Digital Commons Network^™

Technological Change And The Practice Of Healthcare Communication: Implications For Patient-Centered Care, From A Communication Ethics Perspective, Emmalee Torisk

Electronic Theses and Dissertations

Written in a historical moment marked in many ways by the COVID-19 pandemic and the changes it has wrought, including the increased availability and use of telehealth services, this project attempts to consider the implications of the continued integration of technology into health care, centering on the following essential question: How do technological changes affect the contemporary practice of healthcare communication, particularly that which occurs between the patient—the consumer of health care—and their provider? This dissertation thus considers the ways in which such linkages of technology and health care seem to fit into a larger shift within health care …

Covid-19 Disrupted Provision And Utilization Of Health And Nutrition Services In Uttar Pradesh, India: Insights From Service Providers, Household Phone Surveys, And Administrative Data, Phuong H. Nguyen, Shivani Kachwaha, Anjali Pant, Lan M. Tran, Monika Walia, Sebanti Ghosh, Praveen K. Sharma, Jessica Escobar-Alegria, Edward A. Frongillo Jr., Purnima Menon, Rasmi Avula

Faculty Publications

BACKGROUND: The coronavirus (COVID-19) pandemic may substantially affect health systems, but little primary evidence is available on disruption of health and nutrition services. OBJECTIVES: This study aimed to 1) determine the extent of disruption in provision and utilization of health and nutrition services induced by the pandemic in Uttar Pradesh, India; and 2) identify how adaptations were made to restore service provision in response to the pandemic. METHODS: We conducted longitudinal surveys with frontline workers (FLWs, n = 313) and mothers of children < 2 y old (n = 659) in December 2019 (in-person) and July 2020 (by phone). We also interviewed block-level managers and obtained administrative data. We examined changes in service provision and utilization using Wilcoxon matched-pairs signed-rank tests. RESULTS: Compared with prepandemic, service provision reduced substantially during lockdown (83-98 percentage points, pp), except for home visits and take-home rations (∼ 30%). Most FLWs (68%-90%) restored service provision in July 2020, except for immunization and hot cooked meals (< 10%). Administrative data showed similar patterns of disruption and restoration. FLW fears, increased workload, inadequate personal protective equipment (PPE), and manpower shortages challenged service provision. Key adaptations made to provide services were delivering services to beneficiary homes (∼ 40%-90%), social distancing (80%), and using PPE (40%-50%) and telephones for communication (∼ 20%). On the demand side, service utilization reduced substantially (40-80 pp) during the lockdown, but about half of mothers received home visits and food supplementation. Utilization for most services did not improve after the lockdown, bearing the challenges of limited travel (30%), nonavailability of services (26%), and fear of catching the virus when leaving the house (22%) or meeting service providers (14%). CONCLUSIONS: COVID-19 disrupted the provision and use of health and nutrition services in Uttar Pradesh, India, despite adaptations to restore services. Strengthening logistical support, capacity enhancement, performance management, and demand creation are needed to improve service provision and utilization during and post-COVID-19.

Multivariate Cluster Analysis Of The Teacher Stress Inventory (Tsi) Prior To And During Covid-19, Berenice Saez

Electronic Theses and Dissertations

The coronavirus disease 2019 (COVID-19) pandemic has caused a negative situation with no precedents in the education system of the United States (U.S.). To mitigate the spread of the virus, many school closures occurred nationwide, and schools transitioned from face-to-face instruction to a mixture of self-directed guide home education or online teaching. These drastic changes could be causing teachers, as many other professionals exposed to sudden adjustments (e.g., medical doctors/firefighters), to express high levels of stress, emotional burden, and anxiety. The purpose of this study is to compare the profiles of the teacher stress inventory (TSI) before and during COVID-19. …

Perceived Neighborhood Cohesion Buffers Covid-19 Impacts On Mental Health In A United States Sample, Jennifer W. Robinette, Georgiana Bostean, Laura M. Glynn, Jason A. Douglas, Brooke N. Jenkins, Tara L. Gruenewald, David A. Frederick

Psychology Faculty Articles and Research

Objective

This study examined whether perceived neighborhood cohesion (the extent to which neighbors trust and count on one another) buffers against the mental health effects of the 2020 COVID-19 pandemic.

