settings, with an emphasis on spirituality, experience of practitioners, current tools of the profession, and the basic tenants of the Christian faith. The search databases used included: CINAHL, OTSEARCH, Pubmed, SocIndex, and PsycINFO. The literature review revealed that nearly 80% of Americans identify spirituality as an important part of their life (Williams-Reade, Lobo and Gutierrez, …

Fostering Transformational Leadership In Asian Americans: How To Reach The C-Suite, Khadija Ganijee

CMC Senior Theses

This paper investigates what has caused a lack of Asian American leadership in the corporate space and how transformational leadership can be the solution for these people by using their culture to their advantage. This was accomplished through a comprehensive review of transformational leadership and the personality traits associated with it, as well as psychological research on Asian American issues in the workplace and the role of Asian American culture. Stereotyping and discrimination play a role in the workplace, but usually, what a person can do to combat these issues is not explicated. This thesis aims to fill in that …

The Effects And Experiences Of Stigma In The Minneapolis Strip Club Industry, Machensey Shelgren

All Graduate Theses, Dissertations, and Other Capstone Projects

Utilizing participatory action research with dancers in the Minneapolis strip club industry, the present study examined current dancers’ experiences with stigma, its effects on their quality of life, and stigma management techniques. The present multi-methods study involved an initial survey and follow-up interviews with approximately 60 current dancers within Minneapolis strip clubs. Participants reported experiencing stigma in personal relationships and in the workplace, discrimination by landlords and future employers. Through thematic analysis, seven key themes were identified: dancer identity, assumptions made, loss of social support, profession weaponized against them, housing discrimination, lack of employment mobility, and identity concealment as stigma …

Help-Seeking Experiences Of African American Men With Depression, Tiffany Coleman

Walden Dissertations and Doctoral Studies

Research indicated that depression is now the leading cause of disability globally. Depression and help-seeking experiences among African American men have not been adequately studied. The purpose of this phenomenological study was to explore the help-seeking experiences of African American men with depression. The theoretical framework was Andersen's Behavioral Model of Health Services. Purposive sampling was used to recruit participants. Inclusion criteria were (a) African American men, (b) aged 18 through 65, (c) having a medical diagnosis of depression or symptoms of depression, (d) not currently in treatment, and English speaking. Six African American men with depression or depressive symptoms …