Digital Commons Network^™

Empathy Unfolding: A Complexity Neuroeducation Framework For Tracing The Impact Of Immersive Storytelling And Transformational Learning On Nursing Education, Maria H. Keckler

CGU Theses & Dissertations

Background: Empathy Unfolding is a conceptual framework grounded in complexity theory and neuroeducation principles that emerged during the research process and was used to trace the impact of immersive storytelling and transformational learning on nursing education through multiple lenses and measures. The study addressed the complex and multidimensional problem of declining empathetic concern among nursing students and professionals that disproportionately impacts low-income and culturally/linguistically diverse patient communities. Methods: The mixed-methods design centered around a patient story based on actual events, produced in two-dimensional (2D) video and 180° virtual reality (VR) formats. Second-year nursing students (N=70) were randomly assigned to two …

Private Caregiver Presumption For Elder Caregivers, Raymond C. O'Brien

Scholarly Articles

The percentage of older Americans increases each year, with a corresponding percentage increase of those considered the older old. Many older persons will develop chronic conditions, decreasing their ability to manage the activities of daily living and requiring many to move into assisted living facilities or group homes. When surveyed, a majority of people expressed that they wish to age in their own homes, and government programs are increasingly supportive of this option. This is a viable option for many if they have the assistance of private caregivers—who provide a vast array of support services—and essential person-to-person human contact during …

Understanding Social Care, Teresa Brown, Kevin Lalor

Books/Book chapters

As the English writer L. P. Hartley noted in opening his 1953 novel The Go-Between, ‘The past is a foreign country: they do things differently there’. The previous edition of this book was published in 2013, and indeed Ireland then was in many ways a substantially different place. It was a country that had suffered the ignominy of being ‘bailed out’ by our European partners after the trauma of the financial crash that had commenced in 2008. Hard to believe now, but commentators bemoaned the excessive level of construction of houses and hotels, marriage equality for LGBTQ+ people was still …

An Exploration Of Differences In Perceptions Of Gerotranscendent Behaviors Between Younger And Older Adults, Gabrielle E. Anderson

All Graduate Theses, Dissertations, and Other Capstone Projects

The theory of gerotranscendence was developed as a means of addressing limitations in current developmental theories. It is defined as the natural developmental process in which people gradually change their fundamental views of themselves, the world, their relationships, and reality in general. Research has shown that gerotranscendent behaviors are viewed as pathological by younger adults. The purpose of this study was to further explore differences in perception of gerotranscendent behaviors between college students and older adults. An additional goal was to better understand how and why these behaviors are interpreted differently by younger and older adults. Perceptions of gerotranscendent behaviors …

Interventions To Alleviate Guilt In Family Caregivers Of Patients Receiving Hospice Or End-Of-Life Care: A Scoping Review, Kyla N. Huelle

Honors Undergraduate Theses

This scoping review contains a literature analysis regarding interventions used by health care workers to alleviate guilt in caregivers of patients during end-of-life care. During end-of-life care, many transitions and decisions are made that add to the burden of caregivers. Family caregivers experience many physical, financial, and emotional stressors during the journey of end-of-life care, and this can result in guilt. Feelings of guilt can lead to poorer health outcomes and coping in family caregivers and should be addressed by health providers. In this scoping review, a literature search was conducted using various key terms like "guilt," "hospice," "end-of-life care," …

Deep Community Partnerships: The Future Of Community-Based Senior Care In A Value-Driven Era, Diana Wilcox

DSW Capstone Projects

This capstone reviews three scholarly products that examine how chronically ill older adults interact with healthcare systems and senior service delivery systems in the United States. The systematic literature review examines how community-based senior programs that are funded by the Older Americans Act (OAA) positively impact health outcomes and promote health and wellness among the older adult population. The conceptual paper examines how Accountable Care Organizations (ACOs), Managed Care Organizations (MCOs), Area Agencies on Aging (AAA) interact with the patient and with one another using the lens of Systems Theory. The practice application paper examines best practices regarding care coordination …

