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Bridging The Gaps: Characterizing Alzheimer's Disease In Native Hawaiian And Pacific Islander Populations, Justina P. Tavana

Theses and Dissertations

This dissertation addresses critical gaps in dementia research in Native Hawaiian and Pacific Islander (NHPI) communities. Focusing on Samoan and Tongan communities, the study successfully adapted and validated the AD8 informant interview and the Clinical Dementia Rating (CDR) scale in native languages, establishing these instruments as reliable tools for detecting cognitive impairment in these populations. The research process prioritized meaningful community engagement and forged partnerships with indigenous professionals, ensuring alignment with and responsiveness to the specific needs of the community. These invaluable connections were the foundation of making this difficult work possible. Subjects assessed with these adapted instruments were enrolled …

A Qualitative Exploration Of The Lived Experiences Of Graduate Students With Histories Of Mental Health Diagnoses Navigating Clinical Psychology Doctoral Programs, Hannah Flanery

Dissertations and Theses

In general, graduate students experience unhealthy stress levels throughout their graduate careers. Clinical psychology doctoral students experience additional stressors related to intensive training in providing psychological-related services to clients. There is a gap in the literature in understanding how clinical psychology doctoral students with a personal history of mental health effectively navigate highly stressful graduate programs. This dissertation explored the experiences of clinical psychology Ph.D. students who 1) have a history of mental health diagnoses and 2) experience current psychological distress as they manage educational/training demands and administer psychological interventions to clients. A phenomenological qualitative approach was utilized to fully …

Robochurch: Baptizing Bots And Sanctifying Silicon?, Peter Bellini

Witness

No abstract provided.

Factors Influencing Conversion Of Cambodian Muslims To Christianity, Thomas W. Seckler

Witness

No abstract provided.

Depression Screening Tool For Hysterectomy Patients, Dede C. Mihedji

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: The prevalence of hysterectomies in the United States ranges from

5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing

depression preoperatively could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy.

Local Problem: Currently, there is no standard of practice to routinely screen for depression in preoperative patients scheduled for hysterectomy surgeries. However, as with any surgical intervention, there are risks of long-term complications. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022). …

Implementing An African American Cultural Awareness Program For Skilled Nursing Facility Staff, Adekemi T. Adedipe

Doctor of Nursing Practice (DNP) Projects

Background: Patient care is most effective when patients and providers establish a therapeutic connection in a cultural context. Nurses’ lack of awareness of a cultural context for patient care impairs establishing a therapeutic provider/patient relationship, with care of lesser quality and poorer health outcomes as consequences.

Local Problem: Staff at a Northern Californian skilled nursing facility (SNF) caring for African American patients with mental illness lacked self-awareness of the cultural context of care. Staff did not consider cultural constructs of care in treating patients and developing care plans.

Methods: Educational intervention to increase the cultural competence of a skilled …

Developing And Implementing An Infection Prevention Practice Fellowship Program, Sejal Naik

Doctor of Nursing Practice (DNP) Projects

Developing and Implementing an Infection Prevention Practice Fellowship Program

Abstract

Background: The COVID-19 pandemic placed huge demands on infection prevention programs (Blanchard et al., 2022), seriously taxing a profession already mired with progressively increasing workload and responsibilities (Bryant et al., 2016).

Local Problem: In a rapidly changing environment, infection preventionists (IPs) contend with pandemic surges, emerging infections, and supply chain disruptions. The NCAL Region of an integrated health system experienced IP turnover, and in the absence of a formal training program, newly hired IPs experienced variable to no opportunities to develop their competencies.

