Digital Commons Network^™

Assessing The Impact Of The Covid-19 Pandemic On Health Literacy In Patients Presenting To A Student-Run Free Clinic, Sabah Iqbal, Kirsten Carlberg, Krisha S. Patel, Ashlyn Mcclelland, Sarah Marotta, Rebecca Moore

Rowan-Virtua Research Day

Background

Health literacy as defined by the Center for Disease Control and Prevention (CDC), refers to an individual’s ability to find, understand, and use health information and services1. This definition has evolved with the onset of the COVID-19 pandemic and increasing emphasis on preventative healthcare. We aimed to observe the impact of the pandemic on the health literacy of patients in a free community clinic run by medical students.

Hypothesis

This study aims to assess the effect of various demographic and socioeconomic factors and the COVID-19 pandemic on health literacy levels estimated by the NVS assessment in the patient population …

Motivations And Goals For Combatting Covid-19 Misinformation In Clinical Setting: A Case Study Of Nursing Students., Amarachi H. Okoronkwo

All Theses

The misinformation surrounding COVID-19 disrupted public health efforts to mitigate the virus. This study examined the motivations and goals of nursing students to combat COVID-19 misinformation within clinical settings. Medical professionals are best suited to combat health misinformation due to their expertise and lived experience, but they are not mandated but encouraged to address COVID-19 misinformation. Grounded in qualitative research methods and grounded theory, semi-structured interviews were conducted with nursing students who have had clinical practice after the start of the COVID-19 pandemic. Findings reveal that the key motivations and goals for addressing misinformation include the need to educate patients, …

Administrative Law And The Pandemic, Gillian E. Metzger

Faculty Scholarship

American administrative law’s relationship to change is, as they say, compli­cated. On the one hand, continual evolution has been an endemic feature of American administrative law. Doctrines such as Chevron deference to agency statutory interpretations were born, grew, and declined in just the period from the 1980s to today. On the other, the United States (US) Supreme Court regularly rejects such common law development in administrative law as illegitimate and insists that federal judges must adhere to the original terms of the 1946 Administrative Procedure Act (APA) and other statutes, unless the Constitution requires otherwise. And to this day scholars …

Risk Communication And Public Health Emergency Responses During Covid-19 Pandemic In Rural Communities In Kenya: A Cross-Sectional Study, Wilberforce Cholo, Fletcher J. Njororai, Walter Ogutu Amulla, Caleb Kogutu Nyaranga

Population Health Leadership and Analytics Faculty Publications and Presentations

Background: The COVID-19 pandemic highlighted the crucial role of community preventive behaviors in controlling the virus’ spread. Studies show that people’s risk perceptions and awareness significantly contribute to the containment and prevention of infections by motivating adoption of desired actions and behaviors. This study aimed at assessing the role of risk communication and factors that influenced responses during the COVID-19 pandemic in rural communities in Western Kenya. Methods: A descriptive cross-sectional study was conducted using a quantitative research approach, collecting data from 806 individuals across Kisumu, Vihiga, and Kakamega counties. Descriptive statistics were used to detail the demographic characteristics of …

Emotion Analysis And Topic Modelling Of Supply Chain Discussion During The Covid-19 Pandemic, Suhong Li, Fang Chen, Thomas Ngniatedema

American Business Review

This study aims to investigate the supply chain discussion during the COVID-19 pandemic using the supply chain tweets collected between March 2020 and May 2022 globally. The findings reveal an evolving sentiment trajectory: while the users’ sentiment remained neutral in 2020 and 2021, a negative sentiment surged starting in January 2022. Moreover, an emotion analysis indicates a mix of sadness and optimism among Twitter users, with anger gradually intensifying from June 2021 onward. Furthermore, topic modeling reveals distinct themes discussed each year. In 2020, major topics centered around the government’s response to COVID-19, food and medical supply chain crises. By …

Leadership Post Covid-19: Exploring The Lived Experiences Of Public-School Administrators And Support Through Professional Development, Teresa Marie Burr

Electronic Theses, Projects, and Dissertations

This qualitative study aimed to gather knowledge from the lived experiences of public school administrators before, during, and after the COVID-19 pandemic. Questions focused on the support and training received, experiences at school sites and online, and the lessons learned during this time. The literature review focused on issues that school administrators dealt with during this time. Challenges were varied, and solutions and information provided from the review indicated the need for communication, support, and planning. The theoretical framework was Activity Theory and Cultural Historical Activity Theory, which focused on the premise that an activity may be shared and taken …

