Digital Commons Network^™

Impact Of Intergenerational Trauma Among Immigrant And Refugee Families: Effects On The Mental Health And Acquisition Of Care, Loralee Chea

Nursing | Senior Theses

Intergenerational trauma is described as a discrete form of trauma that occurs when traumatic effects are passed across generations without the descendants of trauma survivors having exposure to the original event (Isobel et al., 2021). It is a silent suffering experienced among immigrant families from all across the world who have survived war, genocide, displacements, loss, and other psychological trauma. An exploration of literature has also shown that the healthcare crisis from this form of trauma can be identified and intervened with preventative or treatment measures in clinical practice. The purpose of this research paper is to explore the mental …

Rising Costs Of Insulin And Effects Of Self-Management In Type 1 Diabetes, Justine Yadao

Nursing | Senior Theses

Background

Type 1 diabetes, also known as juvenile diabetes or insulin-dependent diabetes is a chronic condition where the pancreas may not be able to produce little to no insulin. This type of diabetes can be attributed to some factors such as age, family history, environmental factors or types of viruses. It is seen more often in children or adolescence but can develop in adults, averaging approximately 5-10% of the population.

Insulin is a type of hormone produced in the pancreas naturally or can be manufactured in the laboratory. People with Type 1 Diabetes need insulin from an exogenous source to …

Preventing Postpartum Complications Using A Home Visitation Model Of Care, Jenna Ingram

Nursing | Senior Theses

Background

The United States is currently facing a health crisis among the maternal postpartum population. As stated by The Commonwealth Fund in a study released in 2020, “In 2018, there were 17 maternal deaths for every 100,000 live births in the U.S. – a ratio more than double of most other high-income countries” (Roosa, 2020). Most often, mothers with uncomplicated pregnancies and births are discharged soon after the delivery of their new baby. In most outpatient settings, providers do not expect a follow up appointment for the mother until roughly three to six weeks after discharge. During this transition period …

Substance Use Among Nurses As A Result Of Covid-19, And The Impact Of Rehabilitative Programs On Nurses, Gerome Macaspac

Nursing | Senior Theses

Background: The incidence of substance use among nurses has been a persistent issue for decades. The effects associated with substance misuse depend on what is used, the amount, how often, and how they are taken. Regardless of the substance used, any nurse who enters the workplace using substances puts the lives of others at risk. Due to the widespread effects of the COVID-19 pandemic, there is a risk that the number of nurses resorting to the use of substances may have increased. Therefore, an investigation into drug use among nurses during the pandemic is particularly important.

Objective: To explore the …

Compassion Fatigue: The Impact On Nurses During The Covid-19 Pandemic, Adrian Huynh

Nursing | Senior Theses

Background

Compassion fatigue comes from the physical, emotional, and psychological impact of helping others through stressful and traumatic experiences. It is a form of fatigue linked to burnout and secondary traumatic stress. Many nurses are vulnerable to compassion fatigue from repeated exposure to the trauma of their patients. While compassion fatigue has been a continuing issue, the COVID-19 pandemic has increased the risk and number of nurses developing compassion fatigue. This can affect patient care, workplace and personal relationships, and lead to development of more serious mental health issues.

Objective

To investigate the effects of compassion fatigue on the registered …

How Has The Pandemic Exacerbated Nurse Burnout, And What Can Be Done To Improve Their Psychological And Emotional Well-Being?, Lisette Diaz

Nursing | Senior Theses

Background: The COVID-19 pandemic has affected millions of people, both emotionally and physically. Nurses are among the people who are most affected. The nurses' quality of life and the way they provide care has been changed by the pandemic. Nurses are so focused on providing the best possible care for their patients that they neglect to look after themselves.

