Digital Commons Network^™

A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington

Walden Dissertations and Doctoral Studies

Abstract The spread of Coronavirus (COVID-19) created a pandemic and had a world-shattering effect on healthcare organizations. As a result, many healthcare professionals were exposed to health situations that stretched them beyond their professional ethics, mental health, and emotional capacity. Throughout the last 30 years, moral distress has been understood as the type of stress that medical professionals experience. Research has substantially grown regarding COVID-19 and moral distress, exposing gaps in the ability of experts to care as they should. Moral distress was a term created to define the emotional disruption that occurs when a professional cannot work within their …

Lockdowns During The Covid-19 Pandemic And Domestic Violence Among Virginians, Kenneth G. Gordon

Walden Dissertations and Doctoral Studies

AbstractThe domestic violence (DV) dilemma spans millennia and has devastated individuals, families, and societies. DV prevalence rose between 20% and 50% worldwide and over 5% among Virginians since early 2020 during COVID-19. Abuse victims’ vulnerability increased during the lockdown periods due to the extended time spent with perpetrators. DV victims visited emergency departments for their nonfatal physical injuries. The purpose of the study was to examine COVID-19-related lockdown effects on DV prevalence, perpetrator characteristics, and hospitalizations among Virginians. Bronfenbrenner’s socioecological model served as the theoretical foundation. Descriptive analyses showed that DV prevalence among Virginians rose from 37.5% in 2019 to …

Occupational Burnout Factors Among Correctional Mental Health Providers, Morgan Gruhot

Walden Dissertations and Doctoral Studies

Burnout rates of correctional employees are higher than employees in the general public. The purpose of this study was to identify how occupational factors impact burnout rates among correctional mental health workers. Grounded in the job-demands theoretical model, this study compared burnout rates among mental health staff within county jails and state prisons. Burnout was measured using the Maslach Burnout Inventory and Occupational factors were measured using the Areas of Work life Survey and Pandemic Experience and Perception Survey. Data was analyzed using IBM SSPS software to address multiple a priori directional research questions. Research questions considered how occupational factors …

Examining The Nexus Of Housing Instability And Neighborhood Within New York City (Nyc), Benjamin Boateng

College of Graduate Studies: Theses & Dissertations

Housing instability within the New York City (NYC) area significantly affects the community's well-being. As a robust and growing city, many families in the low-income bracket face the challenge of spending a significant portion of their monthly income toward housing costs (rent, utilities, insurance). With families spending 50% (extreme housing burden) and more of their monthly income to stay in their housing units, various disparities have presented themselves within the housing context.

Even before the COVID-19 pandemic in March 2020, families within NYC have struggled to maintain their housing stock. Policy and community-based actions are needed to reduce the burden …

Doctoral Students’ Experiences Of The Pandemic And Their Perceptions Of Grit, Josie Bryant

Murray State Theses and Dissertations

The pandemic has significantly changed societal structures and individuals’ lives. The early tragedies and stress of the pandemic affected health, relationships, families, education, work, travel, and immigration. Students who entered doctoral programs in 2020 chose a unique time to pursue an already arduous goal amidst unprecedented challenges. Using a phenomenological approach, this study explored doctoral students’ experiences during the pandemic and sought to understand their perspectives of grit. The study aimed to offer first-hand insight into the pandemic’s effects on doctoral students, and add critical contributions to understanding the necessary actions, support systems, and policies for a life in a …

Accessing Justice With Zoom: Experiences And Outcomes In Online Civil Courts, Victor D. Quintanilla, Kurt Hugenberg, Ryan Hutchings, Nedim Yel

Articles by Maurer Faculty

The global COVID-19 pandemic brought significant change to our civil justice system, particularly in the rapid shift from in-person to remote court proceedings. Courts across the country, facing the unprecedented challenge of a global health emergency, embraced rapid innovation and the adoption of remote proceeding platforms, such as Zoom and Webex. State courts did so across case types, including within high-volume civil dockets containing evictions, debt collections, small claims, and family law cases, where millions of self-represented and unrepresented litigants encounter the U.S. civil justice system each year. Amid the pandemic, voices converged to encourage these justice innovations, including the …