Methods

The XXX University National COVID-19 and Mental Health Study surveyed US adults (N = 3965; M age = 39 years), measuring depressive symptoms, staying home more during than before the 2020 pandemic, and perceived neighborhood cohesion.

Results

A series of linear regressions indicated that perceiving one's neighborhood as more cohesive was not only associated with fewer depressive symptoms, but also attenuated the relationship between spending more time at …

Resilience-Focused Hiv Care To Promote Psychological Well-Being During Covid-19 And Other Catastrophes, L. Lauren Brown, Erika G. Martin, Hannah K. Knudsen, Heather J. Gotham, Bryan R. Garner

Behavioral Science Faculty Publications

The COVID-19 pandemic has adversely affected people with HIV due to disruptions in prevention and care services, economic impacts, and social isolation. These stressors have contributed to worse physical health, HIV treatment outcomes, and psychological wellness. Psychological sequelae associated with COVID-19 threaten the overall well-being of people with HIV and efforts to end the HIV epidemic. Resilience is a known mediator of health disparities and can improve psychological wellness and behavioral health outcomes along the HIV Continuum of Care. Though resilience is often organically developed in individuals as a result of overcoming adversity, it may be fostered through multi-level internal …

Spatial Disparities Of Covid-19 Cases And Fatalities In United States Counties, Sarah L. Jackson, Sahar Derakhshan, Leah Blackwood, Logan Lee, Qian Huang, Margot Habets, Susan L. Cutter

Faculty Publications

This paper examines the spatial and temporal trends in county-level COVID-19 cases and fatalities in the United States during the first year of the pandemic (January 2020–January 2021). Statistical and geospatial analyses highlight greater impacts in the Great Plains, Southwestern and Southern regions based on cases and fatalities per 100,000 population. Significant case and fatality spatial clusters were most prevalent between November 2020 and January 2021. Distinct urban–rural differences in COVID-19 experiences uncovered higher rural cases and fatalities per 100,000 population and fewer government mitigation actions enacted in rural counties. High levels of social vulnerability and the absence of mitigation …

Psychological Impact Of Covid-19 And Lock Down Measures: An Online Cross-Sectional Multicounty Study On Asian University Students, Karuthan Chinna, Sheela Sundarasen, Heba Bakr Khoshaim, Kamilah Kamaludin, Mohammad Nurunnabi, Gul Mohammad Baloch, Syed Far Abid Hossain, Areej Sukayt, Nevi Dalina, Zahid Memon

Centre of Excellence in Women and Child Health

The COVID-19 pandemic and the lockdown measures have taken a toll on every level of the society, worldwide. This study examines their psychological impact on university students in Asia. A cross-sectional online survey was conducted between April and May 2020 in Malaysia, Saudi Arabia, Pakistan, Bangladesh, China, India and Indonesia. The Zung's self-rating anxiety scale (SAS) and questions on adaptive and maladaptive coping strategies were used in this study. A total of 3,679 students from the seven countries participated in this study. Overall, 21.9% and 13.7% of the students in this study experienced mild to moderate and severe to extreme …

Perceptions And Experiences Of Healthcare Providers During Covid-19 Pandemic In Karachi, Pakistan: An Exploratory Qualitative Study, Anam Shahil Feroz, Nousheen Pradhan, Zarak Hussain Ahmed, Mashal Murad Shah, Nargis Asad, Sarah Saleem, Sameen Siddiqi

Community Health Sciences

Objective: To explore healthcare provider's perspectives and experiences of the barriers and facilitators to treat and manage COVID-19 cases.
Design and setting: We conducted an exploratory qualitative study using a purposive sampling approach, at a private tertiary care teaching hospital in Karachi, Pakistan. Study data were analysed manually using the conventional content analysis technique.
Participants: Key-informant interviews (KIIs) were conducted with senior management and hospital leadership and in-depth interviews (IDIs) were conducted with front-line healthcare providers.
Results: A total of 31 interviews (KIIs=19; IDIs=12) were conducted, between April and May 2020. Three overarching themes emerged. The first was 'challenges faced …