Objective: The purpose of this literature review is to identify and evaluate how the COVID-19 pandemic has affected nurses and their well-being. The significance of this research was to establish how the ongoing pandemic has impacted nurses’ performance and …

Our Early Years Of Life's Effects On Our Future Health And Well-Being, Claudia Gagliano

Nursing | Senior Theses

Many poor health outcomes later into adulthood have been triggered by adverse life events that have occurred during childhood. Most of the general population has experienced some sort of adverse childhood event that has negatively impacted their future health. Adverse childhood events include any traumatic event that has occurred during childhood including maltreatment (sexual abuse, mental abuse, and physical abuse), neglect, parental loss, and peer victimization.

Raising awareness regarding the opportunities to intervene in a child’s life as a means to prevent behavioral, psychological, and substance abuse disorders before they would typically manifest on their own is the ultimate goal. …

Second Look Commission 2022 Annual Report, Tennessee. Commission On Children And Youth.

Second Look Commission Annual Report

No abstract provided.

Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock

Doctoral Scholarly Projects & Capstones

Burnout among nurses is at monumental levels, contributing to high levels of job dissatisfaction and turnover. Some interventions existed in the literature to support burnout reduction programming among nurses; however, the literature failed to identify effective burnout reduction interventions based upon the specific needs of critical care nurses who face unique stressors related to high patient acuity and other environmental considerations. This project aimed to explore critical care nurses' needs and strategies designed to mitigate burnout in the clinical setting. Outcomes from this assessment would inform future interventions for the early identification and prevention of burnout among critical care nurses. …

The Development Of An Algorithm For Prediabetes Screening And Management In Rural Populations With Low Socioeconomic Status, Kyler Rae Hijmans

Doctoral Scholarly Projects & Capstones

The prevalence of prediabetes continues to rise in the United States and without effective intervention, a significant portion of those with prediabetes will go on to develop diabetes. Prediabetes affects approximately one-third of the population (96 million American adults) and 80% of those people are unaware of their prediabetic status. Proper screening for prediabetes could provide patients with access to necessary interventions, such as intensive lifestyle modifications or pharmacologic treatments, that could prevent or delay the onset of diabetes. Preventing diabetes is important because diabetes is responsible for a significant share of the economic burden of health care in the …

Development Of A Palliative Care Module For Integration Within An Existing Heart Failure Clinic, Elizabeth Keenan Mcquagge

Doctoral Scholarly Projects & Capstones

Heart failure affects 6.2 million of the American population. This number is expected to grow to a staggering 3% of the entire U.S. population over the next 10 years. Heart failure is characterized by a variety of physical and emotional symptoms including shortness of breath, rapid weight gain, fatigue, depression, and anorexia. These symptoms greatly challenge the patient’s quality of life and day-to-day activities. Unfortunately, 50% of patients with heart failure die within five years of being diagnosed. Palliative care is a service dedicated to improving the lives of patients with chronic, life-threatening illnesses. Although providing palliative care to patients …

Development Of A Pilot Educational Seminar For The Integrative Medical Management Of Adults With Anxiety, Jessica Lynn Fynboh

Doctoral Scholarly Projects & Capstones

Anxiety is a global disease that continues to rise. The COVID 19 global pandemic, natural disasters due to climate change, war, and personal stressors continue to cause the steady rise in anxiety worldwide. As many as 40 million Americans suffer from anxiety. A review of standard anxiety treatments including selective serotonin reuptake inhibitors such as Prozac, benzodiazepines such as Xanax, and cognitive behavioral therapy revealed they only provided relief for approximately half of the patients treated. Over the past two years, provider colleagues and their clients in an outpatient private practice where this educational seminar took place had been increasingly …

Improving Healthcare For Adult Patients With Dual Diagnoses Of Chronic Pain And Opioid Use Disorder, Erin Lee Christiansen

Doctoral Scholarly Projects & Capstones

Christiansen, Erin Lee. Improving healthcare for adult patients with dual diagnoses of chronic pain and opioid use disorder. Unpublished Doctor of Nursing Practice scholarly project, University of Northern Colorado, 2022. Up to 50 million Americans experience chronic pain. Of those who are prescribed opioids, 21% to 29% misuse their prescriptions and 8% to 12% will develop an opioid use disorder. In Colorado alone, the opioid analgesic death rate rose substantially from 102 deaths in 2018 to 540 deaths in 2020. In 2017, the U.S. government declared the sudden rise in prescription opioid overdose-related deaths a nationwide public health emergency. Chronic …

