Digital Commons Network^™

Ethical Dilemmas And Moral Distress In Companion Animal Veterinary Medicine: Mental Health Implications, Bronwyn Dickson

Theses and Dissertations (Comprehensive)

Mental health concerns are a significant problem in the veterinary community, and studies suggest that veterinarians working in Western countries are at higher risk of suicide compared to the general population and other healthcare professionals (Bartram et al., 2009; Bartram & Baldwin, 2010; Platt et al., 2012). Additionally, veterinary medicine is an occupation inundated with complex ethical and moral dilemmas. However, current studies are limited in their ability to contextualize the risk and contributing factors fully; therefore, they offer limited insight into effective preventative and support strategies. Using Interpretive Phenomenological Analysis (IPA), eight companion animal veterinarians were interviewed about their …

Experiences Of Sex Workers In Chicago During Covid-19: A Qualitative Study, Randi Beth Singer, Sarah Abboud, Amy K. Johnson, Jessica L. Zemlak, Natasha Crooks, Sangeun Lee, Johannes Wilson, Della Gorvine, Jahari Stamps, Douglas Bruce, Susan G. Sherman, Alicia K. Matthews, Crystal L. Patil

College of Nursing Faculty Research and Publications

COVID-19 exacerbated health disparities, financial insecurity, and occupational safety for many within marginalized populations. This study, which took place between 2019 and 2022, aimed to explore the way in which sex workers (n = 36) in Chicago were impacted by COVID-19. We analyzed the transcripts of 36 individual interviews with a diverse group of sex workers using thematic analysis. Five general themes emerged regarding the detrimental impact of COVID-19 on sex workers: (1) the impact of COVID-19 on physical health; (2) the economic impact of COVID-19; (3) the impact of COVID-19 on safety; (4) the impact of COVID-19 on …

Resilience Training For Healthcare Professionals: A Literature Review, Michelle Dictor

Master's Projects

Purpose: An exploration of various resilience training programs to determine if there is a significant impact on the psychological resilience of health care professionals.
Method: An electronic systematic review using San Jose State University’s OneSearch database search engine was completed. The review contains published research articles between 2011-2022. Nine published articles were reviewed and used for this systematic review.
Results: There is limited data related to resilience training and resources in accredited nursing programs. Resilience training programs are both a feasible and acceptable way of building psychological resilience among interdisciplinary health care professionals.
Conclusion: Mindfulness-based resilience training programs can be …

Genital Ulcers (Painful, Aphthous) In Females, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Victim-Offender Mediation: A Missing Component Of A Multi-Pronged Approach To Reduce New York City Subway Crime, Elizabeth Neuburger

Cardozo Journal of Conflict Resolution

No abstract provided.

Evaluation Of Universal Depression Screening In A Pediatric Diabetes Outpatient Clinic With The Integration Of A Depression Screening Tool Into An Electronic Health Record, Jenna Westberry

DNP Projects

Background: Depression is a significant problem for adolescents with chronic health conditions. Prevalence rates are two to three times higher in adolescents with diabetes compared to adolescents without diabetes (Badescu et al., 2016). Routine depression screening is not transpiring at rates and frequency recommended by the American Diabetes Association for this population. Implementing use of the Patient Health Questionnaire for all adolescents over the age of twelve years with Type 1 & Type 2 Diabetes Mellitus during routine health visits may improve early identification and diagnosis of depression and improve long-term health outcomes.

Purpose: The goal of this project was …

Patient Characteristics And Telehealth Visits In A Hepatology Clinic, Maria E. Walters

DNP Projects

BACKGROUND: In an attempt to decrease significant no-show rates amongst telehealth patients in a Hepatology outpatient clinic, a clinic-specific intervention was executed, which was efficient in decreasing no-show rates, however could not continue to be financially supported.

PURPOSE: The purpose of this study was to evaluate correlations between demographic data and social determinants of health with patients who showed and did not show for their telehealth appointments, with an overall goal of determining if there is a need for targeted support for telehealth appointments to decrease no-show rates.