Demographic Groups’ Use Of Agency Intimate Partner Violence (Ipv) Services: A Quality Improvement Project To Identify And Engage Local Underserved Populations, Mia Parker

Capstone Experience: Master of Public Health

This quality improvement project intended to identify populations of adult intimate partner violence (IPV) survivors in Spokane County, Washington, by race/ethnicity and sex who are underserved by a local victim service agency and provide action-oriented, evidence-informed recommendations that the agency may utilize to increase engagement with these local underserved populations. Methods used include secondary data analysis, timeline creation, literature review, and interpretation of quantitative and qualitative data analysis. This was a capstone project designed to demonstrate multiple public health competencies.

The Kids Aren’T Alright: Changes In The Mental Health Of Adolescents Post-Covid-19, Tanya Belom

Education (PhD) Dissertations

Mental health is an increasing concern for today’s youth, with one in six U.S. children and adolescents aged 6-17 experiencing a mental health disorder each year, and 50% of all lifetime mental illnesses begin by age 14. The COVID-19 pandemic, which resulted in lockdowns, social isolation, school closures, and ultimately a disruption in everyday life, is believed to have adversely impacted the mental health of children and adolescents. There is limited research available on the impacts of the pandemic on adults, and even less research is available on the impact of the pandemic on youth, specifically as we navigate the …

School Counselors’ Lived Experiences During The Covid-19 Pandemic, Katie M. Guzman Dunn

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand how school counselor perceptions of their roles may have been permanently impacted by the COVID-19 pandemic. Bronfenbrenner’s (1979) Ecological Systems Theory, which relates to the interactions of an individual and the environment around them, guided the study. The study’s central research was: What are public school counselors’ lived experiences regarding their role perception during the COVID-19 pandemic? Data was collected through virtual semi-structured interviews and photo elicitation with 10 school counselors who were members of the Kentucky School Counselor Association. The data collected from the interviews was analyzed using bracketing to …

Positive And Negative Religious Coping As A Moderator Of The Relationship Between Covid-19 Stressors And Employee Burnout Among Vocational Rehabilitation Counselors, Kristen M. Lewis

Doctoral Dissertations and Projects

During the investigation of this study, no study was located that explores the moderating effects of both positive religious coping (PRC) and negative religious coping (NRC) on the COVID-19 stressor-employee burnout relationship within the vocational rehabilitation counseling (VRCs) profession. Therefore, this study sought out to examine just that. Recruitment emails were sent out to VRCs to obtain 79 participants who were at least 18 years old, have worked at least 6 months as a VRC during the COVID-19 pandemic, and worked an average of 20 hrs/week. Each participant completed a 20-minute online survey containing CIS, PSS, MBI-HSS, Brief RCOPE scales. …

The Burden Of Care: A Phenomenological Inquiry Into The Lived Experiences Of Homeless Shelter Administrators Leading Through The Pandemic And Lasting Implications On Program Operations, Marie Adele Wilson

Doctoral Dissertations and Projects

The theories guiding this study are Maslow's Hierarchy of Needs, conflict theory, and complex systems theory, which explain the relationship between the theory and resource limitations and acquisition, systems, and nature of acquiring human needs. The purpose of this phenomenological study is to describe homeless shelter administrators'/directors' experiences delivering services during the COVID-19 pandemic on the Eastern Coast of the United States and Texas. It further seeks to unravel how the pandemic informed the delivery of services and program administration related to homeless shelters and its impacts. The research questions sought to understand the impact of COVID-19 on delivering services …

The Effects Of A Two-Way Dual Language Program On The Educational Trajectory Of Hispanic Emergent Bilingual Students During The Impact Of The Covid-19 Pandemic: A Mixed-Methods Study, Jesus Jacob Villa

Open Access Theses & Dissertations

This explanatory mixed-methods study examines the impact of Dual Language Bilingual Education (DLBE) and Transitional Bilingual Education (TBE) programs on the academic achievement of Hispanic emergent bilingual students during and after the COVID-19 pandemic. With the U.S. Hispanic student population growing significantly, and emergent bilingual students historically underserved, this study addresses critical gaps in educational equity. Conducted in two school districts along the U.S. and Mexico border in Texas and New Mexico, the research explores how DLBE and TBE programs mitigated the pandemic's adverse effects on learning. This study analyzed quantitative data from standardized mathematics and language proficiency assessments for …

The Uneven Disruptions Covid-19 Caused To Scholars’ Publication: A Preregistered Study, Marco De Prosperis

