Digital Commons Network^™

Patient-Centered Approach To Decrease Length Of Stay, Erika Beck

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Unmet social needs contribute to hospital readmissions and extended inpatient stays, placing strain on care coordination and hospital throughput. Social Determinants of Health (SDOH), such as housing instability, lack of transportation, or food insecurity, are often unaddressed in clinical workflows. At the project site, a gap in effectively integrating SDOH into the discharge planning process led to delayed discharges and increased length of stay (LOS). Additionally, 41.20% exceeded the Geometric Mean Length of Stay (GMLOS), surpassing the organizational benchmark of 40.17%. Gaps in standardized assessment and communication of SDOH data limited the ability to plan timely discharges and connect …

Spiritual Practices In Survivor Care: A Qualitative Analysis Of Christian Faith-Based Shelters And Survivor Well-Being, Jeanne L. Allert

Dignity: A Journal of Analysis of Exploitation and Violence

Christian faith-based organizations constituted a significant proportion of shelter programs for survivors of sex trafficking in the United States, with an estimated 63% identifying as Christian-affiliated (Institute for Survivor Care, 2024). Despite their prevalence, such programs often elicited skepticism due to the rise of secularism (Pew Research, 2022) and concerns that spiritual programming might retraumatize survivors (Ahrens et al., 2010; Hodge, 2020). However, Ahrens et al. (2010) and Hodge (2020) also found that religious practices can be helpful. This qualitative study employed a trauma-informed, descriptive survey design to explore the experiences of 158 trafficking survivors, who had either resided in …

Ihpp 2024 Annual Report, Institute For Health Policy And Practice

All Materials

No abstract provided.

Mutualistas: La Sociedad Auxiliar De Mutua Beneficiaria, Antonito Colorado, 1937-1994, José A. Rivera Ph.D

Faculty Publications

Mutual Aid Societies proliferated in the American Southwest during a period of rapid social change, 1880-1930. In Hispanic towns, these societies were referred to as mutualistas, with a large number concentrated in the San Luis Valley of Colorado and rural counties of northcentral New Mexico. One of the men’s organizations, La Sociedad Protección Mutua de Trabajadores Unidos (SPMDTU), started in Antonito, Colorado, and quickly spread to other communities of southern Colorado and northern New Mexico and eventually to a few mining towns in Utah. With a tri-state model in place, women formed their own mutual protection societies: Sociedad Protectora …

Author Reply: Investment Case For Mental Health, Cyprian Mostert

Population Health, East Africa

No abstract provided.

Different Ways To Broker: School Social Workers, Resource Distribution, And Equity For Immigrant Students, Benjamin J. Roth, Leticia Villarreal Sosa, Tasha Childs, Sophia Rodriguez

School of Social Work Faculty Publications

This study uses quantitative methods to explore the role of school social workers (SSWs) in promoting education equity for immigrant students. We focus on how SSWs act as resource brokers, connecting immigrant students to valuable resources both in schools and the wider community. Our analysis is based on data from a national survey of SSWs (N = 324). Through regression and multivariate analyses we find that a significant number of SSWs actively facilitate resource access for immigrant students. This often involves bridging the gap between teachers and immigrant parents. Notably, SSWs were more likely to engage in these brokerage …

Medicaid Managed Care Organization Service Coverage And Diagnosis And Treatment Of Opioid Use Disorder: Evidence From Quasi-Random Auto-Assignment In Kentucky, Shelby R. Steuart, Miguel Antonio G Estrada, Christina Andrews Ph.D., Colleen M. Grogan, Olivia M. Hinds, Emily C. Lawler, Lauren A. Peterson, Felipe Lozano-Rojas, Emily C. Lawler, Lauren A. Peterson, Felipe Lozano-Rojas, Melissa A. Westlake, Coady Wing, Amanda J. Abraham

Faculty Publications

Introduction

Opioid-related mortality continues to claim tens of thousands of American lives annually. Medicaid plays an outsized role in financing opioid use disorder (OUD) treatment, paying for almost 40% of all Americans who received OUD treatment in 2017. Methods