The Impact Of Covid-19 On The I Promise School, Katherine Haver

Williams Honors College, Honors Research Projects

This project will research the impact of the COVID-19 pandemic on the I Promise School in Akron and the social emotional learning of the students who attend there. Data will be collected through a survey sent to I Promise School faculty and staff members. Questions asked will be about how online learning affected the teachers' connections with their students, how social emotional learning strategies where incorporated online, and what challenges are now being faced as students return to in person learning? The goal of this project is to learn about the effects of COVID-19 in the I Promise School, so …

Access To Prenatal Care And Mental Health In Pregnant Women During Covid-19: A Systematic Review, Chloe Feezel, Marin Kahoun, Kaija Kunttu

Williams Honors College, Honors Research Projects

COVID-19 affected the world in many ways. Pregnant women were greatly impacted by a change in their access to prenatal care, from in-person care to telehealth methods, and social support being limited by social isolation. Compared with prevalence of anxiety and depression in pregnant women pre-COVID-19, pregnant women during COVID-19 reported higher levels of anxiety and depression symptoms due to the stress of circumstantial changes. The purpose of this systematic review is to review and critically appraise the evidence about access to prenatal care and mental health in pregnant women during the COVID-19 pandemic. The following PICOT formatted question will …

Overlooked Sex And Gender Aspects Of Emerging Infectious Disease Outbreaks: Lessons Learned From Covid-19 To Move Towards Health Equity In Pandemic Response, Lynn Lieberman Lawry, Roberta Lugo-Robles, Vicki Mciver

Journal Articles: Epidemiology

Sex and gender issues are especially important in emerging infectious diseases (EIDs) but are routinely overlooked despite data and practice. Each of these have an effect either directly, via the effects on vulnerability to infectious diseases, exposures to infectious pathogens, and responses to illness, and indirectly through effects on disease prevention and control programs. The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the viral agent of coronavirus disease 2019 (COVID-19) has underscored the importance of understanding the sex and gender impacts on pandemics. This review takes a broader looks at how sex and gender impact vulnerability, exposure risk, and treatment and …

Are We Essential, Or Sacrificial? The Effects Of Felt Public Gratitude On Essential Worker Recovery Activities During Covid-19, Hee Young Kim, Sijun Kim, Taeya M. Howell, Sarah P. Doyle, Nathan C. Pettit, Michael Bizzarro

Faculty Publications

COVID-19 has been characterized by unprecedented levels of public gratitude to some, but not all, essential workers. In this research, we integrate insights from the stigmatized occupations and gratitude literature to build theory on the positive and negative relationships between such displays of public gratitude and essential workers’ recovery activities. We argue that felt public gratitude positively relates to adaptive recovery activities (e.g., exercise) and negatively relates to maladaptive recovery activities (e.g., overdrinking). We further explain how felt public gratitude impacts (mal)adaptive recovery activities through (a) felt invisibility and (b) negative/positive affect. We find support for our predictions in a …

A Randomized Trial Of Behavioral Nudges Delivered Through Text Messages To Increase Influenza Vaccination Among Patients With An Upcoming Primary Care Visit, Mitesh S. Patel, Katherin L. Milkman, Linnea Gandhi, Heather N. Graci, Dena Gromet, Brigitte C. Madrian

Faculty Publications

Purpose: To evaluate if nudges delivered by text message prior to an upcoming primary care visit can increase influenza vaccination rates.

Design: Randomized, controlled trial.

Setting: Two health systems in the Northeastern US between September 2020 and March 2021.

Subjects: 74,811 adults.

Interventions: Patients in the 19 intervention arms received 1-2 text messages in the 3 days preceding their appointment that varied in their format, interactivity, and content.

Measures: Influenza vaccination.