Graduate Theses and Dissertations

This proposed, preregistered study investigates the uneven impacts of COVID-19 on scholarly productivity among University of Arkansas faculty, focusing on how demographic and professional factors—such as gender, ethnicity, academic rank, tenure status, field of study, and the presence of children—may have moderated productivity during the pandemic. Utilizing a non-experimental, cross-sectional design, this research will collect data from 160 full-time faculty members through an online survey. Grounded in Role Theory, the study will examine role conflict and enrichment as faculty navigated shifting responsibilities in research, teaching, and caregiving during remote work. This study is particularly relevant as many assistant professors who …

From Epithelium To Therapy: Transitional Cells In Lung Fibrosis, Sarah Y Shin, Jichao Chen, Irit Milman Krentsis, Yair Reisner, Rodeo Abrencillo, Rahat Hussain, Danielle Wu, Harry Karmouty-Quintana

Faculty, Staff and Student Publications

Patients with idiopathic pulmonary fibrosis and lung fibrosis secondary to infections such as influenza A and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have limited treatment options outside of supportive therapy and lung transplantation. Multiple lung stem cell populations have been implicated in the pathogenesis of lung fibrosis, and more progenitor cell populations continue to be discovered and characterized. In this review, we summarize the functions and differentiation pathways of various cells that constitute the lung epithelium. We then focus on two subpopulations of KRT5

Contagions Of Doubt: Denialism And The Spread Of Medical Conspiracy Theories, Haley Boom

Anthropology

Denialism and conspiratorial thinking have long shaped public perceptions of science and medicine, but the COVID-19 pandemic exposed how rapidly these forces can evolve and spread in a digital age. This thesis examines the historical roots, psychological foundations, and modern amplification of medical conspiracy theories, with a particular focus on vaccine skepticism and COVID-19-related misinformation. As a literature review, it synthesizes existing interdisciplinary research from psychology, public health, and communication studies to explore how medical conspiracy beliefs emerge from complex interactions between cognitive biases, emotional needs, mistrust in institutions, and evolving media environments. The rise of social media, political polarization, …

The Impact Of Covid-19 During The First Two Years: Giving Voice To Pediatric Nurses, Karen S. Gralton, Kathryn J. Malin, Eileen Sherburne, Danielle Smith, Stacy Wenner, Julie Averbeck, Amy Newman, Anita Norton, Genesee Hornung, Karen Kavanaugh

College of Nursing Faculty Research and Publications

Purpose

The purpose of this study was to describe the experiences of pediatric nurses providing direct care in a variety of settings during the first two years of the COVID-19 pandemic.

Design and methods

This was a qualitative descriptive study. Donabedian's Quality Framework for the Evaluation of Healthcare was used to guide the design. Purposive sampling was used to recruit 24 direct care nurses from inpatient and outpatient settings within one healthcare system. Semi-structured, audio-recorded interviews were conducted in-person or via a virtual platform from November 2021 through March 2022.

Results

Four major themes were determined across all settings and …

Sensitivity Of Lung Point-Of-Care Ultrasound (Pocus) To Predict Oxygen Requirements In Emerging Viral Infections, Daniel L Theodoro, Di Coneybeare, Penelope Lema, Nicholas Renz, Laura Wallace, Enyo Ablordeppey, Sean Stickles, Alek Rosenthal, Ian Holley, Sirivalli Chamarti, Josie Acuña, James Patterson, Rachel Ancona, Srikar Adhikari

2020-Current year OA Pubs

OBJECTIVES: The prognostic characteristics of lung point-of-care ultrasound (L-POCUS) to predict respiratory decompensation in patients with emerging infections remains unstudied. Our objective was to examine whether scored lung ultrasounds predict hypoxia among a nonhypoxic, ambulatory population of patients with COVID-19.

METHODS: This was a diagnostic case-control study. Three academic emergency departments across the United States collected a convenience sample of nonhypoxic subjects with COVID-19, scored subjects' hemithorax at 7 locations using lung ultrasound, and followed outcomes for 40 days. We defined cases as hypoxia (≤91% by pulse oxygenation) from 2 hours after index presentation to day 40. Follow-up was by …

Impact Of Pandemic-Driven Parental Fear On Childhood Immunization Rates: Examining Attitudes Toward Vaccination During Crisis Periods In Türkiye, Özüm Erkin, İlknur Göl

Makara Journal of Health Research

Background: This study aimed to investigate the effect of parents’ fear of coronavirus on their attitudes towards the vaccination of their children.