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

Correlates Of Mental Health Clinician Self-Awareness And Insight Of Attitudes Toward Older Adults, Susan L. Mcinvale

Walden Dissertations and Doctoral Studies

AbstractOlder adults (ages 65 and older) are expected to increase in the United States by over 70 million by the year 2030. The older adult population requires specialized medical and mental health services to address the needs related to aging. Mental health clinicians trained to address these needs may help older adults to utilize mental health counseling. Self-awareness of attitudes, insight, and knowledge may be skills that affect the attitudes of mental health clinicians toward older adults. Previous research has found that mental health clinicians who engage in self-awareness during a counseling session may improve counseling competency; however, little research …

Are You Ready To Engage? The Impact Of Decisional Conflict On Advance Directives Education, Marcia Brown

Department of Conflict Resolution Studies Theses and Dissertations

End-of-Life (EOL) refers to medical support given to those facing death and advance directives (AD) is a document that helps to distinguish the nature of that support. The literature suggests conflict is a barrier in the advance care planning (ACP) process and if it remains unresolved in the absence of an AD, there is prolongation of unwanted treatment, increased costs, and lower quality of care. The purpose of this research was to uncover decisional conflict and determine the usefulness of ACP engagement factors in faith communities through a unique intervention – CADE (Conflict and Advance Directives Education). Three theories – …

Private Caregiver Presumption For Elder Caregivers, Raymond C. O’Brien

University of Michigan Journal of Law Reform

The percentage of older Americans increases each year, with a corresponding percentage increase of those considered the older old. Many older persons will develop chronic conditions, decreasing their ability to manage the activities of daily living and requiring many to move into assisted living facilities or group homes. When surveyed, a majority of people expressed that they wish to age in their own homes, and government programs are increasingly supportive of this option. This is a viable option for many if they have the assistance of private caregivers—who provide a vast array of support services—and essential person-to-person human contact during …

The Impact Of Driving Cessation On Quality Of Life In Older Adults, Megan Lane

The Graduate Review

As individuals age, they face a variety of new experiences and transitions. Having to stop driving, due to a medical condition or for some another reason, is one of the many transitions older adults may undergo. The purpose of this study was to evaluate the impact driving cessation, or giving up driving, has on quality of life in older adults. The developed research questions aimed to observe changes in social relationships and engagement, motivation, and emotional well- being after giving up driving. The study followed a qualitative design and used semi-structured interviews to gain insight into the participants’ experiences. Six …

Development Of A Reinforcer Assessment: A Measure Of Potential Reinforcers In The Lives Of Older Adults, Nicole A. Praska

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this study was to create a new measure that assesses potential reinforcers in the lives of older adults residing in assisted living facilities. It is important to assess what an individual finds rewarding since individuals have a greater quality of life if they are doing activities that they enjoy. The study involved a two-step process. First, a list of potential reinforcers was created and evaluated by professionals in the field. Then this list was formatted into a survey and presented to 612 older adults. Participants rated these potential reinforcers on a Likert scale. Results were then evaluated …

Bibliography, Dr. Jill D. Duba

Faculty/Staff Personal Papers

Bibliography of publications and presentations by Jill Duba Sauerheber.

Bibliography, M. Susan Jones

Faculty/Staff Personal Papers

Bibliography of publications by M. Susan Jones.

Impact Of An Aprn Directed Workflow Change On Outpatient Palliative Care Referral Acceptance Rates, Stefanie Rashti

West Chester University Doctoral Projects

Abstract

Patients diagnosed with an advanced disease or serious illness often experience a variety of distressing symptoms that can negatively impact their functional status and quality of life. Outpatient palliative care is a medical specialty that often requires a referral from a primary care or specialty care provider who has identified a need for specialized pain and symptom management, psychosocial or caregiver distress, end-of-life care management, or goals of care discussions. Despite notable effectiveness in the provision of palliative care for patients with advanced disease and serious illness, barriers exist that prevent patients from accepting palliative care referrals even after …

Eastern Michigan University, Winter Commencement, December 17, 2023, Eastern Michigan University

Commencement Programs and Materials

No abstract provided.