Analysis: Intention-to-treat.

Results: Participants had a mean (SD) age of 50.7 (16.2) years; 55.8% (41,771) were female, 70.6% (52,826) were White, and 19.0% (14,222) were Black. Among the interventions, …

The Impact Of Covid-19 Quarantine On Lifestyle Indicators In The United Arab Emirates, Sharifa Alblooshi, Maryam Alfalasi, Zainab Taha, Farid El Ktaibi, Alia Khalid

All Works

Introduction: COVID-19 is a virus that has spread rapidly and brought economic and social crises all around the world. The current study aimed to investigate the impact of COVID-19 quarantine on dietary habits, physical activity, food purchasing, smoking, and sleeping patterns in the United Arab Emirates. Methods: A cross-sectional study was conducted using an online questionnaire between November 1st, 2020 and the end of January 2021. Citizens and residents of the UAE aged ≥ 18 years old were asked to complete an anonymous electronic questionnaire created via Google Forms and distributed on various platforms, such as WhatsApp, Twitter, and email. …

Of Stances, Themes, And Anomalies In Covid-19 Mask-Wearing Tweets, Jwen Fai Low, Benjamin C.M. Fung, Farkhund Iqbal, Ebrahim Bagheri

All Works

COVID-19 is an opportunity to study public acceptance of a ‘‘new’’ healthcare intervention, universal masking, which unlike vaccination, is mostly alien to the Anglosphere public despite being practiced in ages past. Using a collection of over two million tweets, we studied the ways in which proponents and opponents of masking vied for influence as well as the themes driving the discourse. Pro-mask tweets encouraging others to mask up dominated Twitter early in the pandemic though its continued dominance has been eroded by anti-mask tweets criticizing others for their masking behavior. Engagement, represented by the counts of likes, retweets, and replies, …

Seismic Shifts: Post-Covid Legal Education And The Profession, Zoe Niesel

Faculty Articles

The 2020-2021 COVID-19 pandemic created significant upheaval in the legal profession. Courts closed, cases were delayed, and law firms and other legal institutions rapidly moved their employees and operations to a virtual forum. And among this disruption, law schools made unprecedented changes to their curricula and pedagogy as students attended classes over Zoom, through asynchronous means, or in a hybrid fashion that split their learning between in-person and online. These rapid developments have sparked new discussions regarding the future of legal education. Specifically, law schools and the American Bar Association (ABA) are now re-examining their approach to determine the appropriate …

I Am Queer And Asian: The Crossroad Of Race And Lgbtqia+ Identity Among Queer Asian Canadian Youth And The Impacts Of The Covid-19 Pandemic, Kenny Chee

Theses and Dissertations (Comprehensive)

LGBTQIA+ Asian youth face unique challenges due to their intersecting identities. Utilizing Asian Critical Race Theory and the Integration Model of Stress and Trauma in LGBTQIA+ Asians, LGBTQIA+ Asian youth are likely to experience detrimental mental health outcomes due to the stigmatization within their Asian culture and racial discrimination from the LGBTQIA+ communities. Moreover, the COVID-19 pandemic exacerbated existing challenges because of the closure of community spaces and increased hate crimes against Asians. Nonetheless, research on the intersectional experiences of LGBTQIA+ Asians in Canada, especially in the context of the COVID-19 pandemic is sparse. Thus, to address this gap, I …

Workplace Aggression Against Healthcare Workers In A Spanish Healthcare Institution Between 2019 And 2021: The Impact Of The Covid-19 Pandemic, Aitor Díaz, Mireia Utzet, Joan Mirabent, Pilar Diaz, Jose Maria Ramada, Consol Serra, Fernando G Benavides

Faculty, Staff and Student Publications

OBJECTIVES: Describe the incidence of first aggressions among healthcare workers (HCWs) before and during the COVID-19 pandemic in a Spanish healthcare institution, according to workers' socio-occupational characteristics and analyze the impact of the pandemic on it.

