Digital Commons Network^™

Challenges For Hospital Leadership In Obtaining Urology And Otolaryngology Community Preceptors, Donna Orsatti

Walden Dissertations and Doctoral Studies

Healthcare organizations are becoming more complex and medical education is constantly evolving in response to healthcare needs. These changes have an impact on community preceptors that supervise and train medical residents. Physicians willing to engage in community-based precepting are decreasing, thereby making it difficult for students to complete medical specializations. The purpose of this qualitative study was to understand the challenges healthcare leaders face when attempting to secure practicums or residencies in urology and otolaryngology. This case study used the Baldrige Excellence Framework as a lens to understand the organization’s functioning within the educational healthcare sector. In-depth, semi-structured interviews were …

Guidebook For Clinical Supervision In Nebraska, Susan Reay, Sarah Guyette

Social Work Faculty Books and Monographs

A brief, practical guide to clinical mental health supervision for supervisors and supervisees of individuals seeking licensure or certifications in Nebraska

Experiences In Informal Mentoring Among African American Women In Management, Alexandria Simone Samuels-Ross

Walden Dissertations and Doctoral Studies

There is a lack of African American women representing senior management and executive positions within nonprofit organizations due to organizational culture, gender stereotypes, and failure to capitalize on the talents of women in general. The purpose of this generic qualitative study was to explore the informal mentoring experiences of African American women employed as managers for over two years in nonprofit organizations. Research has suggested the need for further study of on-the-job mentoring and its impact on employees’ job satisfaction and opportunities to advance within an organization. The theoretical framework that guided the study was social exchange theory, which is …

Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese

Walden Dissertations and Doctoral Studies

Resilience has been studied across a myriad of populations. Many resilience studies have focused on military service members, including military healthcare personnel, specifically nurses. Although many quantitative resilience studies have been conducted, there have been few qualitative studies in this area. Qualitative studies have focused solely on spiritual resilience, although mixed methods studies have identified other resilience characteristics. The aim of this descriptive phenomenological study was to identify resilience characteristics through rich description within the situational and philosophical patterns of resilience and gain a better understanding of how emergency and critical care military nurses honed resilience in the face of …

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …

Social Workers’ Role In School Discipline Of Black Male Students, Teresa L. Cooper

Walden Dissertations and Doctoral Studies

School administrators enforce various forms of school discipline, including office referrals, suspensions, and expulsions, as strategies to maintain safe learning environments for students and staff. Over four decades of research indicate Black male students experience more consequences and receive tougher school discipline than their peers of other races. School discipline potentially causes adverse outcomes for students. Schools employ social workers to support behavior and academic needs of students. The purpose of this phenomenological study was to explore lived experiences of school social workers in their role in school discipline of Black male students. The theoretical framework used for this study …

Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young

Walden Dissertations and Doctoral Studies

Warzone exposure potentially impacts the mental and physical health of veterans who receive a diagnosis of PTSD. There is limited research addressing the adjustments of the potentially morally injurious event(s) (PMIEs) experienced by Christian U.S. Army female combat veterans diagnosed with PTSD who returned home from Iraq and Afghanistan warzones post - 9/11. To better understand the impact of PMIEs experienced by the target population, a study of the integration of the transpersonal-existential meaning-based model was used. A general qualitative research design was selected to understand the complex social phenomena. In-depth telephone interviews were conducted to gather viable data. These …

Intersectional Invisibility Of Black Lgbtqia+ Client Strategies For Bias And Discrimination Prevention, Dr. Tonya Y. Griffith

Walden Dissertations and Doctoral Studies

Abstract Those who identify as members of lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (LGBTQIA+) communities have been victims of bias and prejudicial attitudes. Because LGBTQIA+ people embody all cultures, races, religious convictions, and socioeconomic statuses, this creates additional barriers for some community members who identify as both Black and LGBTQIA+. The purpose of this qualitative study was to explore social workers’ perceptions of intersectional invisibility when working with Black LGBTQIA+ clients and the strategies that social workers identify as beneficial in averting discrimination and bias when working with this community. Implicit bias theory and intersectionality theory …

The Impact Of Wrongful Death Lawsuits On Police Officers, Richard Kevin Powers

Walden Dissertations and Doctoral Studies

Law enforcement has become known as one of the most stressful occupations. Stress can have negative impacts on police officers’ professional careers and their personal life. This qualitative research revealed the unseen pressure of wrongful death lawsuits involving police officers, especially those cleared of any criminal wrongdoings. The study explored the police officers' perceptions while gaining knowledge from their lived experiences of how wrongful death lawsuits impacted them professionally and personally. This qualitative study was guided by the person-in-environment theory, which means that the environment can affect the police officer. In return, the police officer can affect the environment. The …

How Religion & Acceptance Affect Attachment: The Impact Of Familial Factors On Lgb Youth, Emily Stine

