Digital Commons Network^™

Icu-Related Medical Trauma: A Socioecological Exploration Of Contributing Factors And Experiences Of Traumatic Stress In Adult Icu Survivors, Jacqueline Hanson

Theses and Dissertations

Advances in biomedical technologies and critical care are leading to increased survivorship rates of ICU patients. During critical care, patients confront a variety of stressors that may contribute to adverse psychological outcomes, including posttraumatic stress. The nature of posttraumatic stress in this population differs from that associated with traditional trauma. The phenomenon of medical trauma in ICU survivors is complex: it is highly subjective, exists on a continuum, is cumulative in nature and carries cumulative effects, involves a combination of endogenous and exogenous, physical and emotional stressors that vary in intensity and duration, occurs in an interpersonal context that involves …

Scandinavian Work-Life Balance Experience: Its Implementation In The United Arab Emirates (Uae) Happiness Context, Maktoom Al Mazrouei

Theses and Dissertations

Employee happiness and satisfaction are unanimously correlated to enhanced levels of productivity and efficiency, making them important for employees and employers. Scandinavian countries consistently rank highly on the world happiness index and correspondingly possess comparatively happier employees in their workplaces. Aside from the structural setting, internal components, and atmosphere of the workplace, it is primarily understood that the initiatives undertaken by Scandinavian countries in relation to the concept of work life balance are significantly important. The concept of work-life balance is cognizant of an employee’s struggle in maintaining equilibrium between work and personal life. This study could aid the United …

A Nurse-Driven Protocol To Increase Metabolic Screening And Interventions For Inpatients On Antipsychotic Medications, James Thomas Demarco

Yale School of Nursing Digital Theses

Patients on antipsychotic medications are at higher risk of developing metabolic syndrome; nevertheless, metabolic screening for patients on antipsychotics is suboptimal. This project implemented a nurse-driven protocol on inpatient psychiatric units to increase metabolic screening compliance rates. The literature on improving metabolic screening as well as the clinical use of nurse-driven protocols were used to develop a protocol. The initial implementation of the protocol showed no change in screening rate; however, when the protocol was updated to include nursing leader involvement, metabolic screening increased. Nurses’ perception of the nurse-driven protocol was examined and found a negative perception and no change …

Initial Steps For Integrating Academic Electronic Health Records Into Clinical Curricula Of Physical And Occupational Therapy In The United States: A Survey-Based Observational Study, Stephen C. Burrows, Lola Halperin, Eric C. Nemec, Wendy Romney

Healthcare Informatics Faculty Publications

Training programs must be designed to prepare physical and occupational therapy students for using Electronic Health Records (EHR) and interprofessional collaboration. This report aims to describe physical and occupational therapy students' perceptions of integrating Academic EHR in their Problem-Based Learning (PBL) curricula in the College of Health Professions, Sacred Heart University, Fairfield, Connecticut, the United States. A paper-based case approach to PBL was adapted by creating patient cases in an Academic EHR (AEHR). Students were asked to complete chart reviews and review provider notes to enhance their learning. An online survey was conducted to determine their perceptions of using AEHR …

The Jeanne Clery Disclosure Report 2022, Department Of Public Safety & Emergency Management

News, Magazines and Reports

2022 Sacred Heart University Department of Public Safety Annual Campus Crime & Fire Report.

Promising Findings That The Cultivating Healthy Intentional Mindful Educators’ Program (Chime) Strengthens Early Childhood Teachers’ Emotional Resources: An Iterative Study, Holly Hatton-Bowers, Caron Clark, Gilbert R. Parra, Jessica L. Calvi, Michael Yellow Bird, Pearl Avari, Jaclynn Foged, John Smith

Department of Child, Youth, and Family Studies: Faculty Publications

Findings suggest that an eight-week mindfulness compassion-based program, Cultivating Healthy Intentional Mindful Educators (CHIME), is a feasible professional development intervention for early childhood (EC) teachers to support their emotion regulation and psychological and workplace well-being. We offer preliminary evidence that learning about mindfulness, self-compassion, and social-emotional learning supports EC teachers in strengthening their knowledge and application of practices to be more mindful and less emotionally reactive and emotionally exhausted at work. In analyzing both EC teacher feedback and survey data from two pilot studies, there was promising evidence that participating in CHIME enhanced awareness of emotions and the development of …

Using Simulation For Law Enforcement De-Escalation Training, Julie Kent

Electronic Theses and Dissertations, 2020-2023

Law enforcement needs simulation practice tailored to de-escalation skills. Law enforcement officers spend most of their training time practicing how to use force appropriately and very little time practicing how to avoid using force. There is little research into the best ways for law enforcement to reduce their use of force and the best ways to provide training to individuals to coach them to avoid using force. There are many training programs promoting de-escalation techniques, but there is little research into the effectiveness of these programs beyond the ability of individuals to perform the skills that are trained. There is …