METHODS: A cohort involving HCWs who worked in the institution for at least 1 week each year from 1 January 2019 to 31 December 2021. Adjusted relative risks (aRR) were estimated using generalized estimating equations and negative binomial models to calculate the differences in WPA between the different time periods. All analyses were stratified by gender.

RESULTS: Among women, the incidence was 6.8% (6.0; …

Covid-19 Return To Sport: Collegiate Baseball Injury Prevalence Analysis, Troy B. Puga, Joshua Schafer, Grace Thiel, Laura Ramaker, Tejas Patel, Kevin Treffer

Faculty and Staff Publications

In the spring of 2020, the COVID-19 pandemic rapidly brought college baseball to a halt. Most college baseball players saw disruption of their training and development due to interruptions of their seasons. With these interruptions, it is necessary to examine the effects of the COVID-19 pandemic on collegiate baseball injury epidemiology. Data from a small-school Midwest collegiate conference was tallied for the number of collegiate conference injuries per year, and for the injuries per anatomic region. An unpaired t-test was conducted upon the overall conference mean injuries per year and on each anatomic region for the mean injuries per region …

Exploring The Economic, Family, And Social Adaptations To Covid-19 In Fort Pierce, Florida: An Analysis Of Cultural Constructions And Adaptations In A Coastal Community, Stephanie Santiago

Electronic Theses and Dissertations 2020 - Present

This study investigates the profound repercussions and adaptive measures stemming from the COVID-19 pandemic in Fort Pierce, Florida. Through comprehensive ethnographic interviews with 31 residents, Fort Pierce is showcased as a representative microcosm, reflecting the broader spectrum of the state’s diversity. The analysis underscores how daily routines were drastically altered, and it sheds light on the innovative ways residents navigated these challenges. The effects of economic downturns, disruptions in consumption patterns, reduced social circles, and mental health challenges became evident, particularly among marginalized communities. The pandemic-induced environment led to job losses, supply chain disturbances, and jeopardized essential needs. As a …

A Descriptive Quantitative Exploration Of College Students Of Promise During The Covid-19 Pandemic, Tameka Womack, Kim E. Bullington, Pietro A. Sasso

Educational Leadership & Workforce Development Faculty Publications

The term Students of Promise is used for students considered to have a heightened risk status, which not only has a negative effect on students but also on the higher education institutions they attend. This quantitative study explored how the COVID-19 virus has impacted student populations at various US higher education institutions and to uncover what specific issues (financial, emotional, social) impacted students during this unprecedented time in light of student categories and student demographics. This study found statistical significance in Students of Promise characteristics and presents data on the behaviors, activities, and tools necessary for success, concerns surrounding COVID-19, …

Enrollment Management Strategies At Rural Community Colleges Resulting From The Pandemic, Robin C. Daniel, Mitchell R. Williams, Kim E. Bullington

Educational Leadership & Workforce Development Faculty Publications

Higher education institutions around the world were impacted by the COVID-19 pandemic that began in early 2020. Because U.S. community colleges focus on two-year degrees and workforce development, they were affected differently than their four-year counterparts. This study examined how academic administrators at different rural community colleges in Virginia, United States, perceived enrollment management practices that were implemented or changed due to the pandemic. This sequential explanatory study's first phase was quantitative and measured mid- to senior-level administrators' views of how the pandemic affected their colleges' enrollment management practices. The second qualitative phase resulted in five themes surrounding COVID-related enrollment …

Covid-19, Mental Health, Technology Use, And Job Satisfaction Among School Psychology Trainers, Joel O. Bocanegra, Jennifer Gallup, Minghui Hou, Aaron A. Gubi, Chung-Hau Fan, Nai-Jiin Yang, Celal Perihan