Probiotics In Prevention And Treatment Of Covid-19: Current Perspective And Future Prospects, Shilia Jacob Kurian, Mazhuvancherry Kesavan Unnikrishnan, Sonal Sekhar Miraj, Debasis Bagchi, Mithu Banerjee, B. Shrikar Reddy, Gabriel Sunil Rodrigues, Mohan K. Manu, Kavitha Saravu, Chiranjay Mukhopadhyay, Mahadev Rao

Faculty Publications

Saving lives and flattening the curve are the foremost priorities during the ongoing pandemic spread of SARS-CoV-2. Developing cutting-edge technology and collating available evidence would support frontline health teams. Nutritional adequacy improves general health and immunity to prevent and assuage infections. This review aims to outline the potential role of probiotics in fighting the COVID-19 by covering recent evidence on the association between microbiota, probiotics, and COVID-19, the role of probiotics as an immune-modulator and antiviral agent. The high basic reproduction number (R0) of SARS-CoV-2, absence of conclusive remedies, and the pleiotropic effect of probiotics in fighting influenza and other …

Remote Working And Its Impact On Employee Job Satisfaction During Covid-19, Marissa Grant

Leadership Education Capstones

The purpose of this quantitative study is to investigate the impact working remotely has on employee job satisfaction. The researcher will study public university graduate students who worked remotely at least one day per week for at least six months since March 2020.

Ua12/2/1 Fresh Start, Vol. 97, No. 1, Wku Student Affairs

WKU Administration Documents

College Heights Herald magazine regarding returning to WKU in person after COVID-19 lockdown.

• Stone, Damon. Fresh Faces, Familiar Traditions Come to Campus with Incoming Class – Class of 2025
• Jones, Jake. WKU Commons Sees Delays, Expected to be Completed In the Fall – University Libraries
• Murray, Debra. Living Learning Communities Bring a New Sense of Home to WKU
• Murray, Debra. What You Missed on the Hill This Summer – Garrett Conference Center, First Year Village, Munday Hall, COVID-19, Retirement
• Fisher, Brittany. Reclaiming the Hill – MASTER Plan
• Burris, Lily. Dear Readers
• Stryker, Shane. The Usual Take on My Unusual College …

Structural Distress: Experiences Of Moral Distress Related To Structural Stigma During The Covid-19 Pandemic, Javeed Sukhera, Chetana Kulkarni, Taryn Taylor

Paediatrics Publications

Introduction: The COVID-19 pandemic has taken a significant toll on the health of structurally vulnerable patient populations as well as healthcare workers. The concepts of structural stigma and moral distress are important and interrelated, yet rarely explored or researched in medical education. Structural stigma refers to how discrimination towards certain groups is enacted through policy and practice. Moral distress describes the tension and conflict that health workers experience when they are unable to fulfil their duties due to circumstances outside of their control. In this study, the authors explored how resident physicians perceive moral distress in relation to structural stigma. …

Effective Digital Learning Practices For Is Design Courses During Covid-19, Eng Lieh Ouh, Benjamin Gan

Research Collection School Of Computing and Information Systems

The COVID-19 pandemic has pushed educational institutions to adopt digital learning for an extended period. This research studies the effectiveness of digital learning practices based on student feedback data collected for two Information Systems design courses: human interaction design and solution architecture design. This paper leverages the data to analyze the effectiveness of a set of digital learning practices: ZOOM lectures, polling or Kahoot questions, self-reflection, virtual exercises and virtual mentorship. Our research questions are on the effectiveness of these learning practices to keep the student’s interest and learn the course materials. The research compares each learning practice and the …

Understanding The Impact Of Covid-19 On Agriculture And Food Supply Chains: System Dynamics Modeling For The Resilience Of Smallholder Farmers, Busra Atamer Balkan, Andreas Nicolaidis Lindqvist, Kelechi Odoemena, Robert Lamb, Monique Ann Tiongco, Stueti Gupta, Arpitha Peteru, Hector Manuel Menendez Iii