The Application Of Salutogenesis In Communities And Neighborhoods, Lenneke Vaandrager, Lynne Kennedy

All Works

Communities and neighborhoods have reemerged as important settings for health promotion; they are particularly effective for encouraging social processes which may shape our life-chances and lead to improved health and well-being; consequently, as Scriven and Hodgins, (2012) note, of all the settings (cities, schools, workplaces, universities, etc.), communities are the least well defined. Indeed, within the health literature, they are frequently referred to in terms of place, identity, social entity, or collective action.This chapter on communities and neighborhoods distinguishes between settings as a place (natural and built environment), identity (sense of community), social entity (cohesion, social capital), and collective action …

An Investigation Of Rural And Mental Health Disparities Across Five Dimensions Of Healthcare Access, Nicholas Charles Coombs

Graduate Student Theses, Dissertations, & Professional Papers

Access to healthcare is a complicated public health challenge. Healthcare access is multi-dimensional and combines characteristics of individuals, their households, and their social and physical environments with system-level characteristics of healthcare delivery systems, organizations and healthcare providers. Access encompasses five dimensions: approachability, acceptability, availability, affordability and appropriateness. This dissertation investigates these five dimensions of access to healthcare in the context of two populations of interest: 1) persons who reside in rural areas and 2) persons who experience mental health challenges. Both persons in rural areas and persons with mental health challenges have structural barriers to healthcare access. Additionally, rural health …

Retention And Performance During Covid-19: Prosociality Perception, Social Isolation, And Online Engagement, Ashli L M Schick

Cal Poly Humboldt theses and projects

The experiences of university students impacted by COVID-19 and circumstances surrounding their experiences, help inform the future of higher education in the United States. In the uncertain and rapidly evolving higher education system, understanding retention patterns of students has become increasingly complex. This study examined how self-perceived prosociality and self-perceived social isolation among university students in an online education environment relate to the intention to re-enroll in university and their academic achievement (Grade Point Average; GPA). Ninety-seven university and community college students completed an online survey. Based on previous literature, we expected women to report higher prosociality perceptions than men …

Return Visit Characteristics Of Sars-Cov-2 Pcr-Positive Cases In A Pediatric Emergency Department, Ni̇han Şik, Durgül Özdemi̇r, Murat Duman

Turkish Journal of Medical Sciences

Background/aim: The aim of this study was to evaluate return visits to the pediatric emergency department (ED) for children who were detected to be positive for SARS-CoV-2 by polymerase chain reaction (PCR). Materials and methods: Between April 2, 2020, and January 20, 2021, children aged 0 to 18 years who were detected to be SARS-CoV-2 PCR-positive and discharged from the ED were evaluated. Among them, patients who returned to the ED within 14 days of quarantine were included in the study. For the first presentation and return visit, demographics, clinical findings, laboratory and radiologic investigations, and ward/pediatric intensive care unit …

Criminalized Students, Reparations, And The Limits Of Prospective Reform, Amber Baylor

Faculty Scholarship

Recent reforms discourage schools from referring students to criminal law enforcement for typical disciplinary infractions. Though rightly celebrated, these reforms remain mere half-measures, as they emphasize prospective decriminalization of student conduct without grappling with the harm to generations of former students – disproportionately Black – who have been targeted by criminalizing policies of the past. Through the lens of reparations theory, this Article sets out the case for retroactive and reparations-based redress for the criminalization of students. Reparations models reposition moral norms. They acknowledge state harm, clarify the losses to criminalized students, allow for expansive forms of redress, and cast …

Disparate Financial Assistance Support For Small Business Owners, Sophia Fox-Dichter, Daniel Auguste, Mathieu Despard, Michal Grinstein-Weiss

Social Policy Institute Research

Small business owners experienced a drastic economic disruption caused by the COVID-19 pandemic. Government pandemic assistance failed to reach many small business owners, especially those historically underserved by financial institutions. Drawing on a 2021 survey of 246 small business owners, the Social Policy Institute at Washington University in St. Louis descriptively examined the extent to which small business owners sought and received business assistance, and whether applications and approval of government assistance varied by race and ethnicity. We find that though Hispanic and Black business owners applied for government assistance at a higher rate than white business owners, Black business …

How Does Passive Remote Monitoring Technology Affect Perceived Outcomes For Older Adults, Their Family And Friend Caregivers, And The Healthcare System?, Lori E. Weeks, Grace Warner, Sue Nesto, Heather Rushton, Kathleen Ledoux, Bradley Hiebert, Lorie Donelle Phd, Rn, Fcan

