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Transformative Learning: Changing Nurses’ Perceptions About People In Poverty, Jacqueline Debrew

Journal of Social, Behavioral, and Health Sciences

Background: Meaningful learning experiences with clients in poverty may help nursing students change their perceptions towards those experiencing poverty and, thus, provide unbiased, nonjudgmental care when they become nurses.

Purpose: The purpose of this research was to understand what learning activities and experiences nursing students found meaningful and led to a change in prior perceptions of people in poverty.

Methods: Guided by Mezirow’s Theory of Transformative Learning, accelerated BSN students enrolled in a mental health nursing course (n = 14) were assigned reflective journals throughout the semester on their assigned clinical experiences, which were analyzed for emergent themes.

Results: …

Thriving Through Time: Resilience And Empowerment For Aging Women In Rural Indonesia, Erna Setijaningrum, Rochyati Wahyuni Triana, Asiyah Kassim

Journal of International Women's Studies

Recent research exploring aging women’s realities in rural areas has revealed how gender norms, ageism, and isolation intertwine, impacting women’s lives, health, and access to services. As disadvantages and exclusion increase with age, women encounter shrinking opportunities, reinforced stereotypes, and marginalization. Especially in remote Indonesian villages, aging women lack access to healthcare, income support, and basic services compared to urban counterparts. Drawing on in-depth, semi-structured interviews and focus group discussions with 35 aging rural women in Blitar Regency, East Java Province, Indonesia, this phenomenological study provides insights into the marginalization and deficient public services these women face, including worsening isolation, …

Marginalization And Environmental Risk: Women’S Roles In Making Plastic Woven Bags In Indonesia, Salsabila Damayanti, Siti Mas’Udah, Asia Ashfaq, Sudarso, Herdiyanti, Citra Asmara Indra, Merlia Indah Prastiwi

Journal of International Women's Studies

The plastic woven bag has become a symbolic representation of Indonesian women’s identity since the trend increased in 2021. The plastic woven bag represents femininity and the image of women as a result of socio-cultural construction. The activity of weaving paradoxically puts women in both a central and a marginal role. The weaving industry is characterized by an increasing number of platforms for women to generate income and improve their economic welfare. Nevertheless, women are still faced with patriarchal domination, because the demands of their domestic role limit their ability to move freely in public space. Therefore, their status as …

An Examination Of Sport Retirement Through Concept Analysis Of Occupational Retirement, Andrea Cota Powell, Patti J. Berg, Andrew C. Pickett, Moses N. Ikiugu, Whitney Lucas Molitor

Journal of Athlete Development and Experience

Occupational retirement is a major life transition that involves extensive planning, preparation, and coping strategies. Concept analysis was completed to explore adaptation to occupational retirement as a way to further understand sport retirement. Thirty-nine occupational-related articles were included in the final analysis. The primary antecedent to occupational retirement is financial stability, followed by age and family life. Antecedents to sport retirement include graduation, exhaustion of NCAA eligibility, and possibly injury. The antecedents are unique to each type of retirement, but the consequences are similar. Retirees of both types often experience feeling of loss, grief, depression, and identity crisis while adjusting …

Using An Evidence-Based Practice Nurse Recognition Practice To Improve Job Satisfaction, Hali Bianchi

Student Scholarly Projects

Practice Problem: The project targeted low job satisfaction and high nurse turnover in a Central Florida bone marrow transplant unit, impacting patient care and costs.

PICOT: (P) For registered nurses (RNs) on the bone marrow transplant unit, (I) does implementing an evidence-based practice employee recognition program (C) compared to no employee recognition program, (O) lead to an increase in job satisfaction (T) over 10 weeks?

Evidence: The evidence supported the effectiveness of meaningful recognition programs, such as personalized verbal acknowledgment from leadership, in boosting job satisfaction among nurses.

Intervention: The intervention involved nurse managers using a weekly employee recognition …

The Impact Of Social-Structural Factors On The Health Of Migrating Older People In China : Testing The Buffering Effect Of Social Capital And Social Integration, Anqi Chen

Lingnan Theses (MPhil & PhD)

While older adult migration in China has received significant attention, the related health research and the pivotal role of social relations have been underexplored. This study, grounded in the theory of the relationship between social capital and health, as well as the social integration theory of migration, examines the associations between social relations and health inequalities under the social structure of Chinese society including socio-economic status, hukou and urban/rural residence.