Using Medicaid T-MSIS Analytic Files data and a novel data set of Medicaid managed care organization (MCO) plan coverage, we examined the relationship between comprehensiveness of benefits for OUD treatment provided by Medicaid MCO plans and the likelihood of OUD diagnosis and medications for OUD (MOUD) receipt among newly enrolled Medicaid beneficiaries in Kentucky. We use two stage least squares to …

Language Brokering Conditions The Indirect Association Between Mexican‐Origin Adolescents' Academic Discrimination And Educational Expectations, Su Yeong Kim, Yayu Du, Chantal Alvarado, Wei Xiang Sim, Wen Wen, Tianlu Zhang, Jingyi Shen

Research Collection School of Social Sciences

Mexican-origin adolescents, a significant portion of the US Latino population, often experience a decline in educational expectations from early to late adolescence. Contextual factors such as academic discrimination and language brokering for parents may contribute to this decline. This study investigates the indirect effect of academic discrimination experienced in middle school on educational expectations in young adulthood through high school grades and engagement, and the moderating role of language brokering experiences in these relations. Data were collected from 604 Mexican-origin adolescents across four waves from 2012 to 2023. Academic discrimination experiences in middle school were negatively associated with school grades …

Exploring Technology Use And Loneliness Among African American Older Adults, Sarah Pace

Theses and Dissertations

Loneliness among African American older adults is a pressing public health concern, affecting more than one-quarter of this population and increasing the risk of premature death. This study explores the experiences of loneliness among African American older adults and examines the technologies they use, the purposes they serve, and their perceived role in mitigating loneliness. It also investigates barriers and facilitators to technology use for promoting social connection. Guided by the Social Support Theory and Technology Acceptance Model 3 (TAM3), the study centers the perspectives of an underrepresented population.

Fifteen African American women aged 67–82 participated in semi-structured interviews between …

Characteristics Of Individuals Who Desired A Mentor But Did Not Have One: A Nationally Representative Study, Kenzie Delposen

Theses and Dissertations

Youth are experiencing increased mental health challenges due to the parallel increase in loneliness and social isolation. Mentorship has emerged as a potential solution to reduce social isolation and provide support, guidance, and encouragement to young people. The context of the mentoring relationship positively impacts adolescent lives by promoting a safe, stable, nurturing relationship (SSNR) to reinforce the intrinsic motivation to connect with others. However, many young people lack these relationships despite indicating that there were times when they wanted one (Garringer & Banning, 2023). Access to mentorship is influenced by factors such as racial or ethnic background, socioeconomic status …

A Mixed Methods Study Exploring The Lived Experience Of Shared Trauma In Psychiatric Nurses During Covid-19, April Lynne Hutto

Theses and Dissertations

Introduction: Psychiatric nurses (PNs) had a unique lived experience of shared trauma (ST) during the COVID-19 pandemic. These nurses experienced the same traumatic event, COVID-19, with associated trauma symptoms as their patients. This mixed methods study aims to triangulate data on ST in PNs using a quantitative and qualitative study. Methods: PN (N=24) completed a semi-structured interview during the summer and fall of 2024. A quantitative study PN (N=552) in spring 2023, using the Shared Trauma and Professional Posttraumatic Growth (STPPG) inventory, was completed with descriptive and inferential statistics using SAS 9.4. A thematic analysis of the interviews was completed …

A Mixed Methods Examination Of Interdisciplinary Strategies For Addressing Trauma And Chronic Pain In Group Therapy, Kara Marceil Schneider

Theses and Dissertations

Chronic pain and trauma are distinct yet interconnected public health concerns, each significantly affecting physical, psychological, and social well-being. The comorbidity of these conditions highlights a critical need for integrated treatment approaches. This dissertation explores interdisciplinary strategies that merge group counseling and physical therapy to address trauma symptomology and chronic pain within a group therapy setting. Grounded in the biopsychosocial model, somatic therapy principles, and the gate control theory of pain, this multi-manuscript dissertation employs a mixed methods design to examine counselor experiences, intervention feasibility, and participant outcomes.