Publications

Background: Most people who receive home care services also rely extensively on support provided by family and friend caregivers. The utilization of technology such as help from remote monitoring technologies (RMT) that send notifications from sensors (e.g., motion sensors, cameras, medication administration monitoring) to a recipient (e.g., family or friend caregiver, healthcare professional) can help to support care provision. Passive RMT uses sensors that do not require any action by the individual for the system to work. Objective: This study is a qualitative component of a pragmatic randomized controlled trial. Our objective is to report qualitative findings from the perspective …

Five Spiritually Based Tools For Clinical Practice During Challenging, Stressful, And Apocalyptic Times, Thomas G. Plante

Psychology

Stress in America and across the globe is high with so many ongoing societal problems. The COVID-19 global pandemic along with accelerating climate change, increasing economic instability and inequality, divisive politics and an increase in authoritarianism, racism, and discrimination against those who are oppressed and marginalized are just a few current examples. Evidence suggests that mental health problems and demand for services have exploded as well. Psychotherapists who are well versed in spiritual and religious integration in their clinical work can help. While therapists cannot solve the country’s and world’s numerous problems, they can help their clientele better cope and …

Religion Has A Public Relations Problem: Integrating Evidence-Based Thinking Into Clinical Practice, Thomas G. Plante

Psychology

Religion and religious institutions receive a great deal of negative, rather than positive, attention and press. This creates an impression, for the casual observer, that religion and associated institutions are a plight on the planet. It is critically important for evidence-based research and best practices in clinical services to be well known and utilized within professional psychotherapy practice. Clinicians must be mindful of the many advantages of religious engagement for physical, mental, and community health and wellness. Psychologists, and other mental health professionals, tend to be secular and nonreligious and receive little, if any, training on religious diversity that may …

Kenyon College Course Catalog 2022-2023

Kenyon College Course Catalogs

No abstract provided.

The Politics Of Owing: Accounting, Water Disconnection, And Austerity Urbanism In Detroit, Melissa Heil

Faculty Publications - Geography, Geology, and the Environment

With the rise of austerity urbanism, contemporary urban governance has been described as “rule by accountancy.” Yet the intricacies of accounting practice have been underexplored in the austerity urbanism literature. Drawing on insights from critical accounting studies, I interrogate accounting practices as political exercises that draw people and institutions into ties of obligation (accountability), shape social relations, and structure the conditions of urban life. Through this lens, practices of accounting can be understood not just as a technocratic tool of the financialized state, but as a contested terrain of urban political struggle. Examining the case of austerity-driven water service disconnections …

The Association Between Maternal Attachment Quality And Symptoms Of Anxiety In Mexican American Adolescents, Kathryn Joy Steininger

Graduate Research Theses & Dissertations

Hispanic youth have been recognized as a large population struggling with mental illness. There has been little investigation surrounding the relationship between Hispanic adolescents and anxious tendencies, despite being the second highest population experiencing symptoms. The current study aims to explain the prevalence of symptoms of anxiety in Mexican American adolescents by examining maternal attachment quality. Data from a sample of 432 Mexican American adolescents from the ages of 13 to 21 was analyzed to determine the relationship between maternal attachment quality and symptoms of anxiety. Adolescents demonstrated greater symptoms of anxiety when they had lower maternal attachment quality. After …

Building Fierce Empathy, Binny Miller

Scholarly Articles in Law Reviews & Journals

In this Article I explore the process of building and sustaining empathy with clients in the context of representing juvenile lifers-- people convicted of serious crimes as children and sentenced to life or sentences that ensure that they spend most of their lives in prison--in a law school clinic. Before turning to my own lawyering experiences and those of my clinic students, I ground the discussion of empathy in the competing theories of Charles Ogletree and Abbe Smith about the value of empathic lawyering for public defenders. These theories, together with the contributions of other scholars, provide a springboard for …

Working With Others In The Mentoring Relationship System, Thomas E. Keller

School of Social Work Faculty Publications and Presentations

A mentoring relationship typically doesn’t operate in isolation. Even youth who want or need additional support from a mentor are bound to have many other important people in their lives, such as parents and other caregivers, siblings, teachers, and peers. Consequently, a mentor already may have or may need to establish relationships with other people in the mentee’s network of support. Because these other individuals, and a mentor’s interactions with them, have the potential to enhance or detract from the mentoring experience, they are all important parts of the “mentoring relationship system.”