Methodology: Using data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 survey, three health outcomes are physical function, cognitive function, and mental health. The sample consists of 3,137 …

How Can America Support The Health Of Its Diverse Aging Population?, Catherine García, Lauren L. Brown, Marc A. Garcia

Population Health Research Brief Series

By 2030, one in five Americans will be 65 or older. Rapid population aging in the United States is unfolding alongside a parallel trend of rising racial and ethnic diversity. In the coming decades, African American, Native American, Asian, Native Hawaiian and Pacific Islander, Hispanic/Latino, and multiracial groups are projected to experience significant growth in their proportions of adults who survive past age 65. Despite improvements in health and gains in longevity in recent decades, minorized groups continue to experience significant barriers to healthy aging. This brief provides an overview of the social determinants of healthy aging, provides recommendations for …

Effect Of Resistance Training On Physical Function During Chemotherapy In Colon Cancer, Justin C. Brown, Shengping Yang, Stephanie L.E. Compton, Kristin L. Campbell, Elizabeth M. Cespedes Feliciano, Sara Quinney, Barbara Sternfeld, Bette J. Caan, Jeffrey A. Meyerhardt, Kathryn H. Schmitz

School of Medicine Faculty Publications

Background: The decline of physical function during chemotherapy predicts poor quality of life and premature death. It is unknown if resistance training prevents physical function decline during chemotherapy in colon cancer survivors. Methods: This multicenter trial randomly assigned 181 colon cancer survivors receiving postoperative chemotherapy to home-based resistance training or usual care control. Physical function outcomes included the short physical performance battery, isometric handgrip strength, and the physical function subscale of the Medical Outcomes Short-Form 36-item questionnaire. Mixed models for repeated measures quantified estimated treatment differences. Results: At baseline, participants had a mean (SD) age of 55.2 (12.8) years; 67 …

A Retrospective Study Of Healthcare Needs Of Unpaid Caregivers In The United States, Ranelle M. Nissen, Jessica Mchugh Conlin, Mackenzie L. Feldhacker, Whitney Lucas Molitor, Allison J. Naber

The Open Journal of Occupational Therapy

Introduction: Demand for caregivers is on the rise. In the US, 53 million individuals provided care in 2020. Older adults constitute nearly half of all care recipients and often receive care from a family member. This study identified the health care needs of caregivers regarding health care use, access to resources, and unmet needs.

Methods: We used a retrospective, cross-sectional design to examine existing data collected between 2013 and 2018 regarding caregiver experiences. Data were analyzed using descriptive statistics and a chi-square test of independence.

Results: Caregivers were primarily female, White, between the 18 and 64 years …

Servant Leader Choral Conductor: The Effect Of Servant Leadership In Community Choirs And Community Partnerships, Zachary Debois Cooke

Doctoral Dissertations and Projects

Despite servant leadership primarily establishing itself as an appropriate leadership style, there is little research on how servant leadership affects community choirs in music education. Community choirs are prevalent in music education due to the number of individuals seeking choral experiences and community gatherings to sing and express their musicality. This hermeneutic qualitative phenomenological study explores the leadership styles of community choir choral conductors and their perspectives on servant leadership. By surveying current choral conductors of community choirs and community partnerships, this qualitative study identifies the overarching leadership styles and servant leadership qualities that are consciously considered or not implemented …

Educating Nurses On The Components Of A Healthy Work Environment, Kathryn L. Scott

Doctoral Dissertations and Projects

It is essential to look at the entire picture to ensure patient care is offered in the highest quality manner possible. One must look at patient satisfaction, quality outcomes, and job satisfaction experienced by the nursing staff providing care to accomplish this goal. Research has shown that nurse burnout has increased exponentially as of late. Some blame the COVID-19 pandemic; others look at the generation of nurses graduating from nursing school and starting in the field, comparing the baby boomer nurse to the Gen Z nurse. Many factors are involved, and with the recent addition of paying particular attention to …

The Sexes Exhibited Similar Patterns Of Upper Trapezius Excitation Distribution At Rest And With Fatigue During Repeated Arm Elevation, Kara-Lyn Harrison, Rebecca Franklin, Melina Kaluzny, Trisha D. Scribbans