METHODS: Electronic health records of telehealth patients were reviewed in an …

Evaluating The Effect Of A Brief Mindfulness Intervention Designed To Reduce Compassion Fatigue On Staff Mindfulness, Catherine Siegel

DNP Projects

Background: Compassion fatigue is “stress resulting from exposure to a traumatized individual” and is described as “a state of physical and mental exhaustion caused by a depleted ability to cope with one’s everyday environment” (Cocker & Joss, 2016, p. 1). Fifty-two percent of mental health workers are experiencing compassion fatigue (The Mental Health of Healthcare Workers in COVID-19, 2020). Behavioral health units have some of the highest turnover rates across hundreds of hospital systems (2019 NSI National Health Care Retention & RN Staffing Report, 2019). Compassion fatigue has been identified as a risk factor for turnover in nurses and statistics …

Improving Nursing Comfort In Relation To Difficult Conversations, Sarah Clifton

DNP Projects

Abstract

Background/Purpose

Conversations between care providers and patients are integral to medicine and are the most performed “procedure” (Luff et al., 2016). In Pediatric Intensive Care Units (PICUs) and Pediatric Cardiac Intensive Care Units (PCICUs), children of all ages with diverse diagnoses and needs are treated for critical illnesses and traumatic events. Therefore, providers frequently have difficult conversations with patients and their families. Pediatric critical care nurses are often invited to participate in these discussions. However, their role during, and after, these conversations is not always clear. The goal of this project was to evaluate the impact of an educational …

Implementation Of A Death Anxiety Screening Protocol Specific To Patients With Advanced Cancer In An Outpatient Palliative Care Setting, Olivia M. Sasdi

DNP Projects

Abstract

Background: Recent studies have shown that upwards of 80% of patients with advanced cancer suffer from death anxiety resulting in increased physical and psychological suffering. Despite death anxiety’s ubiquitous nature and negative impact, the literature regarding this condition consistently indicates that it remains under-identified and undertreated in patients with advanced cancer. The “Death and Dying Distress Scale” (DADDS) is a clinically validated tool used to identify, measure, and guide effective treatment modalities for death anxiety specifically in patients with advanced cancer, but is scarcely used routinely in practice. Incorporating this screening tool to be used regularly could improve identification …

Beyond Problem-Solving Courts, Erin Collins

Law Faculty Publications

Problem-solving courts were borne out of a well-meaning experimentalist spirit, one that inspired judges to attempt to close the so-called “revolving door” to the courthouse by providing treatment instead of, or in addition to, incarceration. The problem-solving court movement is now more than thirty years old and the results of this experiment in court reform are underwhelming. Viewed in the most favorable light, studies suggest that problem-solving courts can modestly reduce the likelihood that some court participants will be arrested or convicted again. Meanwhile, the 40% to 60% of people who begin but do not complete problem-solving court programs often …

Mute Eloquence: A Gallery Of Contracting Emojis, Courtney Leon

Cardozo Arts & Entertainment Law Journal

The increasing use of emojis in electronic communications, exacerbated by the COVID-19 pandemic, has introduced complexity into contract law due to the lack of standardized interpretation. Courts are encountering disputes over emoji meanings, highlighting the need for a uniform framework. The proposed Emoji Codebook aims to address this by categorizing emojis and providing consistent interpretations, aligning with existing laws like the UCC and E-SIGN Act to facilitate clearer contract formation and mitigate misunderstandings.

The Theory Of Learning In Micro: Context & Explanation, Irene A. Bal, Mohammad Shams Ud Duha, Okan Arslan, Jessica Collier, Paula Marcelle, Annetta Dolowitz, Jamie Brernhardt, Meg Swanson, Monalisa Dash, Bohdana Allman (Ed.), Heather Leary (Ed.), Royce Kimmons (Ed.)