Methods: The study was conducted with 2,350 parents who were selected by using the snowball sampling method. The questionnaire included a personal information form, the Public Attitude towards Vaccination Scale – Health Belief Model, and the Fear of COVID-19 Scale.

Results: The scores of the study group from the sub-dimensions of the Public Attitude towards Vaccination Scale Health Belief Model were as follows: 17.39 ± 2.92 perceived susceptibility, 16.74 ± 3.19 perceived severity, 21.10 ± …

Examining The Impact Of Widespread Disease On The Economy, Ryan Howell

Honors College Theses

Over centuries, disease has been an instigator of economic change. From the Black Death and the overturning of feudalism to the Spanish flu and its relationship with World War 1, pandemics have a profound effect on the social, political, and economic climate of the affected areas. In 2020, COVID-19 began in Wuhan, China and spread across the world rapidly and unexpectedly. The world economy was forced into a recession with major effects on industries such as airlines, energy, and automobiles. While some industries made smooth recoveries, the pandemic undeniably altered the way business is conducted. The shift between in-person and …

Incalculable Harm: Analyzing The Impact Of The Covid-19 Pandemic On Immigration Detention In Canada, Efrat Arbel, Molly Joeck

All Faculty Publications

This paper reflects on the impact of the COVID-19 pandemic on immigration detention in Canada. Drawing on research spanning 2020 to 2022, we analyze how the pandemic impacted rates of detention, conditions of detention, and other related issues. Data released by the Canada Border Services Agency shows that despite an initial decrease in absolute numbers, Canada detained people at a higher rate after the onset of the pandemic than it did prior. Canada also held people for longer periods of time and relied more heavily on jails than dedicated Immigration Holding Centres. Conditions of confinement deteriorated significantly across all detention …

Expanding The Horizons Of Nonagonal Neutrosophic Numbers As A Versatile Framework For Decision-Making And Scientific Applications In Covid-19, Muhammad Naveed Jafar, Kainat Muniba, Hamiden Abd El-Wahed Khalifa, Fahd Jarad

Neutrosophic Systems with Applications

In this article, the concept of nonagonal neutrosophic numbers has been introducing in the disjunctive frame of reference. We also proposed the dependency and independency of membership function in regards to nonagonal neutrosophic number. We also introduce a new score function and its computation also formulated in a distinct rational viewpoint. We developed the concept of weighted arithmetic averaging operator and weighted geometric averaging operator for nonagonal neutrosophic numbers. It will open new doors for MCDM and develop the concept with new approaches. Additionally, we analyze the effect of COVID-19 for different ages.

The Perceived Impact Of Covid-19 On The Grief Process Of African American Adults, Tondra Crumpler Mclaurin

Doctoral Dissertations and Projects

The COVID-19 pandemic disproportionately affected African Americans in the areas of infections, hospitalizations, and deaths. Research studies have historically focused primarily on the grief experiences of European Americans. The purpose of this phenomenological qualitative study is to understand the impact of the COVID-19 pandemic on the bereavement experience of African American adults. The theoretical frameworks used to guide this study were attachment theory, individual differences model, and meaning reconstruction model. Three research questions were the focus of the qualitative study: what are the lived grief experiences of African American adults who experienced the death of a loved one during the …

The Consequences Of Social Isolation On Early Adolescent Youth: The Rise Of Gender Identity Questioning, Rachele Hauck

Doctoral Dissertations and Projects

The year 2020 brought forth a global pandemic that changed the way human beings went about their daily life. Coinciding at the same point in history, the number of adolescents questioning their gender identity almost doubled. This transcendental phenomenological qualitative study sought to understand the journeys of seven adolescents surviving the stay-at-home mandates put in place by officials attempting to decrease the spread of COVID-19 in a rural midwestern town. These participants identify as a gender that does not align with the gender they were given at birth. Their voices are documented with subject led interviews and attention to expressionistic …

A Phenomenological Study Exploring The Covid-19 Mental Health Influences On Post-High School Students And Educators, Melvin J. Thomas

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the influence of the COVID-19 pandemic on the mental health of post-high school students and educators located in the Northeastern Florida region of the United States. The theory guiding this study was Piaget’s theory on cognitive learning and development, as it assisted with highlighting the lived human experiences relating to the stages of cognitive development and mental health influences because of decreased physical and social interactions and changed learning environments. The qualitative method and the phenomenological design were used, which consisted of collecting data relating to the first-hand experiences of …