Complex Adaptive Systems Leadership In A Volatile, Uncertain, Complex, And Ambiguous (Vuca) Environment: A Case Study Of A First-Year Female Superintendent Of Color, Karika Ann Parker

Dissertations

Superintendents in the K-12 education system in the United States are called upon to ameliorate problems and issues derived from many internal and external forces since its inception. Current literature reveals that, superintendents face complex challenges to improve district level educational outcomes for students within environments that are more volatile, uncertain, complex, and ambiguous (VUCA) and do require a shift from dominant traditional (hierarchal and control) leadership approaches. The aim of this qualitative case study of interviews is to represent the single voice of a first-year female superintendent of color’s (Asian, Indian descent) perspective, perceptions, thoughts, and experiences. The interviews …

¿Aviso O Alerta? Developing Effective, Inclusive, And Consistent Watch And Warning Translations For U.S. Spanish Speakers, Joseph E. Trujillo-Falcón, América R. Gaviria Pabón, Joseph T. Ripberger, Abby Bitterman, Jonathan B. Thornton, Mackenzie J. Krocak, Sean R. Ernst, Estilita Cassiani Obeso, John Lipski

National Oceanographic and Atmospheric Administration: Technical Reports and Related Materials

Spanish-speaking populations in the United States are more vulnerable in disaster contexts due to inequities, such as language barriers, that prevent them from receiving life-saving information. For the past couple of decades, governmental organizations have addressed these issues by translating weather watches, warnings, and advisories into Spanish. Previous studies suggest that these Spanish translations do not communicate the same level of urgency as their English counterparts. To identify whether these translated products result in inequities between English and Spanish speaker reception and comprehension of forecast information, we asked a representative sample of U.S. English (n = 1,550) and Spanish (n …

Judges And Mass Incarceration, Carissa Byrne Hessick

William & Mary Bill of Rights Journal

It seems to have fallen out of fashion to talk about judges as a source of criminal justice reform. Instead, the academic literature now focuses on the role that prosecutors and legislatures have played in mass incarceration. But judges have also played an important role in the phenomenon that has come to be known as mass incarceration. Perhaps more importantly, there are things that judges could do to help reverse that trend.

Judges will sometimes say our system is too harsh. But, in the same breath they tell us the decision to create such a system and the decision to …

Indoctrination By Elimination: Why Banning Critical Race Theory In Public Schools Is Unconstitutional, Emma Postel

William & Mary Bill of Rights Journal

This Note argues that Texas public school students’ First Amendment Rights have been violated by the passage of Senate Bill 3 (SB 3), which bans the teaching of Critical Race Theory (CRT) in K–12 public schools. The First Amendment is violated here because (1) students have a First Amendment right to speech, and this law bans protected speech; (2) students have a right to receive information, and this ban prevents them from receiving information; and (3) schools are meant to be the marketplace of ideas for students and banning CRT amounts to unconstitutional viewpoint discrimination. This Note does not suggest …

Debiasing Criminal Justice, Sandra Guerra Thompson, Nicole Bremner Cásarez

William & Mary Bill of Rights Journal

The killing of George Floyd by police officers in Minnesota inspired a summer of protests in 2020, followed by a call for racial reckoning and a professed commitment to reform criminal justice. Many have condemned the “systemic racism” reflected in countless demographic measures. From killings of unarmed men by the police at the front end of the criminal justice system to incarceration rates at the back end, the statistics show stark disparities along racial lines. These disparities are held up as evidence of racial bias in the system.