Chronic Illness Education 2025: Building Healthy Habits: Preventative Strategies For Childhood Obesity, Alissa Ward, Cameron Craig, Chloe Sutlick, Gabrielle Henry, Isabelle Adams, Jerimiah Gumma, Omer Abdullah, Sami Zaidi

Patient Education Projects

No abstract provided.

Chronic Illness Education 2025: Resources To Improve Diabetes Mellitus In Adult Males, Abdul Naser Zamzami, David Echeverri, Isabella Costa, Musaed Al Rashidi, Pooja Menon, Xiaohan Zhan, Zain Abdun-Noor

Patient Education Projects

No abstract provided.

Struggling Access To Justice Through Mediation In Bangladesh: Headway Lessons From Australia, Jamila A. Chowdhury, Mehnaz Siddiqui

The Indonesian Journal of Socio-Legal Studies

Enormous case backlog and protracted delays in courts are hindering access to justice in Bangladesh. Consequently, an initiative to provide quick and low-cost consensual justice through mediation was first initiated in the family courts of Bangladesh in the year 2000. However, although after an initial success, the system has been struggling over the decades. While contemporary research has identified various constraints causing such meager disposal of cases in family courts, using expert interviews of family court judges and relevant literature review on Australian family courts, this Chapter reiterates such constraints to generate relevant headway lessons from Australia that has excelled …

I Belong Here And Am Thriving: Understanding Full-Time Graduate Student Well-Being And Belonging In An Msw Program, Lana Hart Elkins

Theses and Dissertations

Graduate-level social work students face high levels of stress that can impact their academic success and well-being. According to a national college health assessment, fulltime Master of Social Work (MSW) students at a southeastern university report significantly more academic, career-related, and financial stress than peers in other graduate programs. This study addressed the need to better understand full-time MSW student experiences and identify ways the program can mitigate stress, promote wellbeing, and foster a sense of belonging. Using a two-phase qualitative action research design, the study first analyzed responses to 12 open-ended questions from four student feedback surveys. These findings …

Unveiling Injustices In Theodore Dreiser's “An American Tragedy” And Susan Glaspell's “A Jury Of Her Peers”, Athena Maria Dotsikas

Theses and Dissertations

Crime and its representation in new age media is seeping into every avenue of discussion nowadays. The influence of crime is most notably evident in literature, where real cases inspired fictional novels and short stories that explore social issues and injustices. Since the 16th century, true crime has captivated human curiosity while also shedding light on the United States legal and justice system. Ultimately, true crime narratives provide a deeper understanding of human psychology and the reasons behind a number of gruesome and horrific incidents. This thesis investigates how Theodore Dreiser’s An American Tragedy and Susan Glaspell’s A Jury of …

The Intersection Of Rurality And Wellness: A Multi-Manuscript Investigation Into Rural Well-Being, Lucas Perez

Theses and Dissertations

Rural communities face unique mental health and wellness challenges, including geographic isolation, provider shortages, and stigma surrounding help-seeking. This dissertation explores rural wellness through three interrelated studies, utilizing both qualitative and quantitative methods to examine disparities, perceptions of rurality, and demographic influences on well-being. The first study utilized the Five Factor Wellness Inventory (5F-WEL) to compare wellness scores between rural and non-rural individuals. The second study employed Interpretative Phenomenological Analysis (IPA) to explore rural definitions of wellness, as well as barriers and strengths related to mental health. The third study examined how perceptions of rurality and demographic factors predict wellness …

A Cross-Sectional Examination Of Missed Infection Control Practices Among Nurses In The Jordanian Hospitals, Muhammad Ahmed Alshyyab, Rania Ali Albsoul, Gerard Fitzgerald, Diana Arabiat