Examining A Blood Biomarker Approach To Blood-Brain Barrier Disruption, Samantha Ford

Theses and Dissertations--Medical Sciences

Blood-brain barrier disruption has been identified to associate with the pathogenesis several neurological diseases such as dementia [1, 2], multiple sclerosis[3, 4], acute or chronic cerebral ischemia[5], brain trauma[5], meningitis[5], encephalitis[5], stroke[6], and seizures[7]. Being able to effectively identify blood-brain barrier disruption is limited in methodology. The current standard is using a cerebrospinal fluid (CSF) albumin to serum albumin index, which requires the use of a lumbar puncture. A novel method of identifying blood-brain barrier disruption utilizing blood biomarkers is proposed in this study. Participants in this study had previously collected blood and CSF samples, which were analyzed to compare …

Fp-23-12 Adult Children’S Four-Year College Completion By Parent’S Race, Ethnicity, And Educational Attainment, Kellyanne Bunkley, Jaycob Applegate, Jenjira Yahirun

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-23-16 Age Variation In The Divorce Rate, 1990 & 2021, Krista K. Westrick-Payne, I-Fen Lin

National Center for Family and Marriage Research Family Profiles

No abstract provided.

The Grounded Model Of Communication Savoring: Theory Development And Age Cohort Study, Margaret Jane Pitts, Alice Fanari, R. Amanda Cooper, Jian Jiao, Sara Kim

Communication Faculty Publications and Presentations

Savoring contributes to human flourishing by enabling individuals to optimize, enhance, and prolong pleasurable moments. One unique dimension of savoring, communication savoring, refers to the practice of mindfully attending to and elevating pleasurable or meaningful moments that are experienced in language and social interaction. The grounded model of communication savoring identified the types and phenomenological experiences of communication savoring. The purpose of this study is to continue grounded theoretical development of the communication savoring model by adding new cases to build and refine the model and by applying the model to a novel setting. Using a priori and emergent coding, …

Ce 640 Syllabus: Orientation To Clinical Mental Health Counseling, Mary Fawcett

Counselor Education Syllabi

This course examines the counseling profession including history, philosophy, theory, and professional issues. Emphasis is on different counseling populations, social justice and multicultural issues.

Ce 640 Syllabus: Orientation To Clinical Mental Health Counseling, Mary Fawcett

Counselor Education Syllabi

This course examines the counseling profession including history, philosophy, theory, and professional issues. Emphasis is on different counseling populations, social justice and multicultural issues.

Uri Undergraduate And Graduate Course Catalog 2023-2024, University Of Rhode Island

URI Course Catalogs Archive

This is a downloadable PDF version of the University of Rhode Island course catalog.

Age-Related Microaggressions: A Follow-Up Descriptive Study, Hannah M. Lewis

All Graduate Theses, Dissertations, and Other Capstone Projects

Age-related microaggressions are forms of ageist discrimination that occur during day-to-day interactions. The aim of this study was to identify common types of age-related microaggressions as well as to determine how negative affect influences emotional reactions to microaggressions. Using an online survey, participants (n = 200) were asked if they had experienced any of the 20 most common examples of age-related microaggressions reported in previous research (Gietzen et al, 2022). Follow up questions inquired about the frequency, emotional reactions, and behavioral responses to these microaggressions. Participants also rated their physical health and completed the Positive and Negative Affect Scale (PANAS; …

How Do Informal Caregivers Of A Person With Dementia Experience Stress And Which Supports Help Mitigate The Effect Of These Stressors?, Kwandra Andrews Brinson

Occupational Therapy Doctorate Capstone Projects

Background: Alzheimer's disease or related dementias (ADRD) are one of the most rapidly growing epidemics that the world is facing. Caring for a person with ADRD is challenging and often causes informal caregivers stress, loneliness, and social isolation.

Purpose: The aim of this qualitative instrumental case study was to obtain a better understanding of how informal caregivers of persons with ADRD experience stress and which supports helped mitigate the effect of these stressors in their role as a caregiver.