ISBS Proceedings Archive

Females experience more shoulder pathology compared to males, which is partly attributed to differences in muscle excitation between the sexes. We determined if upper trapezius (UT) excitation distribution differed at rested and fatigue at three tertiles of shoulder flexion. Twenty-eight participants completed a repeated arm elevation task to volitional fatigue while holding a load relative to 30% of their maximum isometric shoulder flexion force while high density electromyography was collected from the UT. Statistical parametric mapping t-tests between males and females excitation map for each tertile at rested and fatigue revealed that UT excitation differed in 168 pixels (~43% of …

Gait Event Detection During Walking Using Deep Learning And Thigh-Worn Accelerometry, Claas Lendt, Tom Stewart

ISBS Proceedings Archive

Mobility and gait are important indicators of human health. However, measuring them outside of a laboratory setting can be challenging. To measure human physical behaviour in free-living conditions, thigh-worn accelerometers and data-driven algorithms are commonly used. This study explores a deep learning approach that utilises data from a single thigh-worn accelerometer. A temporal convolutional network was trained to predict gait events in healthy adults during various walking conditions. The model demonstrated a high level of detection accuracy (F₁ score ≥ 99%) and good time agreement for both gait events, with the 95% limits of agreement being -0.04s and 0.04s. …

The Impact Of Classical Chinese Dance On The Gait Of The Elderly – Cross Sectional Study, Chia-Ling Chen, Jia-Hao Chang

ISBS Proceedings Archive

This study was to explore the difference of gait between normal healthy elders and elders who experienced in classical Chinese dance. Subjects divided into 2 groups (7 subjects in classical Chinese dance group, 7 subjects in control group),data was collected at a single point in time from groups and used the APDM Movement Monitoring system to analysis gait patterns. The experiment group showed improved gait metrics: smaller left circumduction (4.3±2.2 vs. 7.2±1.3, p=0.01), larger right foot strike angle (17.58±2.53 vs. 11.04±5.46, p=0.014), reduced trunk coronal motion (3.47±1.04 vs. 6.90±2.36, p=0.004), and decreased trunk transverse motion (5.78±.79 vs. 7.06±1.22, p=0.038). These …

Machine Learning Approach To Classify Decline Of Cognitive And Muscle Function In Older Women: Gait Characteristics Based On Three Speeds, Bohyun Kim, Changhong Youm, Hwayoung Park, Hyejin Choi, Juseon Hwang, Minsoo Kim

ISBS Proceedings Archive

This study aimed to evaluate the accuracy of machine learning models based on selected gait features caused by cognitive (Cog) and muscle function (MF) declines. A total of 154 women aged 65 or older performed cognitive assessments, five times sit-to-stand test, and gait test at three speeds (preferred, slower (SWS), and faster walking speed (FWS)). The machine learning model accuracies revealed that the random forest (RF) model had 91.2% accuracy when using all gait features and 91.9% accuracy when using the three features (walking speed and coefficient of variation of the left double support phase at FWS and right double …

Midweek Memo, Georgia Southern University

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Framing The Path To Fitness: Age Differences In Response To Framed Exercise Messages, Iliya Sherif, David B. Taullahu, Alyssa R. Minton, Joseph A. Mikels

DePaul Discoveries

Physical activity is one of the most protective health behaviors one can engage in, yet 75% of active adults in the US, meaning those who exercise regularly, fall short of the recommended levels of physical activity, with an even greater percentage of older adults living inactive lives, meaning they exercise minimally and engage in prolonged sedentary behavior (CDC, 2019). The goal of the current study was to explore different types of message framing targeted at encouraging older and younger adults to exercise. We recruited older adults (n = 184; Mage = 69.45 years, age range: 65- 80 years) and younger …

America Is Unprepared To Meet The Needs Of Its Growing Older Adult Population, Sierra Kaplan

Population Health Research Brief Series

In 2030, nearly 73 million Americans will be aged 65 years or older. As Americans continue to have fewer children than in the past, the number of older adults will outnumber children. Thus, fewer young adults will be around to support and care for the older adult population. Coupled with COVID-19 pandemic-driven disruptions to the healthcare industry, America’s health and aging care system is unprepared to support its large and growing older adult population. Over time, we will see increased health care scarcity and inequality in the distribution of elder care services, especially with continued healthcare worker shortages and drastic …