Statements about racial bias may be intended as an indictment of a …

Automated Government For Vulnerable Citizens: Intermediating Rights, Sofia Ranchordás, Luisa Scarcella

William & Mary Bill of Rights Journal

Filing tax returns or applying for unemployment benefits are some of the most common government transactions. Yet interacting with tax and social security authorities is for many a source of government anxiety. Bureaucracy, regulatory delays, and the complexity of the administrative legal system have been regarded for decades as the key reasons for this problem. Digital government promised a solution in the shape of simplified forms, electronic filing, and better communication with citizens. In the United States, privately developed software systems such as TurboTax and MiDAS emerged as intermediaries between citizens and digital government, selling convenience and efficiency. These systems …

Sexual Harassment In An Overlooked Occupation: Experiences Of Cna And The Influence Of Nurses, Audrey Pennington

Honors Theses

The prevalence of sexual harassment (SH) in health care facilities has been documented in previous research, but few studies have focused on Certified Nursing assistants (CNA; Burgess et al., 2018; Dean, 2020; Deery et al., 2011; Hibino et al., 2006). The purpose of this study is to explore SH that CNA experience from their patients and what influence supervising nurses may have in impacting the negative outcomes of SH. Participants (N = 95) were recruited to take an online survey through social media and snowball recruiting. The hypotheses of this study were not supported by the data, but results may …

Technology-Enhanced In Vivo Exposures In Prolonged Exposure For Ptsd: A Pilot Randomized Controlled Trial, Tanya C Saraiya, Amber M Jarnecke, Alex O Rothbaum, Bethany Wangelin, Lisa M Mcteague, Ron Acierno, Delisa G Brown, Emily Bristol, Hayley Feigl, Mclain Reese, Adam R Cobb, Bill Harley, Robert J Adams, Sudie E Back

Faculty, Staff and Student Publications

In vivo exposures (IVEs) are a key component of exposure-based treatments, during which patients approach fear-provoking, yet safe, situations in "real life." This pilot study assessed the use of a wearable technology (Bio Ware) during IVEs to enhance Prolonged Exposure (PE) therapy for PTSD. Bio Ware provides a clinician dashboard with real-time physiological and subjective data for clinicians to use for virtually guided IVEs. Participants (N = 40) were randomized to a Guided group that received standard PE and virtual, clinician-guided IVEs with the Bio Ware device, or a Non-Guided group that received standard PE and used the Bio Ware …

Serious Leisure, Job Task Load, & Satisfaction, Carson Matsick

All Theses

The study examined the relationship between degree of leisure seriousness and leisure, job, and life satisfaction, as moderated by perceived job mental workload. Serious leisure has largely been studied in reference to general life satisfaction and health outcomes, and less research exists to examine whether serious leisure participation may influence work. This study tested the following hypothesis: the relationship between serious leisure participation and employee well-being is moderated by mental workload on the job, such that a) as mental workload increases, then serious leisure participation and satisfaction will be less strongly positively correlated, and b) as mental workload decreases, then …

Multilingualism And Memory: Investigating Possible Differences In The Abilities Of Monolingual And Multilingual College Students, Clara E. Barned

Honors Projects

This study investigated whether there is a difference in the memories of monolingual and multilingual undergraduate students using simple memorization tasks. There were 46 participants, 30 of which were monolingual (only knew one language) and 16 of which were multilingual (knew two or more languages). There was found to be no significant difference between the performance of the two groups, with the data generating a p-value of 0.557. This study further suggests related avenues of research and ways in which the study could be improved in the future.

Reducing Physical Restraints And Emergency Psychiatric Medications On An Inpatient Psychiatric Unit With The Broset Violence Checklist, Victoria Hernandez

Doctor of Nursing Practice

Background: Physical restraint and psychiatric emergency medication use, especially psychotropic medications, is problematic, negatively impacting patient safety on psychiatric units (Ambwani et al., 2021; Iuppa et al., 2013; Rahman, 2021). The Bröset Violence Checklist (Woods & Almvik, 2002), a short-term violence-predicting tool, has been used in the inpatient setting to predict violent outbursts and determine when high-level violence interventions are needed.