This chapter outlines important considerations for how to …

Intervention Development To Improve Foster Youth Mental Health By Targeting Coping Self-Efficacy And Help-Seeking, Jennifer Blakeslee, Brianne H. Kothari, Rebecca Miller

School of Social Work Faculty Publications and Presentations

This study articulates the iterative development of an intervention called Strengthening Youth Networks and Coping (SYNC), which is designed to target coping self-efficacy and help-seeking intentions and behaviors among youth in foster care. The overarching goal is to design an intervention that will be a feasible and acceptable enhancement to existing child welfare services, and that will address modifiable determinants among adolescents involved in child welfare system that are related to elevated risk for mental health challenges, limited support network capacity, and service disengagement after exiting foster care. In this paper, we describe our initial needs assessment, explain how we …

Volume 49, Issue 4 (2022)

The Journal of Sociology & Social Welfare

No abstract provided.

Comparison Of Lean Healthcare Systems Engineering Process (Lhse) For Healthcare Improvement Projects With Earlier Improvement Initiatives, Bohdan W. Oppenheim, Michael H. Kanter, Aleksander Buczacki

Systems Engineering Faculty Works

A new process called Lean Healthcare Systems Engineering (LHSE) recently invented for improving healthcare workflows and designing new care is reviewed and compared to previous quality initiatives: PDSA, TQM, Six Sigma, Lean, Theory of Constraints, and several others. LHSE is applicable to workflow improvement or new care design projects in clinical environments, including hospitals, operating suites, emergency departments, clinics, imaging and clinical laboratories, pharmacies, population health, and telemedicine. LHSE integrates the strengths of Lean Six Sigma and Systems Engineering (SE). Lean’s overarching philosophy of “do what is necessary to deliver the value and reject everything else as waste” governed the …

Fast Forward, Addressing Neurotrauma & Its Long-Term Influence On Post-Injury Outcomes: A Pilot Study To Support The Need For A Student-Run Center, Alyse C. Giallorenzo

OTD DEx Reports - College of Pharmacy and Health Sciences

"Data indicates in Hampden County approximately 54% of residents live in healthcare professional shortage areas, a portion of which are living with a physical, cognitive, or developmental disability (United States Census Bureau, 2017; Baystate Franklin Medical Center Community Health Needs Assessment,2019). The Neurotrauma population faces adverse disruptions to life circumstances, functional status, meaningful roles and occupations, and personal aspirations as a result of injury. Although numerous neurotrauma survivors are faced with lifelong disability post-injury, there are limited specialized and affordable continued care services to support future outcomes specifically, occupational engagement, community reintegration, and self-concept."

A Mixed Methods Study On The Efficacy Of An Ergonomics Training Program With Direct Care Workers In Home Health, Allison Hemmer

OTD DEx Reports - College of Pharmacy and Health Sciences

"Direct care workers (DCWs) have little training on lifting, transferring, and repositioning their clients safely, which leads to injuries (Zontek, et al., 2009). A DCW may include a certified nursing assistant (CNA), home health aide (HHA) and personal care assistant (PCA). The focus of this research is to determine the efficacy of an ergonomics training program entitled Ergonomics Training at Work (E.T. at Work) via a pre and post survey. The efficacy of the program was determined by the knowledge of best practice techniques and overall confidence level when lifting, transferring, or repositioning a client prior to and after the …

The Efficacy Of An Educational Program On Home Dwelling Senior Citizens Aged 65+, Kayla Just

OTD DEx Reports - College of Pharmacy and Health Sciences

"By 2030, 20% of the population will consist of adults aged 65+(CDC, 2021). 87% of these individuals intend to age in their home and avoid displacement (Davis 2021). This increase in aging population and desire to age in place requires preparation due to an impending increase in need for healthcare, caregivers, and accessible homes. This study encompasses the efficacy of an aging in place educational program on home dwelling senior citizens, presented to four senior centers. 18 participants aged 74-86 completed a pre and post survey, respectively before and after watching an evidence based educational program on aging in place. …

Northeastern Illinois University, Academic Catalog 2022-2023, Northeastern Illinois University

Course Catalogs

No abstract provided.

Angelic And Demonic Womanhood: The Provocative Power Of Convergent Identities In Dickens And Eliot, Mackenzie Clinger

Masters Essays

No abstract provided.

Visual Communication Design Collaboration With Occupational Therapy To Create Health Literacy Projects For Community Needs, Elizabeth Shirrell, Daniel Verbit, Monique C. Chabot

Kanbar College Faculty Papers

Low levels of health literacy directly correlate to increased mortality rates, decreased health outcomes and overall poorer quality of life. Many social determinants of health can place someone at a higher risk of low health literacy and the negative consequences of decreased skills in this area. Health literacy is a complex task that requires a multi-modal approach and interventions within a variety of spheres of influence in someone’s life. To address this issue in underinvested communities within their own city, teams of Visual Communication Design and Occupational Therapy students, with the support of their faculty and a librarian, worked together …