Theoretical Framework: The Model of Human Occupation focuses on therapy helping persons to engage in occupational behaviors that maintain, restore, reorganize, …

The Perception Of Stroke On Iadl, Paula O. Buari

Occupational Therapy Doctorate Capstone Projects

Background: Residents in a skilled nursing home receiving rehabilitative services following a stroke may value instrumental activity of daily living (IADL) tasks more than ADL tasks. This research investigates the impact of IADL tasks on quality of life (QoL). Purpose: The research questions were: How do individuals post-stroke and receiving occupational therapy services in a skilled nursing facility perceive their participation, or lack of participation, in IADL, and how does this impact their perceived QoL? Theoretical Framework. The theoretical framework that guided this project was the Model of Human Occupation. Methods. A phenomenological research-based qualitative approach designed to understand …

Don’T Forget The Importance Of Leisure Occupations For The Community Dwelling Elder, Susan Witt

Occupational Therapy Doctorate Capstone Projects

Leisure exploration is important to the community dwelling elder (CDE) as research indicates that social and leisure activities correlate with well-being in this population (Adams et al., 2011). This research project aimed to gain insight on the CDE’s perspective on leisure as they age in place and the role occupational therapists play in leisure promotion for this population. This mixed method study included quantitative data from the Activity Card Sort (ACS) assessment which provided data on how leisure and activities of daily living have changed with aging. Qualitative data was gained through semi-structured interview and explored the perspectives of the …

Community-Dwelling Older Adults’ Perceived Self-Efficacy And Readiness For Discharge After Receiving Occupational Therapy Services At A Skilled Nursing Facility (Snf)., Shih-Ni N. Lai

Occupational Therapy Doctorate Capstone Projects

Abstract

Background: Older adults who plan to go home from a SNF after having injuries have increased concerns about their transition and feel they have limited knowledge and information on community resources. There is research on the critical roles of occupational therapy in preparing community-dwelling older adults to transition home from SNF. However, limited research on community-dwelling older adults' perception of their self-efficacy and discharge preparedness after receiving occupational therapy services at SNF.

Purpose: This project examines the perceptions of community-dwelling older adults’ preparedness and self-efficacy after receiving occupational therapy services in a SNF to increase their quality of life …

Short-Term Removal Of Exercise Impairs Glycemic Control In Older Adults: A Randomized Trial, Leryn J. Reynolds, Troy M. Williams, Joel E. Harden, Hannah M. Twiddy, Monica L. Kearney

Human Movement Studies & Special Education Faculty Publications

Postprandial glycemia (PPG) predicts cardiovascular disease, and short-term physical inactivity increases PPG in young, active adults. Whether this occurs in older, active adults who may be more prone to bouts of inactivity is unknown. This study determined if postprandial interstitial glucose (PPIG) was impaired in active older adults following the removal of exercise for 3 days (NOEX) compared to active young adults. In this randomized, crossover study, 11 older (69.1 ± 1.9 years) and 9 young (32.8 ± 1.8 years) habitually active (≥90 min/week of exercise) adults completed 3-days of NOEX and 3-days of normal habitual exercise (EX), separated by …

Exposure To Pcb126 During The Nursing Period Reversibly Impacts Early-Life Glucose Tolerance, Brittany B. Rice, Keegan W. Sammons, Sara Y. Ngo Tenlep, Madeline T. Weltzer, Leryn J. Reynolds, Cetewayo S. Rashid, Hollie I. Swanson, Kevin J. Pearson

Human Movement Studies & Special Education Faculty Publications

Polychlorinated biphenyls (PCBs) are persistent environmental organic pollutants known to have detrimental health effects. Using a mouse model, we previously demonstrated that PCB126 exposure before and during pregnancy and throughout the perinatal period adversely affected offspring glucose tolerance and/or body composition profiles. The purpose of this study was to investigate the glucose tolerance and body composition of offspring born to dams exposed to PCB126 during the nursing period only. Female ICR mice were bred, and half of the dams were exposed to either vehicle (safflower oil) or 1 µmole PCB126 per kg of body weight via oral gavage on postnatal …