Methods: A literature review on infection prevention …

Using A Three-Dimensional Theoretical Orientation Matching Model To Predict Therapeutic Outcomes, Daniel Rhodes

Electronic Theses and Dissertations

Matching helpers and clients in a therapeutic setting is inefficient and ineffective. So far, there are no significant and enduring variables that reliably match helpers and clients that lead to positive therapeutic outcomes. This study attempts to match helper and client using theoretical orientation. It uses a quantitative methodology to predict therapeutic outcomes given match quality in the therapeutic dyad. Participants were 30 dyadic pairs—consisting of one helper and one client—who had a pre-existing therapeutic relationship. Each was given an assessment tool, used to measure their theoretical orientation to psychotherapy. Results showed no statistically significant relationships between theoretical orientation match …

Negative Psychology Of Anti-Semitism: Fear Of The Uncategorizable, Benjamin Strosberg

Electronic Theses and Dissertations

Anti-Semitism is a pervasive global issue, particularly prominent in the United States. Studying and defining anti-Semitism prove remarkably challenging for scholars, leading to inadequate understanding and exclusion from contemporary academic discourse and social justice initiatives. In this dissertation, I made the case that anti-Semitism is hard to categorize, stemming, in part, from the difficulty in categorizing what it is to be Jewish, which seems to be multi-form (a figure of thought, a race, an ethnicity, a religion, a nation, none of the above). In thinking about the difficulty in categorization, I constellated various instances of anti-Jewish practices across historical epochs …

A Demonstration Of Enactivist Personality Assessment Using The Five-Factor Model, Garri Hovhannisyan

Electronic Theses and Dissertations

This dissertation seeks to extend the intellectual and existential horizon of the enactive approach by bringing forth an enactivist understanding of human cognitive life as it is lived from the perspective of personality traits. The theoretical task of this dissertation is to review existing evidence in support of the Enactivist Big-5 Theory (EB5T) of personality and its potential for bridging the phenomenological gap between minimal and human cognition. As a phenomenologically grounded theory of personality, EB5T conceptualizes individual differences not merely as differences in trait measures within a person but as differences in styles of how individuals bring forth, experience, …

Functional Cynicism, Michelle Fried

Electronic Theses and Dissertations

Trait cynicism, or “cynical hostility” as measured by the Minnesota Multiphasic Personality Inventory’s Cook-Medley Scale, is defined and studied as characteristics associated with psychopathology, interpersonal conflict, and negative health outcomes including heart disease and cognitive decline. Likewise, “organizational cynicism” is operationalized in industrial/organizational psychology for the purpose of describing and identifying an undesirable employee type in the workplace. This research proposes an alternative assessment. It reconnects cynicism with its roots in ancient philosophy by asking if cynical attitudes, despite their negative valence ascribed in the modern literature and conventional opinion, may serve a practical purpose. This study of Functional Cynicism …

Changing The Face Of Reading Instruction: Do Culturally Relevant Passages Increase The Effects Of The Repeated Reading Intervention For Middle School Black Girls With Reading Difficulties (Bgrds)?, Olajumoke Edith Oshokoya

Electronic Theses and Dissertations

Research has shown that fewer studies have focused on improving the reading abilities of middle school Black girls (Morris, 2007). As BGRDs progress through K – 12 grades, they increasingly rely on basic and advanced reading skills (i.e., oral reading fluency [ORF] and comprehension) to learn. Providing BGRDs with engaging reading passages that are relevant to their prior knowledge, background, interests, and experiences, is more likely to motivate them to read, and eventually improve their reading skills (Cartledge et al., 2015). While there is a growing body of literature focused on Black students’ experiences, currently no study has explored the …

The Contribution Of Principlism To Foster Ethical And Clinical Reciprocity In Resolving Healthcare Dilemmas, Dominic Glorioso

Electronic Theses and Dissertations

Principlism is an ethical method that uses an analytical framework based on a set of principles that can function as guidelines for healthcare professionals. The term was made

famous by the work of two bioethicists, Tom L. Beauchamp and James F. Childress. Their book, Principles of Biomedical Ethics and its multiple editions described a set of norms that are basic

for biomedical ethics. The first edition of their book was published in 1979, and the ninth edition in 2019. Its persistence and durability speak for themselves. In addition, their writings made

famous the four bioethical principles of respect for Autonomy, …

The Normative Requirement For Shared Decision Making (Sdm) In Healthcare Ethics, Margaret Nornor-Quadjie

Electronic Theses and Dissertations

Medicine and medical technology started to advance after World War II. During that period, the practice of medicine became technical. A lot began to happen in the biomedical world during the period after WWII that attracted comments, criticisms, and analyses from scholars. Perhaps, the 1947 Doctors’ Trial at the Nuremberg Tribunal and the Nuremberg Code may be said to be the defining moment for bioethics. These events eventually led to, in the United States, the passage of the National Research Act of 1974 that established the Institutional Review Board system and the National Commission for Protection of Human Subjects of …

The Effect Of Culture And Society On Postpartum Depression: Impacts Observed In India And America, Roma Agarwal

The Crown: Syracuse Honors Research Journal

No abstract provided.

