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Cultural Matching And Identity Safety In K-12 Schools: An Indigenous Research Paradigm, Ashton T. Smith

Graduate Student Theses, Dissertations, & Professional Papers

Native American and Alaska Native (NA/AN) persons are resilient and have learned to overcome the intergenerational effects of colonization and find new ways to be Native American and Alaska Native in this contemporary life. Learning and well-being are integral values for Native American and Alaska Native people, but finding an appropriate way to approach education and learning can be difficult for Native American and Alaska Native people, especially when historically, the colonial-based systems have been created for them to fail. Because cultural matching and identity safety (CM/IS) for Native American and Alaska Native people in other environments (e.g., psychotherapy, child-welfare …

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …

Role Play Or Real Play: A Quasi-Experiment In The Counseling Classroom, Elke Schmeling

University of the Pacific Theses and Dissertations

The relationship between pedagogy and self-efficacy beliefs is at the core of this dissertation. A continued demand for mental health service providers who can handle challenging caseloads requires novice professionals who are both well prepared and confident in their own skills and abilities, as self-efficacy is a positive predictor of performance. Since experiential learning opportunities are considered particularly beneficial to fostering self-efficacy beliefs, two cohorts of graduate students in a beginning psychotherapy course who engaged in different experiential learning activities were compared in terms of their counseling self-efficacy growth over the course of one semester. One cohort of students engaged …

Filipina American Mothers’ Experiences Obtaining Services For Their Children With Autism Spectrum Disorder, Nina Chelle Boling

University of the Pacific Theses and Dissertations

Autism spectrum disorder (ASD) is a multifaceted developmental condition that manifests in early childhood, affecting various aspects of neurologic, biological, adaptive, social, linguistic, and cognitive functions. A timely and accurate diagnosis of ASD is crucial for effective intervention, promoting personal and social growth, and fostering independent adulthood. However, obtaining this diagnosis can pose challenges, particularly for people of color, who often encounter disparities in healthcare access compared to their White counterparts. This study aims to investigate the experiences of Filipina mothers raising children with ASD, specifically focusing on their journey to access appropriate autism services.

As of 2019, there were …

A Financial Case For A Medical-Legal Partnership: Reducing Lengths Of Stay For Inpatient Care, Barak D. Richman, Breanna Barrett, Riya Mohan, Devdutta Sangvai

GW Law Faculty Publications & Other Works

While Medical-Legal Partnerships (MLPs) have improved the health and well-being of the people they serve, most healthcare institutions will only invest in an MLP if they are convinced that doing so will improve its balance sheet. This article offers a detailed estimation of the cost savings that an MLP targeted toward the most acute legal needs would accrue to an academic medical center (AMC) in North Carolina.

Disability, Race, And Immigration: The Intersectional Impact Of Policing, Tania N. Valdez

GW Law Faculty Publications & Other Works

Law enforcement officers commonly must respond to situations in which a person is experiencing acute symptoms of a mental illness. Yet from the first moment of police involvement, these community members face the possibility of negative outcomes. Consequences include officers' use of excessive force leading to injury or death, criminal arrest and prosecution that results in deprivation of liberty, separation from the community, and the creation of a permanent criminal record that affects other rights.

Although potential violence and criminalization are important reasons to avoid relying on police during mental health events, another key consideration is often ignored in the …

Childlessness And Sibling Positioning In Upward Intergenerational Support: Insights From Singapore, Dahye Kim, Christine Ho, Bussarawan Teerawichitchainan

Research Collection School Of Economics

Objective: This brief report aims to explore the role of child-lessness and its interaction with sibling positioning (i.e., birth order and gender) in upward intergenerational support within the context of Asian familial and patrilineal values. Background: Despite the increasing rates of childlessness in Asia, little is known about how childless individuals deviate from or adhere to the patrilineal gendered practices of supporting their older parents. Singapore, a rapidly aging nation that emphasises Confucian familism values and patrilineal practices in guiding its welfare policies, provides an ideal setting for this research investigation. Method: We analysed a sample of 475 Singaporeans aged …

Spiritual Experiences Of Young People With Cognitive Impairments Within Christian Communities Of Faith, Lea Danihelova

Dissertations

This study was initiated with the primary objective of delving deep into the spiritual experiences of individuals living with cognitive impairments. The research was centered on seven young adults with cognitive impairment who were members of the Christian communities of faith and resided in Bratislava, the capital of Slovakia. The study focused on giving voice to these young people since there were no studies about the spirituality of people with cognitive impairment done in central Europe. The hermeneutic phenomenological approach was chosen as the research method due to its capacity for facilitating personal interactions, thus enabling a comprehensive understanding of …

Methodological Challenges In Conducting Cross-Cultural/Language Research With Spanish Speakers: The Role Of The Researcher/Translator, Catherine Flores Ph.D.