Quantitative Methods and Information Technology Faculty Publications

COVID-19 has caused severe agriculture and food supply chain disruptions; significantly affecting smallholder farmers who supply most of the world’s food; specifically their changes in vulnerability; resilience; and food loss and waste. Therefore; the objective of this study was to understand the complex causal and feedback relationships for this system by developing a dynamic hypothesis and causal loop diagrams utilizing the System Dynamics methodology. Results provide a roadmap for dialogue and a framework for case-specific model development and help to guide policy decisions for smallholder farmers’ survival during health crises.

Working Memory As A Predictor Of Social Distancing And Face Mask Compliance During Covid-19 Pandemic, Cassandra Jean Kemmel

Graduate Theses/Dissertations

The COVID-19 pandemic has brought about many changes in daily lives around the world. In the United States, face masks and social distancing rules have been suggested and even enforced in areas throughout the country. Compliance with these regulations will in turn, hopefully, reduce transmission and therefore the threat of the COVID-19 virus. Working memory (WM) has been found to be an integral part of the decision-making process, by assessing costs and benefits, both individually and for others. In May 2019, Xie, Campbell, and Zhang (2020) found that WM capabilities were predictive of social distancing compliance. The purpose of this …

The Effects Of Covid-19 Epidemic On Guided Tours And Alternative Tour Samples From Turkey, Bayram Akay

University of South Florida (USF) M3 Publishing

The purpose of this research is to evaluate the effect of covid-19 on guided tours and examine the alternative tour examples that have emerged in Turkey during the pandemic. In this study, qualitative research method was used and data analyses were conducted using content analysis. The content analysis have been made through the statistics, reports and qualitative research methods by tourism portals (Tourism current, tourism news), UNWTO, Turkish Statistical Institute (TSI), Association of Turkish Travel Agencies (TÜRSAB and Republic of Turkey Ministry of Culture and Tourism (ATTA). In Turkey during the pandemic, the number of tourists decreased by 70% and …

Brand New Leisure Constraint: Covid-19, Guliz Coskun

University of South Florida (USF) M3 Publishing

The recent pandemic caused serious losses in the leisure industry worldwide. The recreation facilities and event management companies have suffered the negative economic impact of the pandemic, and some of them even went bankrupt. Due to facility closures and lockdowns people have no choice to spend their leisure time at home and engage in home-based leisure activities. The leisure time activity participation was already low among Turkish people before the pandemic. The fear of getting infected with COVID-19 led people to stay at home even during the summer times when the lockdown was paused. Families have to spend more time …

Primary Caregivers’ Reports Of Early Literacy Skills And Supporting Children’S Literacy Success Through Home-School Collaboration, Emily A. Smith

Educational Specialist, 2020-current

Two kindergarten parents were interviewed about the home literacy environment and effective home-school collaborative practices. Both parents identified as being key contributors to their child’s literacy success through frequently reading to their child, providing access to books within the home, and fostering a sense of learning and reading interest in their child. Both parents gave insights into the communication they have with their child’s teacher and the resources that are provided by the school to support academic or literacy related needs of their kindergarteners. The interest of this study was to obtain the perspectives of kindergarten parents about the current …

Exercise Training Rescues Increased Brain Isf Aβ Caused By Chronic Isolation Stress In App/Ps1 Transgenic Mice, Lydia M. Holtmann

Graduate Theses/Dissertations

Alzheimer’s Disease (AD) is a progressive brain disorder that destroys memory and cognition thought to be initiated through the build-up of the amyloid-beta (A) peptide. The A peptide aggregates, slowly forming into insoluble plaque substances that destroy the brain and worsen patient’s symptoms over time. Studies have shown that chronic isolation stress (CIS) increases the A peptide soluble and insoluble levels in the brain and that exercise training decreases these levels in transgenic mouse models of AD. We sought to determine if an exercise training regimen would rescue the increase in Aβ levels caused by CIS in the APP/PS1 transgenic …