Gerontological Continuing Education Needs Of Nurses Employed In Nursing Facilities In North Carolina, Sandra J. Todd-Atkinson

Dissertations

The major purpose of this investigation was to determine the self perceived learning needs of nurses employed in nursing facilities. Questionnaires were utilized to gather these data from nurses employed in fourteen nursing facilities thus representing 10% of all nursing facilities in North Carolina. Nonparametric tests were utilized to analyze the differences in perceived needs and selected independent variables. The selected independent variables were respondents' ages, educational preparation, years of experience, years of experience in a nursing facility, size of the facility, and position held. Two research questions guided the study: (1) what are the specific areas of felt needs …

Social Structural Differences In Qualitative Perspectives On Well-Being, Jennifer Morozink Boylan, Monica Adams, Julia K. Boehm

Psychology Faculty Articles and Research

Well-being (WB) is associated with healthier and longer lives, more social connections, and workplace success. However, assessment of WB is primarily based on self-report measures. This mixed-methods research examined how diverse adults described the sources of their WB and whether such views differed by education, race, and gender. Data came from midlife and older adults from the Midlife in the United States Study who responded to the question “What do you do to make your life go well?” (N = 2,118; 54% some college or less; 19% Black). We used directed content analysis to develop a codebook comprising 20 …

What Constitutes Adequate Control Of High Blood Pressure? Current Considerations, Donald E. Casey, Alexander J. Blood, Stephen D. Persell, Daniel Pohlman, Jeff D. Williamson

College of Population Health Faculty Papers

An estimated 45% of adult Americans currently have high blood pressure (HBP). Effective blood pressure (BP) control is essential for preventing major adverse events from cardiovascular and other vascular-related diseases, such as chronic kidney disease, stroke and dementia. A large and growing number of medical professional societies, health care organizations, and governmental agencies have now endorsed a clinical practice guideline-based target for adequate control of HBP to a systolic BP of less than 130 mm Hg. However, adequate BP control to this goal has been recently estimated to be as low as 30%. The first and most important steps to …

Frailty Indices And Their Importance In Elderly Patients: A Perspective Review, Rachna Valvani, Nismat Javed, Timothy Vittorio, Moiud Mohyeldin

Journal of Community Hospital Internal Medicine Perspectives

The aging demographic landscape of the United States highlights a concomitant rise in chronic conditions and infectious diseases. Older adults face a heightened susceptibility to infections, particularly pneumonia and urinary tract infections, and comorbidities such as cancer, cardiovascular disease, and dementia. Frailty, defined by a set of phenotypic criteria, emerges as a crucial predictor of adverse outcomes in infections, affecting hospitalization and post-care interventions. In the context of cancer, various frailty indices demonstrate their utility in predicting complications, mortality, and long-term outcomes. Cardiovascular diseases, including acute coronary syndrome and myocardial infarctions, exhibit varied associations with frailty, influencing both short-term and …

Medicare Drug Price Negotiation Program Draft Guidance, Fred Ledley M.D., Edward Zhou Pharmd, Paula Chaves Da Silva Ph.D.

CISI Publication

This comment focuses on Section 50.1, provisions 1 & 3 of the draft guidance regarding the negotiation of a “maximum fair price” under the Inflation Reduction Act (IRA), research and development (R&D) costs of the primary manufacturer, and prior federal financial support for novel therapeutic discovery and development. Specifically, we argue that a negotiated, “maximum fair price” must consider both public sector (federal) and private sector (manufacturer) investments and provide returns to both commensurate with the scale and risk of their investments. This comment addresses three issues and makes specific recommendations regarding each:

1. In negotiating a “maximum fair price,” both …

Understanding The Retrospective And Current Health Care Needs And Service Experiences Of Adult Survivors Of Minor Sex Trafficking, Amelia Wagner, Sarah Lockwood, Amy Farrell, Carlos Cuevas, Jennifer E. O'Brien, Rebecca Pfeffer, Jaclyn Kolnik, Alisa Lincoln