The Qualitative Report

With the increase in global research, it is common for researchers to investigate topics in intercultural settings, both in their own home countries and abroad. Although findings from this research are prolific, rarely are detailed examples given or practical suggestions offered, particularly in relation to the role of the translator/researcher. The significant and often undervalued role of the translator/researcher in cross cultural/language qualitative research warrants methodological considerations at the onset and throughout the research. Nonetheless, few qualitative studies transparently report the process of how the translation findings were developed. This paper addresses this gap by examining a Latinx postgraduate student’s …

Social Protection System: A Case Study Of Migration And Families Left Behind In Ban Sandin, Lao Pdr, Kritsada Theerakosonphong

Asian Review

The Association of Southeast Asian Nations (ASEAN) Declaration on Strengthening Social Protection, serves as a policy framework guiding the international agenda of ASEAN member countries. This emphasis on social protection within the regional bloc is aligned with the United Nation's global agenda, particularly, Sustainable Development Goals (SDGs). This presentation analyzes the social protection system in the Lao People's Democratic Republic (Lao PDR), exploring traditional and innovative coping mechanisms and how they reflect community social dynamics. Drawing on case studies of families left behind and insights from fifteen additional informants in Ban Sandin, Lao PDR, this article synthesizes scholarly literature to …

From Private To Public: Lateral Transfer Student Experiences, Melissa P. Stough, Diane C. Elliott

Journal of Higher Education & Student Affairs

The phenomenon of student movement between higher education institutions has received considerable attention due to its widespread occurrence and impact on academic trajectories. While extensive research has focused on vertical transfer, such as transitions from community colleges to four-year institutions, less scrutiny has been directed towards lateral transfer, involving shifts between institutions at similar academic levels. This study aims to fill this gap by examining the factors influencing lateral transfer, specifically from private four-year colleges to public four-year institutions. The COVID-19 pandemic has heightened interest in this understudied area, with indications of increased lateral transfers in its aftermath. Leveraging data …

Occupational Therapy Student Characteristics Influencing Level Ii Fieldwork: An Exploratory Study Of Mental Health, Confidence, And Mindful Self-Care, Jessie L. Bricker, Kaitlin Hill, Steven D. Taff

Journal of Occupational Therapy Education

Level II fieldwork serves as a critical component of occupational therapy (OT) student education during which students develop and refine skills to become practicing clinicians; however, research on student characteristics that influence the fieldwork experience is limited. The purpose of this study was to explore student mental health, confidence, and mindful self-care practices throughout Level II fieldwork. Ten OT students completing Level II fieldwork participated in this study by completing surveys during the first week, midpoint, and final two weeks of their second Level II fieldwork experience. Each survey contained Cohen’s Perceived Stress Scale (PSS-10), the Student Confidence Questionnaire, and …

A Model For Interprofessional Education Between Occupational Therapy And Accounting Students: A Mixed-Methods Study, Angela Lampe, Brenda Coppard, Alison Maloy, Yongyue Qi

Journal of Occupational Therapy Education

This interprofessional education (IPE) project was designed to prepare students to work and lead in an increasingly complex healthcare environment. The purpose of this project is to describe and measure accounting and occupational therapy students’ perception and value of participating in an IPE learning activity and how the activity enriched the learning environment and identified gaps of knowledge to improve teaching. A mixed methods pre- post-survey design was used to collect quantitative data from a modified version of the Interprofessional Socialization and Valuing Scale (ISVS-9a) from 115 occupational therapy and 21 accounting students. Qualitative data was collected from a post-survey …

Effective Communication With People With Dementia: An Exploratory Study Of Pre-Registration Occupational Therapy Students, Samita Kirve, Lucy Perkins