Telehealth Assessment In The Elderly Using The 4m'S, Witeh Esoe

Nursing Capstones

COVID-19 brought unprecedented challenges in accessing healthcare services. The lack of accessibility to healthcare drastically impacted older adults, especially those in rural America, who experienced multiple issues accessing quality care with an increase in healthcare cost leading to a significant increase in morbidity and mortality rate from COVID-19. Consequently, the usage of telehealth services skyrocketed during the pandemic. As a result, the Geriatric Workforce Enhancement Program (GWEP) emerged with the aim to promote the use of telehealth services to reduce COVID-19 exposure to older adults in rural North Dakota (ND). Thereby keeping older adults safe at home and still having …

Exploring Communication Strategies Used By Speech-Language Pathologists And Nursing Professionals Prior To And During The Coronavirus Disease 2019 Pandemic, Madeline Baretta

Master's Theses

In 2019, a novel virus was discovered and spread resulting in a global pandemic. Individuals with severe cases of coronavirus disease 2019 (COVID-19) experienced critical illnesses such as pneumonia, hypoxemic respiratory failure/acute respiratory distress syndrome (ARDS), and complications from prolonged hospitalization (Centers for Disease Control and Prevention [CDC], 2020e). Some individuals with severe cases required mechanical ventilation in the acute care setting (Bernstein, 2020). Due to the rapidly evolving nature of the pandemic, this study was developed to better understand the practices of speech-language pathologists (SLPs), nursing professionals, and healthcare organizations prior to and during the COVID-19 pandemic with particular …

Analysis Of Relative Frequency Of Commuting Modes During Covid-19 Pandemic", Shreya Chintawar

All Theses

At the end of December 2019, a new coronavirus spread in Wuhan, China, and worldwide and the World Health Organization (WHO) declared this outbreak of the COVID-19 virus a pandemic on March 11, 2020. Different states and cities implemented various strategies including school closure, working from home, and restaurant and shop closures to control the virus spread, resulting in reduced travel demand. COVID-19 provided an opportunity to understand the differential impacts of a pandemic on travel demand. This study investigates the changes in the U.S. transportation mode use and factors influencing changes in mode use frequency for commuting during the …

Analyzing The Students' Intention To Use Online Learning System In The Context Of Covid-19 Pandemic: A Theory Of Planned Behavior Approach, Kamel Mouloudj, Ahmed C. Bouarar, Karolina Stojczew

University of South Florida (USF) M3 Publishing

COVID-19 caused universities to close their doors and compelled the switch toward online education system, Although this option was the best and the only way that guarantees the continuity of studies, yet students were not satisfied, in front of this situation exploring the key factors that affect students' intention to accept online education is of vital importance, and that is what the study seeks to pursuit. To empirically test the intentions to use online learning, the theory of planned behavior (TPB) was applied to Algerian university students. Data were collected using a structured questionnaire from 213 college students of six …

A Multifaceted View Of Career Choice And Work Outcomes Of Nurses In Healthcare, Ifeyimika Oluwadamilola Ogunyomi

Management Dissertations - Archive

Turnover among new nurses is rampant within the health care industry and generated significant costs for organizations and the nursing profession. The overall aim of this dissertation is to understand the career choice motivations of nurses through a framework that link initial choice motives with eventual turnover intent. A broader management understanding of the experiences and attitudes of nurses in various situations will inform healthcare organizations as to the performance management strategies to develop for employee retention. I address this by exploring pertinent situations in the nursing work environment across three essays, which incorporate qualitative and quantitative research methods. The …

Telehealth Assessment In The Elderly Using The 4m'S, Janet Obonyo

Nursing Capstones

COVID-19 has accelerated an already urgent need for telehealth in the United States. While health care systems have been providing telehealth for years, the number of providers and patients who need to participate in telehealth has ballooned overnight. Though telehealth has been in use for a while, the geriatric population seems to be disadvantaged, especially those who reside in rural settings. Due to increased COVID 19 cases among the elderly population in North Dakota, the Geriatric Workforce Enhancement Program (GWEP) allocated a grant to the University of North Dakota to promote telehealth in the elderly receiving homecare services in rural …