STEMPS Faculty Publications

The Theory of Learning in Micro is a proposed theory on how people micro-learn. This theory is based on the hypothesis that learning is a continual process better supported with smaller, more focused learning resources and activities. Based on two main beliefs, knowledge and design, The Theory of Learning in Micro was crafted as a foundation for how people learn in micro, providing a set of beliefs and assumptions for the microlearning design and development community.

Culturally Responsive Librarians: Shifting Perspectives Toward Racial Empathy, Elizabeth A. Burns

STEMPS Faculty Publications

Libraries are charged with being inclusive spaces for all patrons. Library (library and information science [LIS]) preparation programs, by extension, must prepare the next generation of librarians to meet the needs of an increasingly diverse population. It is imperative that today’s librarians are equipped to infuse diversity, equity, and inclusion (DEI) theory with best practice when establishing policy and procedure for the library environment, staff, and programing. With little research and no established protocol in LIS education, it is unclear how pre-service librarians are trained in DEI to meet the needs of all users. This exploratory study used a participatory …

Universal Design For Learning Implementation In Higher Education: Survey Of Faculty And Instructional Designers, Breanne A. Kirsch, Tian Luo

STEMPS Faculty Publications

Universal design for learning (UDL) is an inclusive design framework. Faculty and instructional designers were surveyed to investigate UDL implementation in higher education. This survey was based on one used by Westine et al. (2019). Results about how faculty and instructional designers learn about UDL, how instructional designers train and support faculty in UDL, and why and how participants choose to employ UDL are shared. The results from this study have provided new findings in relation to faculty and instructional designer UDL implementation efforts in higher education that have implications for training and supporting faculty with UDL application efforts.

Who Has Control In The Courtroom?: Maine Lawyers' Process For Client Representation Family Matters Cases And How Perceptions Of Coercive Control Impact Their Process, Katie Seelen Msw

All Student Scholarship

Supervising Professor: Rachel Casey Informed by the researcher’s work with women struggling through separation and child custody legal proceedings with their abusive male co-parents, the study seeks to understand if and how Maine’s court system considers intimate partner violence (IPV) in family matters cases. The research aims to gain specific insight into family lawyers’ understanding and consideration of coercive control—a term encompassing gender-based, psychologically abusive and controlling behaviors—when representing clients in divorce and parental rights and responsibilities cases. Under the label “post-separation abuse,” growing literature demonstrates the extent to which coercive control among separating co-parents manifests through the family court …

Secondary Traumatic Stress: Therapists’ Past Trauma And Workplace Interventions, Morgan Wickman

Honors Program Theses

Secondary traumatic stress (STS) is a type of indirect trauma wherein listening to the traumatic experiences of another causes a stress reaction. STS can lead to PTSD-like symptoms which can develop after only one instance. STS affects mental health professionals at high rates because they have high rates of exposure to traumatic content. In particular, therapists with a personal trauma history have an increased risk of developing STS, as they are more likely to identify with their client’s traumatic experience. This review examines how therapists’ STS severity and frequency is impacted by a personal trauma history. It also identifies workplace …

“To Live In The Body Of A Survivor ”: Unique And Cumulative Disaster Exposure And Mental Health In A Sample Of Hurricane Katrina Survivors, Noelle Serino

Public Health Theses

Introduction: Fueled by the escalation of climate change, weather-related disasters are increasing in frequency and severity. Existing research has documented the extensive harm induced by such disasters, yet few studies have examined how individuals’ psychological well-being fares when exposed to multiple, diverse threats, including other weather-related and public health disasters (e.g., COVID-19). As such, the present study explores posttraumatic and psychological distress in the context of unique and cumulative disaster exposure.Methods: The data utilized for this study came from the Resilience in Survivors of Katrina (RISK) Project. The sample was comprised of 381 predominantly Non-Hispanic Black (84.5%) women who experienced …

Understanding The Current Role Of Social Media In American Samoan Adolescent Lives, Mukund Desibhatla

Public Health Theses

Purpose: This exploratory study investigated the social and cultural factors that shape social media use among adolescents in