Making Mathematics Meaningful: How Learning About Local Social Injustices Develops Undergraduate Students’ Identity, Intellect, Skill, And Criticality, Emanuel Boutros, Qiong Wu, Hanyi Xu, Nicole Fonger

The Crown: Syracuse Honors Research Journal

No abstract provided.

Creative Therapies For Autism: Movement, Music, And Sandplay, Alena Slak

The Crown: Syracuse Honors Research Journal

No abstract provided.

The Crown, Complete Issue - V1, The Crown

The Crown: Syracuse Honors Research Journal

No abstract provided.

Screening For Uterine Fibroids In Black Women, Winnie N. Kagendo

Doctor of Nursing Practice (DNP) Projects

Background: Uterine fibroids are benign growths in the uterine muscle that affect around 70% of women. Black women have a higher risk, with three times the likelihood of developing fibroids compared to other races.

Problem: The issue of uterine fibroids continues to be poorly addressed in healthcare settings. Black women continue to be particularly adversely impacted by this problem. There is a lack of better screening methods, leading to late detection and limited treatment options for those hoping to maintain fertility.

Methods: A quality improvement project was implemented at a primary care clinic in Loma Linda, California, using the Uterine …

Enhancing Mental Health Assessments For Hysterectomy Patients: Implementing A Depression Screening Tool For Healthcare Clinicians, Dede Mihedji

Doctor of Nursing Practice (DNP) Projects

Background: Hysterectomies are prevalent in the United States ranging from

5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing preoperative depression could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy. Local Problem: Currently, there is no standard practice for preoperative depression screening in hysterectomy patients. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022). Methods: To address the gap, clinicians attended a fifteen-minute Zoom course on the Patient Health Questionnaire 9 (PHQ-9) and its …

Examining Teacher Leadership: Phenomenology Of The Perceived Challenges Of Being A Teacher Leader, Noelle H. Green

The Interactive Journal of Global Leadership and Learning Infographics

Today’s school leaders recognize that one person, mainly the principal, cannot adequately address the needs of all members of the school community. Many principals rely on teacher leaders to lead alongside them to further school improvement, knowing that the traditional way of thinking of school leadership as being the sole role of the principal is no longer effective or efficient. While K-12 teachers typically have a strong background in child development, psychology, and pedagogy, many lack experience in leading and facilitating adults and have little background in adult learning theory.

The purpose of this research is to determine how K-12 …

The Effects Of A Shared Vision Of Teacher Leadership On Classroom Teachers’ Instruction, Tiffany L. Bockelmann

The Interactive Journal of Global Leadership and Learning Infographics

Many models of instructional teacher leadership exist in schools with various outcomes for teachers. The aim of this illustrative case study was to understand systemic alignment in a formal teacher leadership system and how this alignment impacted instructional change. This dissertation was framed by three research questions: 1) How do the rationales of teachers, teacher leaders, and administrators regarding teacher leadership in their school align? 2) How does the coherence of a system of leadership impact classroom teachers’ abilities to engage with formal teacher leaders? 3) How does the coherence of a system of leadership impact classroom teachers’ abilities to …

Investigating The Curricular Practices Of Social Innovation Master’S Programs In The United States, Ty M. Krueger

Masters Projects

The study of social innovation in higher education has increased as more schools add undergraduate and graduate programs on the broad topic. Discussion on what should be included as part of social innovation education has been occurring for decades, but there is little determination as to what could be considered as standards or even a baseline for curricular practices. This research aims to look at how current graduate programs for social innovation are defining the topic, what courses they include in their curriculum, what teaching methods are used in the delivery of these topics, and how the topics and teaching …

Measuring Perceived Medical School Stress (Pmss) Scores Among Physician Assistant Students, Ashley Sharp, Anna Worthley