On Precaution Versus Covid-19: Are People Really Complacent?, Renz Adrian T. Calub

Angelo King Institute for Economic and Business Studies (AKI)

As of this writing, the Philippines is experiencing a surge in COVID-19, a year after implementing nationwide lockdowns and curfews. Although vaccines are being shipped and rolled out, the country appears to be regressing, with hospitals being filled to the brim. Complacency has been the usual suspect, with the government blaming individuals and business establishments for not staying at home and for not observing the minimal health protocols. But are people really complacent? This paper develops a simple game to address such a question.

Empowered Stakeholders: Female University Students’ Leadership During The Covid-19-Triggered On-Campus Evictions In Canada And The United States, Haorui Wu, Marla Perez-Lugo, Cecilio Ortiz Garcia, Frances Gonzalez Crespo, Adriana Castillo

Public Affairs and Security Studies Faculty Publications

The study of disaster-specific leadership of female university students has been largely neglected, especially during on-campus emergency eviction and evacuation. Based on the COVID-19-triggered, on-campus evictions across Canada and the United States, this cross-national partnership examined the out-of-province/state and international female university students’ leadership during the entire eviction process. Through in-depth interviews, this study revealed the female university students’ leadership behaviors during three stages: (1) pre-eviction: their self-preparedness formed an emotional foundation to support others; (2) peri-eviction: their attitude and leadership behavior enabled them to facilitate (psychologically and physically) their peers’ eviction process; and (3) post-eviction: they continued to support …

Nurses' Pandemic Lives: A Mixed-Methods Study Of Experiences During Covid-19., Kathleen Gray, Paulette Dorney, Lori Hoffman, Albert Crawford

College of Nursing Faculty Papers & Presentations

BACKGROUND: The US healthcare settings and staff have been stretched to capacity by the COVID-19 pandemic. While COVID-19 continues to threaten global healthcare delivery systems and populations, its impact on nursing has been profound.

OBJECTIVES: This study aimed to document nurses' immediate reactions, major stressors, effective measures to reduce stress, coping strategies, and motivators as they provided care during COVID-19.

DESIGN: Mixed-methods, cross sectional design. Participants responded to objective and open-ended questions on the COVID-19 Nurses' Survey.

PARTICIPANTS: The survey, was sent to nurses employed in health care settings during the pandemic; 110 nurses participated.

RESULTS: Immediate reactions of respondents …

A Mixed-Methods Approach To Explore Student Perceived Needs For Peer Mentorship In A College Of Engineering, Darcie Christensen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

“Nobody makes it alone. Nobody has made it alone” (NOVA SHRM & Dulles SHRM, 2012, p. 5). Mentoring generally has positive outcomes, such as increasing output, staying in work or school, increasing confidence, and others (Campbell & Campbell, 2007; Crisp & Cruz, 2009; Eby et al., 2008; NASEM, 2019; Pfund et al., 2016). This dissertation study focused on student perceived needs for peer mentorship in engineering, which can fill in gaps of traditional mentorship by pairing mentors and mentees at similar levels, increasing comfort and emotional support to mentees (Allen et al., 2017; Haggard et al., 2011; Kram & Isabella, …

Food Insecurity And Older Adults: An Analysis Of Food Insecurity Among Elderly Households In The Us During The Covid-19 Pandemic, Stephanie Alexandra Morales

Open Access Theses & Dissertations

Past research has shown that food insecurity rates among the elderly have significantly increased during the COVID-19 pandemic. Nonetheless, there are yet to be peer-reviewed articles that specifically address food insecurity among the elderly during the COVID-19 pandemic. This cross-sectional study utilized a nationally representative sample (50 states and the District of Columbia, n = 29,779) using data derived from the Household Pulse Survey (HPS). One generalized estimating equation (GEE) was estimated along with bivariate analyses. The GEE revealed that Hispanics, Asians, and those who identified as other race were significantly more likely to be food insecure in comparison to …