Faculty Publications

Minor sex trafficking is an urgent public health problem, but we lack data about how such experiences impact health and health care access. Utilizing data collected from in-depth interviews with 35 adult survivors of minor sex trafficking across the U.S. we explored the physical and psychological healthcare access and healthcare experiences of adult survivors of minor sex trafficking. Negative healthcare experiences before, during, and following sex trafficking foster a lack of trust and confidence in healthcare systems as adults. Recommendations are provided to help overcome barriers to meeting healthcare needs and improving health care experiences for survivors of minor sex …

Understanding The Retrospective And Current Health Care Needs And Service Experiences Of Adult Survivors Of Minor Sex Trafficking, Amelia Wagner, Sarah Lockwood, Amy Farrell, Carlos Cuevas, Jennifer E. O'Brien, Rebecca Pfeffer, Jaclyn Kolnik, Alisa Lincoln

Faculty Publications

Minor sex trafficking is an urgent public health problem, but we lack data about how such experiences impact health and health care access. Utilizing data collected from in-depth interviews with 35 adult survivors of minor sex trafficking across the U.S. we explored the physical and psychological healthcare access and healthcare experiences of adult survivors of minor sex trafficking. Negative healthcare experiences before, during, and following sex trafficking foster a lack of trust and confidence in healthcare systems as adults. Recommendations are provided to help overcome barriers to meeting healthcare needs and improving health care experiences for survivors of minor sex …

Evaluation Of An Educational Training On Telehelath Utilization Rates And Hospital Readmissions In A Home Health Setting., Gabrielle A. Coomer

Doctor of Nursing Practice Papers

Background: Hospital readmissions are on the rise and continue to be a concern within healthcare due to their effects on the quality of care and healthcare costs. Telehealth strategies have been utilized across healthcare settings to improve hospital readmission rates.

Purpose: The purpose of this project was to evaluate the effectiveness of a telehealth training program in increasing telehealth utilization rates and reducing the acute care hospitalization rate within a single home health agency.

Intervention: A 30-minute PowerPoint presentation on the definition of telehealth, goals, and benefits of telehealth, patient eligibility, special considerations for clinicians, billing and coding guidelines, …

Lgbt Cultural Competence Education For Nurse Leaders In A Large Metropolitan Healthcare System: Quality Improvement, Trevor Mcguffin, Andrew Mitchell

Doctor of Nursing Practice Papers

Background: In the United States, seven percent of adults identify as LGBT. The LGBT population is disproportionately affected by health disparities and barriers to care when compared to the cis-heterosexual population. Due to healthcare providers’ limited LGBT health education and experience, inconsistencies in LGBT culturally competent care perpetuate health disparities and barriers to care for the LGBT population.

Purpose: The purpose of this quality improvement project was to educate nurse leaders on LGBT cultural competency and facilitate nurse leaders’ behavior change.

Methods: This quality improvement project consisted of three LGBT cultural competence modules and two guided behavior change pathways. Outcomes …

Improving Transitions In Care Through Early Discharge Planning: A Quality Improvement Initiative., Sarah Markgraf

Doctor of Nursing Practice Papers

Background: A substantial body of evidence has shown transitions in care are one of the weakest links in healthcare networks, especially for older adults with complex comorbidities. Residents receiving short-term rehabilitation (i.e., rehab) transitioning to home from a skilled nursing facility (SNF) are the most vulnerable in the first 30 days post-discharge for adverse resident events, including avoidable rehospitalization. Avoidable rehospitalizations cost Medicare billions of dollars annually and lead to poor resident outcomes. Early discharge planning in SNFs for short-term stay rehabilitation has decreased rates of avoidable rehospitalizations, improved quality of life in geriatric residents, and improved care partners' perceived …

Intergenerational Programming: An Initiation For Implementation For Individuals With Dementia, Joshua Dano

Occupational Therapy Student Capstones

No abstract provided.

Underrepresentation Of Working-Age And Older Adults With Disabilities In Behavioral Clinical Trials In The Us: A Review Of Registered Behavioral Clinical Trials, Szu-Wei Chen, Sandra M. Espin-Tello, Audrey A. Keleman, Rebecca M. Bollinger, Makenna Snyder, Katelyn Storey, Megan Kaesler, Ella Kinder, Grace Lewis, Jessica Dashner, Megen Devine, Susan L. Stark

Occupational Therapy Faculty Publications

No abstract provided.