Physician Assistant Capstones, 2020-current

Wellness curriculum was introduced at James Madison University’s PA program in 2019. The intervention is student-led by upperclassmen and is two-part, consisting of wellness seminars and peer group discussions with a heavy emphasis on wellbeing, stress reduction, coping strategies and burnout. The aim of seminars and student-led discussions have been to promote mental health awareness and mindfulness practices, so that students experience lower perceived stress and greater life satisfaction. Perceived stress has not been examined among physician assistant students using the Perceived Medical School Stress (PMSS) scale which measures students’ perception of stress over four areas: medical school curriculum and …

Reducing Adverse Event With Single And Double Bundle Acl Reconstruction Techniques, Alicia Hudalla, Caroline Casey

Physician Assistant Capstones, 2020-current

Objective: Assess whether athletes or individuals who live an active lifestyle or occupation between the ages of 18-40, who have had an ACL reconstruction done by either single bundle or double bundle repair to compare whether or not double-bundle ACL reconstructive surgery reduce rates of adverse events (re-tear rates, graft failure and laxity) post ACL reconstruction as compared to single-bundle ACL reconstruction. Design: Systemic literature review. Methods: Searches were done in PubMed, utilizing the terms “single bundle vs. double bundle ACL reconstruction.” The following limits and terms were used wrong ligament discussed, systematic reviews or review, not enough participants, 10+ …

Effectiveness Of Trauma Informed Care Implementation, Brooke Harmon, Jessica A. Stanley

Physician Assistant Capstones, 2020-current

No abstract provided.

Does Probiotic Supplementation Help Decrease Symptoms In Adults Previously Diagnosed With Major Depressive Disorder?, Alexa Hammock, Hayley Loiselle

Physician Assistant Capstones, 2020-current

Objective: To assess the effect of probiotic supplementation on clinical symptoms of major depressive disorder in adults. Design: Systematic literature review. Methods: Searches were performed on PubMed using the terms “adults with depression and probiotics”. The limits on PubMed were set to include randomized control trials, studies on adults, studies done within the last 10 years, studies done on patients that did not have depression, studies that did not use the Beck Depression Inventory, and studies that focused on other conditions. Results: Three studies were found that met search criteria: Reninghaus et al., Schaub et al., and Chahwan et al. …

Is Racial Diversity Important When Applying To Jmu Pa Program?, Gaelyn E Young, Deonte J. Hope

Physician Assistant Capstones, 2020-current

The Physician Assistant profession is predominantly female and Caucasian. In order to increase the diversity of the profession at the level of the workforce, it is necessary to examine PA programs' role as the entryway into the profession. To that end, this evaluation aimed at surveying current and future PA students at James Madison University to understand whether racial diversity of both the program's cohort and/or its faculty was a factor in their decision to apply and/or attend the school.

Feasibility Of A Laboratory Model For Evaluating The Use Of An Alternative Response Option In Mitigating Caregiver Treatment Integrity Errors, Jessie K. Weber

Theses & Dissertations

The current study assessed the feasibility of a laboratory model designed to evaluate options for mitigating common caregiver errors in the implementation of destructive behavior treatment. We developed a computer-based analogue to caregiver implementation of extinction for attention-maintained destructive behavior; the model included contingencies on both caregiver errors of commission and adherence to the treatment protocol. We also conducted a preliminary investigation of the effects of participant access to alternative activities as a potential strategy for mitigating integrity errors. Participants included 14 MTurk workers or staff in a severe behavior clinic, and individual response patterns revealed distinct sensitivities to the …

Development And Initial Validation Of The Pain Progress Measure, Adnan N. Balisi

Philippine Journal of Physical Therapy

Introduction: Current numerical rating scales for pain mostly measure symptom intensity. There is a need to develop outcome measures reflecting the multifaceted nature of pain. The purpose of this study is to describe the development and validation of the Pain Progress Measure (PPM), which is an outcome measure intended to capture the holistic nature of pain.

Methods: The author developed 15 pain assessment items related to the biopsychosocial theory of pain. For content validity, 14 expert panelists were purposely selected to assess items as either essential, or useful but not essential, and not essential. The number of essential items …