Journal of Occupational Therapy Education

Dementia is a major global concern, with 50 million people already affected worldwide in 2018, and this number is expected to triple by 2050. Healthcare practitioners, specifically occupational therapists, are responsible for providing care and ensuring the well-being of people with dementia. However, occupational therapy students may not always have the necessary knowledge and skills to effectively communicate and support dementia patients, which could negatively impact the quality of care they provide. To explore this issue, a study was conducted with final-year pre-registration occupational therapy students at a public university in England. The study used a qualitative methodology, with semi-structured …

Entry-Level Occupational Therapy Education To Address Substance Use Disorders: Education In Screening, Brief Intervention, And Referral To Treatment (Sbirt), Jill M. Brown, Kathleen Schachman, Meghan Baruth

Journal of Occupational Therapy Education

As substance use disorders (SUDs) continue to rise in the wake of the COVID-19 pandemic, occupational therapy practitioners are in a unique position to help individuals seek immediate screening, brief intervention, and referral for treatment upon first entry in a healthcare setting. Occupational therapy practitioners have helped individuals overcome SUDs since almost the beginning of the profession, however, there is a paucity of literature on entry-level practitioners’ preparedness for such work. The purpose of this study was to evaluate the effectiveness of an entry-level occupational therapy curriculum module on Screening, Brief Intervention, and Referral to Treatment (SBIRT), a universal public …

A Pilot Sexual Device Adaptation Project For Occupational Therapy Students: A Skills-Based Approach To Teaching Sexual Activity As An Adl Through Assistive Technology, Benjamin E. Canter, Zoe M. Loitz, Victoria E. Richardson, Tatiana B. Pontes, Leanna Katz, Kevin Berner, Pedro Htq Almeida

Journal of Occupational Therapy Education

Despite being categorized as an activity of daily living since the first edition of the Occupational Therapy Practice Framework, no Accreditation Council for Occupational Therapy Education (ACOTE) standards exist to provide guidance on teaching occupational therapy students about sexual activity as an activity of daily living (ADL). When discussed, sexual activity is usually taught via didactic lecture, but is a subject that would benefit from a skills-based approach to teaching. This pilot pedagogical exercise in a two-credit assistive technology class taught occupational therapy students to address the ADL of sexual activity with clients by having students adapt a sexual toy …

Dementia Education Opportunities For Pre-Registration Occupational Therapy And Physiotherapy Students- A Scoping Review, Samita Kirve, Alice Teague

Journal of Occupational Therapy Education

The number of dementia diagnoses is ever-increasing in the aging population, meaning that healthcare staff need to be equipped with the appropriate knowledge, attitudes, and skills to care for people with dementia. However, recent research suggests that globally, both healthcare workers and students require greater dementia education opportunities to meet the needs of people with dementia. There seems to be limited research exploring dementia education opportunities within occupational therapy (OT) and physiotherapy (PT) programs. A scoping review methodology was chosen to explore the literature about dementia education in global OT and PT programs. There was limited literature in this area …

Fostering Entry Level Practitioner Knowledge, Confidence, And Competence In Trauma-Informed Care Application, Mollie Keyser, Mary A. Barnes

Journal of Occupational Therapy Education

Trauma is pervasive worldwide and is associated with poor health outcomes if left unaddressed, however, a gap in practice continues to exist in the implementation of trauma-informed care (TIC). Occupational therapy practitioners will encounter individuals, communities, and populations influenced by trauma, which warrants the need for TIC to improve overall service delivery across the lifespan. However, TIC is currently not systematically integrated into any Accreditation Council for Occupational Therapy Education (ACOTE) occupational therapy educational standards. The purpose of this study was to design, implement, and evaluate a TIC application-based workshop for a sample of entry-level occupational therapy doctorate (OTD) students. …

Relationships Between Reasoning, Reflective Practice, And Evidence-Based Practice: Educators’ Perspectives, Hannah K. Burke, Pat L. Sample, Anita C. Bundy, Shelly J. Lane