Capstone Showcase

Growing up a member of the lesbian, gay, and bisexual (LGB) community comes with its own distinct struggles. Whether it be attempting to integrate an LGB sexual identity with a religious identity, or coming out to friends and family members, there are multiple opportunities for an LGB individual to experience rejection. This rejection, or fear of potential rejection, can detrimentally impact someone’s mental health. As LGB identities are becoming more accepted overall, LGB youth tend to come out earlier. As a result, the coming out experience often coincides with a particularly turbulent time in their social and emotional development. One …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Innovation And Equality: An Approach To Constructing A Community Governed Network Commons, Rider W. Foley, Olivier Sylvain, Shelila Foster

Faculty Scholarship

Networked computing affords users distinct opportunities to communicate with each other, build relationships, transact business, and create. Yet, the digital divide perpetuates existing disparities between social groups. Interventions that rely on private ownership or philanthropy often fall short. Efforts to redress these disparities require collaboration across academic disciplines and with government and private sector organizations. This paper chronicles efforts in Harlem to address this through a collaborative approach to networked computing. We draw on two concepts--responsible innovation and co-governance--to sketch a community-based approach to networked computing. Second, the article identifies two potential systems, based in property law, through which a …

Transitions In Care And Services (2nd Ed.), Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this best practice guideline (BPG) is to provide evidence-based recommendations for nurses and members of the interprofessional team, organizations and the health system. These recommendations support safe and effective transitions in care for pediatric and adult persons and their support network. This BPG is to be used by nurses and members of the interprofessional team across the continuum of care (e.g., primary care, home and community care, mental health and substance use health settings, acute care, rehabilitation, long-term care, correctional facilities and shelters), in all domains of practice (e.g., clinical care, administration, education, policy and research) supporting …

Learning About Others In Multiculturalist Social Service's Curriculum In Finland: Transnational Feminism, Anti-Racist Pedagogy, And Politics Of Othering In The Curriculum, Jenni Lampinen

All Graduate Theses, Dissertations, and Other Capstone Projects

Social work education aims to train competent professionals to answer the needs of changing populations and society. Education includes theoretical and practical components that offer the frames for social work at different levels of society; personal, interpersonal, institutional, and structural. Primarily, multicultural social work focuses on working with populations with diverse ethnic, cultural, and racial identities that often differ from the majority population. Multicultural social work can be seen as a bridge between minority communities and society. This research was implemented using discourse analysis to examine the social services program’s curriculum of one University of Applied Sciences in the Helsinki …

Best Practices For Health Equity And Antiracism Curriculum For Healthcare Workers Regarding Sb 5229, Amanda Osei, Iman Yunis

Doctor of Nursing Practice Projects

Interpersonal racism, bias, and discrimination can often directly contribute to poor healthcare outcomes. Their correlation can be seen in infant mortality, maternal mortality, life expectancy, heart disease, cancer, and more (Bailey et al., 2017; Gee & Ford, 2011). The COVID-19 health pandemic reinforces this pattern of health inequity. Structural inequalities during the pandemic further emphasized racial and ethnic disparities in BIPOC populations. BIPOC populations are more likely to have conditions associated with increased risk of illness from COVID-19 relative to their white counterparts (Raifman et al., 2020). Barriers to achieving health equity include lack of policy addressing health inequities and …

Mindfulness For Inpatient Psychiatric Clinical Staff: Designing And Evaluating A Pilot Intervention To Reduce Stress And Burnout, Daniel Brusser

Doctor of Nursing Practice Projects

Background: The COVID-19 pandemic has both highlighted and compounded a burnout crisis among the healthcare workforce. Healthcare professionals are experiencing workplace stress and professional burnout in substantial numbers, which has resulted in multiple negative consequences including decreased productivity, poor staff retention, and increased organizational costs. While effective multi-pronged approaches to address stress and burnout among healthcare professionals account for the problem at all levels from individual to organizational, a growing evidence base supports the implementation of mindfulness-based interventions as one strategy to reduce stress and burnout and build resiliency.

Objectives: The purpose of this DNP project was to design …

The Lived Supervision Experiences Of Disabled Music Therapists, Emma Martin

Theses and Dissertations--Music

Within and outside of the music therapy field, there has been a recent push for more conversations and literature on social justice. However, disability has been largely left out of this dialogue. Disabled individuals have unique worldviews, and their voices as individuals and practitioners should be an integral part of social justice within music therapy. This study examined disabled music therapists' supervision experiences. All music therapists receive supervision during their education and clinical training, and many go on to supervise. Supervision therefore presents an opportunity to advance the profession by striving to understand disabled music therapists’ perspectives. The purpose of …

Trialling Hyflex At Tu Dublin – Stakeholders’ Voices And Experiences, Frances Boylan, Geraldine Gorham, Catherine Gorman, Jen Harvey, Louise Lynch, Niall Minto, Ziene Mottiar

Irish Journal of Academic Practice

HyFlex is a multi-modal instructional approach that offers students the opportunity to engage with modules face-to-face and online in a mode that best suits their learning style and situation. Covid-19 forced many universities and lecturers to offer HyFlex opportunities. This emergency flip and required agility to deliver HyFlex provides the opportunity to learn from the experiences of using this mode of teaching and learning.