Resilience And Extrication Stories From Female Victims Of Narcissistic Abuse And Intimate Partner Violence During The Covid-19 Pandemic Isolation Period, Kristin A. Musacchio

Doctoral Dissertations and Projects

I studied the prevalence of narcissistic abuse and intimate partner violence during the COVID-19 pandemic’s isolation period. This research provides a nuanced understanding of the tactics and consequences of narcissistic abuse and intimate partner violence during a global health crisis. I uncovered ways in which the COVID-19 pandemic has affected preexisting abusive behaviors while simultaneously providing new opportunities, during the isolation period, for the abusers to control and manipulate their partners. I explored resiliency and religious coping strategies to understand the psychological healing process of female victims of intimate partner violence or narcissistic abuse. A qualitative approach was utilized to …

Sustainable Cash Flow Management Strategies For Small To Medium-Sized Service Businesses, Melody Gray

Walden Dissertations and Doctoral Studies

Nearly 50% of small to medium-sized enterprises (SMEs) fail within five years, resulting in financial losses for business owners and reduced employment opportunities. Entrepreneurs care about this issue because poor cash flow management is a major contributor to business failure, threatening economic growth and job stability. Grounded in working capital management, the purpose of this qualitative, multiple case study is to explore successful cash flow management strategies for service industry SME owners to sustain free cash flow beyond 5 years. The study included four SME owner participants in the Dallas/Fort Worth metroplex who successfully started and sustained the business beyond …

The Emotions Of Uncertainty: Science, Politics, And The Social Dynamics Of Decision Making, Alisa N. Rogers

Sociology ETDs

This dissertation examines how social and emotional factors influence attitudes toward science and decision making regarding science-based policy recommendations during the COVID-19 pandemic. I examine boundary work practices among the public as they evaluate experts during the pandemic and the social sources of information people used to construct knowledge. Then I examine the social and emotional factors that participants indicated influenced their own attitude formation and decisions to act regarding public health recommendations during the pandemic. I find that emotions influence each element of the decision process: information gathering, information evaluation, attitude formation, and decisions to act. Affective commitment and …

Actor–Partner Model Of Parenting And Co-Parenting Practices And Youth Resilience During The Covid-19 Pandemic, Olivia Aspiras, Jaimie O'Gara, Justine Radunzel

Faculty Publications

The present research examined parents' perspectives of co-parenting and supportive and hostile parenting as predictors of youth resilience during the COVID-19 pandemic. Participants were 47 mother/father dyads who had at least one K-12 child (Mage = 11.40, SD = 3.92). Mothers and fathers each completed an online survey that measured parenting, co-parenting, and youth resilience during the pandemic. Data were analyzed using the actor–partner interdependence model. Results revealed a positive relationship between mother supportiveness and perceived youth resilience; in contrast, increased father supportiveness was associated with lower perceived youth resilience. For both mothers and fathers, increases in their own hostility …

The Impact Of Covid-19 On Nurses' Feelings, Stress, Coping, And Motivation In Palestinian Treatment Centers Of Corona, † Wafaa Menawi, Shatha Mari, Ahmad Adel Hanani

An-Najah University Journal for Research - B (Humanities)

Background: Frontline nurses of COVID-19 found themselves in an unfamiliar new disease work environment, fighting to adapt and control the stress while working at covid-19 centers in Palestine. Aim: To investigate the impact of COVID-19 on nurses' feelings, stress, coping, and motivation in COVID-19 Palestinian treatment Centers. Method: A descriptive cross-sectional design was conducted between Mid of July to the end of October 2021 by recruiting a purposive sample of 390 nurses who worked at the Ministry of Health during COVID-19 pandemic treatment centers. The nurses filled out the COVID-19 Health Personnel Questionnaire with Cronbach's Alpha > 0.9. Results: Palestinian frontline …

Effective Strategies Used By Supply Chain Leaders To Mitigate Profitability Issues Created By The Covid-19 Pandemic, Sherri Janay Franklin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has thrown the global supply chain into chaos, causing many companies to shut down. Supply chain leaders are concerned about global supply disruptions because they negatively impact profitability and daily life in society. Grounded in resource dependence theory, the purpose of this qualitative pragmatic inquiry is to explore the strategies that supply chain leaders implement to address the profitability issues triggered by the COVID-19 pandemic. The participants include five successful supply chain leaders selected from social media platforms, residing in different states across the United States. Data were collected through semi-structured interviews via Zoom and from online …