Journal of Occupational Therapy Education

Many models of professional thinking exist within occupational therapy, but the relationships among reasoning, reflective practice, and evidence-based practice as essential skills for practice are not clear. Because occupational therapy educators impart these skills to students, understanding how educators conceptualize relationships among skills is necessary. We used Delphi methodology to explore educator conceptualizations of the relationships among clinical reasoning, professional reasoning, reflective practice, and evidence-based practice. Inclusion criteria were: an educator in an occupational therapy program for at least three years at the master’s level or higher, currently an occupational therapy educator based in the United States, and available across …

Embedding Physical Therapy In The Pediatric Primary Care Setting: Qualitative Analysis Of Pediatricians’ Insights On Potential Collaborative Roles And Benefits, Ryan P. Jacobson, Rebecca R. Dobler

Faculty Publications - College of Physical Therapy

The growing need for collaborative healthcare teams to meet complex health challenges has led to physical therapists (PTs) being embedded in adult primary care settings for many years now. However, this model of care has not been found in pediatrics. This qualitative study sought to gain insights from pediatricians on the potential of embedding pediatric PTs in primary care. Participants were nine pediatricians practicing in both urban and rural, hospital-based and private settings. Semi-structured interviews were recorded, transcribed, and analyzed via thematic analysis per published methods, assuring trustworthiness. Three overarching themes emerged: pediatricians’ priorities aligned with the Quadruple Aim of …

Supporting Those Who Support Us: An Exploration Of Strategies To Address Occupational Therapy Fieldwork Educators' Concerns And Needs, Karthik Mani, Diane M. Collins, Lima Ghulmi, Amy Boyd, Anita C. Zaricor

Journal of Occupational Therapy Education

Fieldwork (FW) education is integral to occupational therapy (OT) education and enables the transition of a student to an entry-level practitioner. Clinicians who serve as FW educators play a significant role in this process. To deliver OT education, universities must support FW educators and address their needs and concerns. This study surveyed OT FW educators who supervised entry-level OT doctoral students from a public university for Level I and/or Level II FW regarding strategies to address their concerns and needs. An anonymous survey was distributed to the FW educators (n=349) who supervised the students for FW between Spring 2021-2023. By …

Visualize Whole-Self Model - An Instructional Design For Occupational Therapy Education, Mark White, Mary Smith, Adebimpe Obembe, Kristin Haas

Journal of Occupational Therapy Education

Innovative teaching approaches are changing traditional approaches by using a variety of teaching and learning methods to allow learners to succeed. This paper describes a new instructional model for healthcare education based on the science of learning, educational theories, and best practices in lesson design. The Visualize Whole-Self (VW) Model was designed to provide a learning structure for faculty as they guide the instruction of students in health professions. From the beginning of the program, students visualize themselves as professionals while working with faculty to learn content. The Visualize Whole-Self Model requires students to continually assess their strengths and weaknesses …

The Co-Occurrence Of Past Year Major Depressive Episodes And Marijuana Use And Its Relation To Mental Health Resource Utilization, Suicidal Ideation And Planning, Rachel I. Miranda

Honors Program Theses and Research Projects

Depression is a mental health disorder found worldwide affecting all demographics and is a major cause of global disability. For youth, depression can be very serious as it is a leading contributor to suicide, a top three cause of adolescent death. When we examine the onset of depression in adolescence, we also must acknowledge that youth access and usage of mental health resources and interactions with their communities may influence their outlook. We set out to examine how the co-occurrence of past year marijuana use and major depressive episodes (MDE), the variable we use to measure youth depression in this …

Violence Against Women And Abortion Access: A Content Analysis Of The Impact Of The Overturning Of Roe V. Wade On Victims Of Domestic And Sexual Violence, Salika Vummarao

Honors Undergraduate Theses

On June 24, 2022, Roe v. Wade was overturned, effectively eliminating the federally protected right to an abortion. Following the overturning, several state-specific restrictions or bans on abortion were passed, creating increasingly difficult conditions for people seeking an abortion. Research shows that abortion bans and restrictions disproportionately affect victims of sexual and domestic violence. Hence, this study aims to understand the specific impact of the overturning of Roe v. Wade for victims of domestic and/or sexual violence by analysis of news articles. This issue has not been researched in depth, creating a gap in our understanding. The database NexisUni was …

Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines mental health practitioners’ level of trauma knowledge and trauma treatment self-efficacy pre- and post-EMDR therapy training in Texas. The purpose is to determine if practitioners' self-perception of efficacy in treating trauma and trauma knowledge will improve after completing EMDR training. The practitioner sample (N = 113) is from an EMDR trainer who conducted six EMDR trainings in Texas. Descriptive, correlational, and paired t-test statistical procedures were implemented to analyze the data for the study. The results show that practitioners’ self-perception of competence and knowledge could be attributed to their years of clinical experience treating clients with …

Adjustments To Social Work Practice During The Covid-19 Pandemic In North Carolina: Effects On Burnout And Commitment, Aaron R. Brown, Jayme E. Walters, Aubrey E. Jones, Lara Cates

Journal of Human Services: Training, Research, and Practice

Since the onset of the COVID-19 pandemic, the demand for social workers in the U.S. and abroad has increased. There is demand for more social workers in North Carolina due to ongoing and increasing mental health, substance use disorder, and child welfare needs. COVID-19 has taken a toll on the personal and professional lives of social workers, and research is needed to understand the pandemic’s effects on burnout and commitment among social workers. The present study sought to understand how the COVID-19 pandemic affected the personal and professional lives of social workers practicing in North Carolina and to determine how …

Understanding The Addiction Recovery Experience: The Use Of Experiential Learning In Undergraduate Human Services, Chaniece J. Winfield, Jason M. Sawyer

Journal of Human Services: Training, Research, and Practice

Since 2020, the steady rise of overdose and substance use related deaths has created an ongoing need for a greater addiction workforce. Responding to this need, Human Service education programs are strongly encouraged to prepare competent professionals to work in recovery-oriented treatment settings. Research supports experiential learning to foster clinical competency, however its application toward SAMSHA transdisciplinary foundations in human service education is limited or unknown. The authors present an exploration of the use of experiential learning as a teaching tool to foster student competency toward the SAMSHA core transdisciplinary foundations of application to practice and professional readiness.

Grounded Theory Approach To Understand Self-Management Of Opioid Recovery Through Pregnancy And Early Parenting, Nicole M. Mattson, Jennifer M. Ohlendorf, Kristin Haglund

College of Nursing Faculty Research and Publications

Objective

To develop a theory to explain the processes women use to self-manage recovery from opioid use disorder during pregnancy, the postpartum period, and early parenting.

Design

Constructivist grounded theory approach.

Participants

Women (N = 16) who gave birth during the past 12 months and used medication for opioid use disorder for recovery through pregnancy and the postpartum period.

Methods

We recruited participants through seven medication-assisted treatment clinics in a mid-size Midwestern city and the surrounding suburbs and through online parenting and recovery community groups with national-based memberships. We conducted semistructured, individual audio interviews from November 2020 to July …

Moral Distress: The Importance Of Support For Black And Brown Nurses After Encountering Racism From Patients And Peers In The Acute Care Setting, Marsha Sinanan

Yale School of Nursing Digital Theses

Purpose: This DNP project developed and implemented an online training program to support Black and Brown nurses’ post-racism encounters in the acute care inpatient setting. Background: Nationally, it is estimated that 25% of nurses experience mistreatment by patients each year, but many fail to report these episodes (Campbell, 2016). The retention of Black and Brown nurses is essential, as cultural congruence or shared experiences among patients and members of their healthcare team can, be an important bridge for promoting safety and the best clinical outcomes (Moceri, 2014). Methods: Approximately 400 RNs were invited to participate in a 15-minute online training …

Creating The New Normal: A Historical Approach To Understanding Marketing Agility And Its Implications Across Business, Healthcare, And Social Welfare In A Post Pandemic World, Elan Burton, Delancy Bennett, Linda Burton

Atlantic Marketing Journal

The purpose of this article is to expand our understanding of how marketing agility shapes business, healthcare, and social welfare policy and societal responses to global pandemics. We set the stage for this discussion by presenting an historical exemplar case of marketing agility during the 1918 Influenza pandemic in the US. Next, we outline a necessary conceptual revision and update to previous treatments of marketing agility relative to historical pandemics considering the recent COVID-19 pandemic. Our novel conceptualization focuses on a firm’s (business, healthcare, social welfare) prompt response to dynamic and turbulent circumstances beyond the control of the firm (Araújo …