This research presents the results of a survey of 44 lecturers who were part of the HyFlex Community of Practice (COP) or who were employing HyFlex in their practice, and 490 students who engaged with HyFlex …

Epanorama November 2021, Southern Adventist University

Panorama Parent Newsletter

This electronic issue of Panorama includes information on Southern Adventist University's students in mission work and organizations serving local refugee centers.

A Renaissance: The Absurd Retelling Of Mostly True Events, Erica R. Hitzman

Graduate Student Theses, Dissertations, & Professional Papers

Throughout the following you will be taken on a fantastical retelling of the exhibition A Renaissance, and some of what lead up to it. Through the eyes of various shifting perspectives you will explore the relationships between the artist, her art, and the viewer in the hopes of unveiling how the work plays into feminist theory, its place in the Zeitgeist, and the motivations behind it. Each perspective is formatted differently, to visually mirror the shift in perspective. Presented in the first person and aligned to the right, the account of the artist discusses the process, emotion, and inspiration behind …

Beyond The Covid-19 Pandemic: The Importance Of Social Determinants Of Health In Educating Healthcare Leaders, Tashuna Albritton, Miguel Muñoz-Laboy, Umadevi Yokeeswaran, Marlene Camacho-Rivera

Publications and Research

As scholars of color and educators in the health professions, we are compelled to advocate for the inclusion of the study of health disparities and social determinants of health (SDOH) throughout higher education to understand, analyze, and effectively respond to healthcare access disparities, including COVID-19 disparities, in Black and Latinx communities across the United States. In addition to our identities and lived experiences, healthcare access disparities and their root causes are woven throughout the courses that we teach in the departments of social medicine, social work, and social and behavioral sciences.

Open House Notes From The Creativity, Discovery, And Innovation Workgroup During The Und Leads Development Process. The Notes Preserve Participant Feedback Related To Research, Creativity, Innovation, Collaboration, Scholarship, And Opportunities For Strengthening Und’S Future Strategic Direction., University Of North Dakota

LEADS Development Documents

Town hall notes from the Collaboration and Engagement workgroup during the UND LEADS development process. The notes preserve participant feedback related to collaboration, community engagement, partnerships, experiential learning, outreach, and UND’s role in serving communities across North Dakota and beyond.

Assessment And Diagnostic Practices Relating To Autism Spectrum Disorder In The United States And Mexico, Maria Valdez, Jessica R. Stewart, Wan-Lin Chang, Ruth Crutchfield, Ralph Carlson

Communication Sciences & Disorders Faculty Publications

Purpose: The present study examined and compared professional assessment and diagnostic practices relating to autism spectrum disorder (ASD) in Mexico and the United States (U.S.). This information is of great importance because there is an extremely limited amount of information pertaining the assessment and diagnostic practices for ASD in Mexico and little is known about how these practices compare to those in the U.S.

Methods: Archival data from a survey investigating ASD in the U.S. and Mexico was used for this study. Participants included 29 professionals from the U.S. and 7 professionals from Mexico. Professionals were from a variety of …

Annual Report State Fiscal Year July 2020-June 2021, Tennessee. Department Of Children's Services.

Department of Children's Services

No abstract provided.

Maternal Mortality 2017-2020, 2022 Report To The Tennessee General Assembly, Tennessee. Department Of Health.

Tennessee Maternal Mortality

No abstract provided.

Annual Report 2021, Tennessee. Department Of Human Services.

Annual Report

No abstract provided.

The Impact Of Tenncare, A Survey Of Recipients, 2021, Tennessee. Division Of Tenncare.

TennCare Additional Reports

No abstract provided.

Improving Research Practices Through User Insights Of Qualitative And Mixed Methods Data Analysis Technology, Michelle Salmona, Dan Kaczynski, Eli Lieber

Mid-Western Educational Researcher

This study examined current social science qualitative and mixed methods research practices in the adoption and use of data management and analysis technology with three questions: 1) who uses technology for qualitative and mixed methods data analysis? 2) what can be learned by knowing who these researchers are? and, 3) how might current perceptions inform improvements in future research practices? A mixed methods design encompassed a two-stage process for data gathering. A select group of international experts in the use of technology were recruited. Feedback from the experts informed the refinement of a survey instrument which was distributed to participants …

The Compass, Summer 2022

The Compass, 2018-

The Compass is an annual orientation guide for VCU students produced by the Student Media Collective in the VCU Student Media Centered. The guide is distributed physically during summer orientation sessions for new and transfer students. The publication includes short articles, illustrations, letters of welcome from students and administrators, comics, and advertisements from VCU and Richmond organizations.

Chronic Pain-Related Opioid Use In Atlanta, Georgia, Alexis Ware

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Significant Findings:

Chronic pain is recognized as one of the most common reasons for medical visits (Bertin et al., 2021). These visits frequently lead to opioid prescriptions for treatment. Since 2013, the opioid-related overdose epidemic has placed an undue burden on the healthcare system (Dahlby & Kerr, 2020). The increase in opioid prescriptions over the past two decades has increased rates of misuse and addiction in patients suffering from chronic pain (Bertin et al., 2021). From a public health perspective, these rates indicate a need for greater collaboration and coordination of care among healthcare providers (Dahlby & Kerr, 2020).

Objectives/Strategies/Interventions/Next …