American Samoa. Methods: This project was a secondary qualitative analysis. Methodological considerations included an

interpretivist approach to epistemology and alignment with the Fa’afaletui Pacific framework. Phenomenology methods were

used to “bracket” researcher biases. A 21st-century flexible coding approach proposed by Deterding et al. 2021 was applied

to the dataset [31]. Transcript excerpts were re-sorted by the index code: social media/technology as a predictor of mental

illness. An abductive thematic analysis, stemming from inductive and deductive reasoning, was used to analyze the codebook …

Challenges Of Integrating Community Health Workers (Chws) Into Health Systems To Improve Hiv Care Engagement: A Qualitative Study, Yue Hu

Public Health Theses

CHWs provide valuable support to individuals managing chronic diseases, especially populations encountering stigma, discrimination, and other services barriers. CHWs effectively improve HIV outcomes for PLWH, and innovative approaches are needed to maximize their impact on self-management by strengthening their roles as liaisons between clinical services and community resources. Four clinical providers, five community leaders, six CHWs/supervisors in HIV services, and twelve PLWH from St. Louis, Missouri participated in semi-structured interviews, and twelve front-line health workers participated in one of two focus groups. Discussions explored employing CHWs for enhancing HIV care management and retention. Rapid qualitative analysis methods were used to …

Social Determinants Of Health And Functional Disability At Mid- And Late-Life, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The number and proportion of older adults living in the U.S. and globally are increasing. Not only are more adults living longer (Rania et al., 2021), there is evidence that people are

entering late life with more functional disability than in previous generations (He & Larsen,

2014). Social determinants of health include demographic and environmental influences than can impact a range of health outcomes beyond more direct risk factors (Duran and Perez-Stable, 2019). Using data from 243,693 community-dwelling adults who completed the 2020 Behavioral Risk Factor Surveillance System survey, we tested the associations among social determinants of health (i.e., age, …

An Ecological Approach To Data Governance, Jasmine Mcnealy

Notre Dame Journal of Law, Ethics & Public Policy

No abstract provided.

The Ambiguous Loss Of Alcohol Use Disorders For Affected Family Members: Can Al-Anon Involvement And Psychological Flexibility Make A Difference?, Giselle Hernandez Navarro

Graduate Research Theses & Dissertations

Alcohol Use Disorders (AUD) destroy the health of many afflicted people, as well as their affected family members (AFMs). The purpose of this quantitative dissertation was to explore relevant variables for AFMs based on ambiguous loss theory and relational frame theory. In this study, 310 AFMs completed online surveys through MTurk. Differences in AFMs’ Al-Anon involvement (i.e., no involvement, newcomer, member) were investigated relative to psychological flexibility, psychological inflexibility, boundary ambiguity, distress, and ambiguous loss resilience (i.e., ambiguity tolerance). Results indicated Al-Anon involvement was not a significant variable in relation to AFMs’ distress or ambiguity tolerance outcomes. Psychological flexibility, psychological …

The Social And Emotional Impacts Of Children And Adolescents In Foster Care, Raiannamei Gappi Elad, Kenneth Tremper, Carolyn Mcnamara Barry

Modern Psychological Studies

Foster care is a substitute form of care in which children are placed away from their biological families and/or guardians. The scope of this literature review examines 39 scholarly articles (i.e., journals, reviews, meta-analyses, and reports) ranging from the years 1997-2021 of children and adolescents between the age range of six months old to young adulthood. We explore different factors that contribute to adverse child and adolescent outcomes in foster care, such as physical home environment, placement instability, the role of foster parents, and support systems; all which play a key role in the overall foster care experience of youth. …