Purpose: The purpose of this project was to recognize signs and symptoms of aggression and agitation early and intervene to reduce the use of physical restraints and emergency restraint medications on an inpatient psychiatric unit, thereby improving patient safety. …

Aha! Examining Insight In Exploratory Learning Versus Traditional Instruction., Olivia Kaiser

College of Arts & Sciences Senior Theses

In undergraduate classrooms, students are typically first taught the concepts and procedures for solving problems, then practice. With exploratory learning methods, students explore novel problems and generate original solutions before receiving instruction, which benefits conceptual understanding and future learning. The current study examined whether students who explore before instruction experience greater insight moments, and whether insight leads to better learning. Prior research demonstrates that individuals remember problem solutions better if they experience a sudden moment of solution clarity (Aha! Experience). Participants (N = 83) were randomly assigned to instruct-first or explore-first conditions and taught three types of magic tricks …

What Is There To Do If You Find An Old Indian Canoe? Anti-Colonialism In Maritime Archaeology, Sara A. Rich, Cheryl Sievers-Cail, Khamal Patterson

Honors College Faculty Publications

Following Max Liboiron’s claim that pollution is colonialism, the anti-colonial maritime archaeologist’s role in the Anthropocene might be to reframe research questions, so that focus is directed toward interactions between marine and maritime, and that the colonial ‘resurrectionist’ approach that has dominated nautical archaeology ought to be reconsidered altogether. This normative statement is put to the test with a 4000-year-old waterlogged dugout canoe that was illegally excavated from the Cooper River in South Carolina, USA. Upon retrieval, the affected tribal entities were brought into consultation with archaeologists and conservators to help decide how to proceed with the canoe’s remains. Tribal …

Lost In The Fire: Reflections On The Tulsa Race Massacre Centennial, Alina Ball

UC Law Constitutional Quarterly

The Tulsa Race Massacre centennial, occurring on the heels of the Movement for Black Lives and its historic national spotlight on racial inequity, provides a rare moment to be reflective about how transactional lawyering can advance racial and economic justice. This Essay examines the Greenwood District to not only explain the continuing economic disenfranchisement of people of color, but also provide transactional lawyers a case study through which they can critically examine their efforts to move beyond the rhetoric of economic development to rooting out racial violence and oppression that threatens not merely minority-owned businesses, but the lives of people …

Domestic Relations, Charles V. Crowe

Mercer Law Review

This Article addresses noteworthy appellate decisions and legislative updates relevant to Georgia domestic relations law during the Survey period from June 1, 2021 through May 31, 2022.

Liberty And Justice For Y’All: Allowing Legal Paraprofessionals To Practice Law To Reduce The Effects Of Legal Deserts In Rural Georgia, Amanda Claxton

Mercer Law Review

The lack of attorneys in rural America is not merely a social or cultural problem—it is a legal problem that officers of the courts cannot continue to ignore. Legal deserts are geographical areas where legal services are widely unavailable. Particularly in rural Georgia, legal deserts are a substantial issue. Attorneys and nonprofit organizations have attempted to ease the detrimental effects of legal deserts in a variety of ways; for various reasons, those efforts have been insufficient, and rural counties struggle to attract lawyers. Still, there is one method of resolving legal deserts that Georgia has yet to attempt: creating an …

Transgender Health: Exploring Medicalization And The Interactions Of Race/Ethnicity, Disability, And Education, Evan Thomas England

Master's Theses and Capstones

There is a wide range of experiences among and between transgender, BIPOC (Black, Indigenous, people of color) and disabled groups, but they all share histories of medicalization that result in marginalized health experiences and access to health care. To what extent do these health experiences and outcomes vary for U.S. adults with multiply marginalized intersectional identities? How, if at all, does the established moderating capability of education impact health outcomes for people who are transgender? Using data from the 2020 Behavioral Risk Factor Surveillance System, this study utilizes regression modelling to explore the interactions of race/ethnicity, disability, and education with …