Research outputs 2022 to 2026

Background: Missed infection control practices may negatively impact quality healthcare and patient safety in acute health care settings. Hence, more research is urgently needed especially in Arab countries. To investigate the elements and reasons of missed infection control activities among nurses in Jordan. The sociodemographic correlates with missed infection control activities were also examined. Methods: A cross sectional design was utilized in this study. A convenience sample of 960 nurses from seven hospitals in the North of Jordan was used. The Missed Nursing Care Infection Prevention and Control (MNCIPC) Survey was employed to collect the data. Data were analyzed using …

Social Service Inclusion Of Immigrants Through The Lens Of Human Rights In Australia, Obed Adonteng-Kissi, Matthew Mabefam, Nnaemeka Meribe, Frank Darkwa Baffour, Elizabeth Archibong

Research outputs 2022 to 2026

Motivation: A human-centred approach to social service design is necessary to encourage social service inclusion and to offer an avenue for social service action in Australia and globally. Purpose: The purpose of this article is to ascertain the extent to which social service providers design their services to include immigrants. Approach and methods: We draw on literature exploring social service inclusion and the perspectives of 27 social workers and immigrant service users. Semi-structured interviews were conducted with eight social workers and 19 immigrants who were purposefully selected from Brisbane, Townsville, Melbourne and Sydney. We applied the capability theoretical approach of …

Co-Operative Care: The Case For Worker Co-Operative Elder Care In Ireland, Gerard Doyle

Research Outputs: 2025-Present

Ireland’s population age profile is forecasted to increase over the coming decades which will have implications for the care responsibilities of families and the state. However, there is a paucity of quality elder care in Ireland. Elder care worker co-operatives could contribute to meeting this shortfall in supply. This study examines the impact of co-owned elder care provision in Ireland. A case study approach is employed with the Great Care Co-op (GCC) being the case selected. The findings emphasise that the GCC provides a quality service to its care recipients. The careworker members and family members of care recipients both …

Constantly Connected: What Healthcare Providers Need To Know About Vicarious Trauma In An Evolving Digitally Connected Global Community., Meghan Kanya, Patricia Davis, Gail Robertson

Manuscripts, Articles, Book Chapters and Other Papers

Easy access to streaming news and sensational headlines has transformed society's exposure to traumatic narratives. From personal stories on social media platforms to news articles about violence in communities, patients and their caregivers may not recognize their exposure as traumatic nor recognize their psychological sequalae as unhealthy. In addition, youth with trauma-related mental health symptoms are not consistently identified in pediatric primary care clinics. Due to the increase in proximity to traumatic stories, healthcare providers working with youth require additional skills designed to engage patients and families in conversations about exposure to violence via technology and symptoms of vicarious trauma. …

Engage & Empower: Foundations Of Social Work Practice, Elhanan Marvit

Open Touro Created

2025

Engage & Empower: Foundations of Social Work Practice is an open educational resource for social work students in “foundations of social work practice” courses. It begins by explaining Open Educational Resources and their benefits. Students then explore social work fundamentals, including the diverse roles of social workers.

With this foundation, students engage with the NASW Code of Ethics’ key terms, and principles. This ethical grounding prepares them for the “growth work” needed to develop cultural competence and cross-cultural awareness. They then learn to apply various Generalist Practice skills across different-sized systems to empower client populations.

Next, the book explores …

Buy-Now-Pay-Later And Alternative-Financial-Service Use Among Low-Wage Workers, Somalis Chy, Haotian Zheng, Stephen Roll, Mathieu Despard

Center for Social Development Research

Buy-now-pay-later (BNPL) services offer consumers the option of short-term interest-free loans for retail purchases, but the rapid growth of such services has raised concerns about indebtedness and impacts on household financial security. This brief draws upon data from the nationally representative Workforce Economic Inclusion and Mobility survey to examine the use of BNPL offerings, the demographics of users, the use of alternative credit products, and differences in BNPL product use by employment status.

Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson

Walden Dissertations and Doctoral Studies

Child welfare workers have high turnover rates and low retention rates. While there is well-documented research on reasons for turnover, no research was found on how a case manager's practicum experience impacts turnover rates. The purpose of this qualitative study was to explore child welfare case managers' perspectives on retention and to understand how their practicum and internship experiences influence retention. The theories that ground this research include systems theory by Bertalanffy and social constructivism by Vygotsky. The two research questions for this generic qualitative study were: What are the experiences of child welfare case managers during their internship and …

The Artichoke Model: A Conceptual Framework For Positive Food Environments In Early Childhood Education And Care (Ecec) Settings, Ros Sambell, Audrey Elford, Tori Overstone, Rebecca Byrne, Kirsty Elliott, Sandra Vale, Penelope Love, Lisa Vincze, Leanne Elliston, Fiona Nave, Janny Goris, Emma Esdaile, Amanda Devine

Research outputs 2022 to 2026

The Artichoke Model is a conceptual framework developed to support the understanding of the breadth and influence of food environments in Early Childhood Education and Care (ECEC) settings. It identifies twelve interrelated components spanning food provision, mealtime practices, curriculum integration, staff capacity, family engagement, and systemic enablers such as policy, equity, and environmental sustainability. Represented visually as an artichoke with the child at its centre, the model encourages holistic analysis, recognising that sustainable change requires the interconnected operation of all components, rather than isolated interventions. The Artichoke Model is intended as a tool for researchers, policymakers, and advocates to guide …

Human Rights Perspectives In Social Work Practice With African Immigrants In Australia: 'It Starts With Respecting Them And Making Them Feel Like Humans', Obed Adonteng-Kissi, Frank Darkwa Baffour, Matthew Mabefam, Nnaemeka Meribe, Elizabeth Archibong

Research outputs 2022 to 2026

Increasing restrictionism and xenophobic policies in Western host countries curtail and endanger immigrants' civil and political rights as well as socio-economic well-being. This study is guided by the critical race theory (CRT), which provides a very important structure to critique social work practice with immigrants from a human rights lens and unpack the intersections of race, racism, and power. The objective of this study is to explore immigrants' perspectives on social work practices that prioritize human rights in Australia. To achieve this, a total of twenty-seven participants were interviewed, including eight social workers and nineteen immigrants of African background service …

Interprofessional Education Confidence In Health Professions Education Assessment: Are Learners Ready For Interprofessional Collaborative Practice?, Nicole E. Brown, Anthony J. Goreczny, Natalie Schirato, Jodi Schreiber, Sarah Jameson, Timothy Braun, Mary Dee Fisher

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) is critical to developing skills necessary for interprofessional collaborative practice (IPCP). Although much IPE research focuses on competence as an outcome, little research examines learner confidence in competence, which is likely to translate didactic knowledge into application of clinical skills. The current study aimed to assess student levels of confidence in skill competence related to the Interprofessional Education Collaborative (IPEC) core competencies. Methods: Students from multiple health professions programs (nursing, occupational therapy, physical therapy, physician assistant, graduate psychology), graduate biology, and undergraduate programs participated in the study (N=188). The Interprofessional Education Evaluation of Confidence (IPEEC) …

Operating Fund Budget/ Expenditure Summary Report 2024-25, Csusb Budget Office

University Budget Office records

No abstract provided.

The Effect Of Computer-Mediated Communication On Occupational Positive Mental Health Mediated By Work-Family Enrichment In Workers In Remote Areas: Analysis Using Structural Equation Modelling, Herlando Junanta, Suryo Wibowo, Herqutanto ., Dewi Yunia Fitriani, Titis Mariyamah, Dewi Sumaryani Soemarko

Occupational and Environmental Medicine Journal of Indonesia

Objective: This study aims to examine the effect of computer-mediated communication (CMC) on occupational positive mental health (OPMH) mediated by work-family enrichment (WFE) in workers in remote areas using the CMC, OPMH-40, and WFE questionnaires. Method: The latent variables in this study are CMC, OPMH, and WFE. The observed variables include all items from CMC, OPMH, and WFE. The sample technique used was total sampling, revealing that 349 workers in the project department of an oil and gas company located in the West Papua Province of Indonesia expressed their willingness to participate as research participants. To test research hypotheses using …