Equipping Health Professions Educators To Better Address Medical Misinformation, Brian G. Southwell, Andrea Anderson, Anne Berry, Kamilah Weems, Lisa Howley, Cristina Pelin, Maya Vasser, Michael Cassara, Marie C. Petrizzo, Samara Ginzburg, Renee Mcleod-Sordjan, Joseph Weiner, Lexie Morales, Mark Saunders, Emiri Uchiyama, Laura Fothergill, Deborah Sherman, Rebecca L. Toonkel, Alison M. Vargovich, Nicholas M. Fusco, Kelly Foltz-Ramos, Jessica Kruger, William Prescott Jr, Jennifer Hayman, Shelley Cohen Konrad, Linda H. Chaudron, Christine Mallar, Grace Price, Brendan Prast, Julia Safarik, Leah Mallory, Aashna Sunderrajan, Sara Serritella, Nicole L. Pierce, Olabisi Falana, Eve Bloomgarden, Shika Jain, Lisa Mordell, Vineet Arora

MaineHealth Maine Medical Center

As part of a cooperative agreement with the US Centers for Disease Control and Prevention (Federal Award Identification Number [FAIN]: NU50CK000586), the Association of American Medical Colleges (AAMC) began a strategic initiative in 2022 both to increase confidence in COVID-19 vaccines and to address medical misinformation and mistrust through education in health professions contexts. Specifically, the AAMC solicited proposals for integrating competency-based, interprofessional strategies to mitigate health misinformation into new or existing curricula. Five Health Professions Education Curricular Innovations subgrantees received support from the AAMC in 2022 and reflected on the implementation of their ideas in a series of meetings …

The Influence Of Economic Disadvantage On The Health And Well-Being Of Youth Transitioning To Adulthood, Shanquela Williams

All ETDs from UAB

Young adults transitioning to adulthood from economically disadvantaged backgrounds may experience physical, cognitive, and socio-emotional challenges. Resources and opportunities available during this transition can significantly impact their ability to integrate into society. The impact of economic disadvantage on the well-being of youth transitioning to adulthood remains understudied. The purpose of this study was to understand how economic disadvantage influenced the well-being of youth transitioning into adulthood. This project used longitudinal data from the Panel Study of Income Dynamics (PSID) and its supplements: the Child Development Supplement (CDS) and the Transition into Adulthood Supplement (TAS). Hypothesis one results revealed that young …

The Utility Of Participatory Family Diagramming In Qualitative Research: Multidisciplinary Applications And Practical Advice, Melissa D. Day, Tyler B. Jamison

Faculty Publications

Graphic elicitation and diagramming are useful for qualitative researchers. Diagrams of families have been used in clinical, education, and other applied settings as tools for description and analysis of family relationships since the 1950s. Despite the potential utility of family diagrams to qualitative researchers who seek to understand and theorize the complexities of family structures and relationships, participatory family diagramming, where diagrams of family relationships are co-created by researcher(s) and participant(s) and used as a foundation for interviewing, has largely remained an untapped resource. We describe how we used participatory family diagrams as design elements of multidisciplinary qualitative interview study …

Parenting Style In Childhood And Depressive Symptoms Among Family Caregivers In Middle And Later Adulthood In The United States: The Role Of Perceived Control, Yujun Liu, M. Courtney Hughes, Abby Baumbach, Hongdao Meng

Faculty Articles, Papers, and Other Scholarship

Background

Method

Result

An Exploration Of The Mental Health Experiences Of Young Women With Diminished Ovarian Reserve, Brittany M. Woods

All ETDs from UAB

Infertility is a reproductive disease resulting in the inability to conceive. One in six individuals will experience infertility in their lifetime. Diminished ovarian reserve (DOR) reduces the quantity and/or quality of a female's oocyte pool and is a known cause of infertility. Although this occurs during normal ovarian aging in the late 30s and early 40s, DOR can also impact younger women, increasing their risk for psychological distress from an unexpected diagnosis. The purpose of this dissertation is to develop a deeper understanding of the mental health experiences of young women with DOR through the generation of three manuscripts. Manuscript …

2023 Annual Report, Evidence To Practice, Cep Annual Reports, Lisa Staples, C. Leonardi, B. Dupre, Gabrielle Gonzalez, Nichole Cohen, Ronnie Rubin, Stephen Phillippi

Policy & Position Papers

No abstract provided.