Educational Leadership & Workforce Development Faculty Publications

The COVID-19 pandemic threatens to exacerbate the school psychology personnel crisis. There is a dearth of knowledge regarding how the pandemic has impacted school psychology trainers and course delivery. In this national study, 92 school psychology trainers completed an online questionnaire regarding technological instructional changes, job satisfaction, and their own mental health well-being during the pandemic. Findings suggest that during the portion of the pandemic assessed most trainers reported that they: (a) switched from in-person instruction to primarily online instruction, (b) were mostly satisfied with their jobs, and (c) generally experienced a positive sense of well-being. Furthermore, a sizable portion …

Experiences Of Sex Workers In Chicago During Covid-19: A Qualitative Study, Randi Beth Singer, Sarah Abboud, Amy K. Johnson, Jessica L. Zemlak, Natasha Crooks, Sangeun Lee, Johannes Wilson, Della Gorvine, Jahari Stamps, Douglas Bruce, Susan G. Sherman, Alicia K. Matthews, Crystal L. Patil

College of Nursing Faculty Research and Publications

COVID-19 exacerbated health disparities, financial insecurity, and occupational safety for many within marginalized populations. This study, which took place between 2019 and 2022, aimed to explore the way in which sex workers (n = 36) in Chicago were impacted by COVID-19. We analyzed the transcripts of 36 individual interviews with a diverse group of sex workers using thematic analysis. Five general themes emerged regarding the detrimental impact of COVID-19 on sex workers: (1) the impact of COVID-19 on physical health; (2) the economic impact of COVID-19; (3) the impact of COVID-19 on safety; (4) the impact of COVID-19 on …

Sprinting In A Marathon: Nursing Staff And Nurse Leaders Make Meaning Of Practicing In Covid-19 Devoted Units Pre-Vaccine, Natalie S. Mcandrew, William E. Rosa, Kaylen M. Moore, Jacqueline Christianson, Tala Abuzahra, Megann Mussatti, Colleen Mccracken, Amy R. Newman, Kelly Calkins, Susan Breakwell, Katie Klink, Jill L. Guttormson

College of Nursing Faculty Research and Publications

Objective

To describe the lived experience of nursing staff and nurse leaders working in COVID-19 devoted units (intensive care or medical unit) prior to vaccine availability.

Research Design

Qualitative phenomenological design with a focus group approach.

Methods

The study team recruited a convenience sample of nursing staff (nurses, and nursing assistants/nurse technicians) and nurse leaders (managers, assistant nurse managers, clinical nurse specialists, and nurse educators) at an academic medical center in the midwestern United States. Focus groups and individual interviews were conducted to encourage participants to describe their (1) experiences as nursing professionals, (2) coping strategies, and (3) perspectives about …

Psychosocial Work Environment Stressors For School Staff During The Covid-19 Pandemic: Barriers And Facilitators For Supporting Wellbeing, Liz R Rolf, Liz Vestal, Ashley C Moore, Nikole Lobb Dougherty, Nancy Mueller, Jason G Newland

2020-Current year OA Pubs

INTRODUCTION: After periods of remote and/or hybrid learning as a result of the COVID-19 global pandemic, the return to in-person learning has been beneficial for both students and teachers, but it has not been without challenges. This study was designed to assess the impact of the return to in-person learning on the school experience, and efforts made to ease the transition in furthering a positive in-person learning environment.

MATERIALS AND METHODS: We conducted a series of listening sessions with 4 stakeholder groups: students (

RESULTS: Three main themes emerged around school staff experiences: (1) increased levels of stress and anxiety …

The Impact Of Student Learning Pathway Choices During The Covid-19 Pandemic On Academic Achievement, Lauren A. Canfield

Doctor of Education Dissertations

In the fall of 2020, students chose the learning pathway that best suited their situation due to the COVID-19 pandemic. Learning pathways were face-to-face, virtual synchronous, and virtual asynchronous. Because of this, in the fall of 2021, all students demonstrated learning loss. The learning loss, however, was not congruent among students. This quantitative study sought to determine if a student’s learning pathway choice during the COVID-19 pandemic impacted their academic achievement as measured by grade point average, end-of-course exam scores for Algebra I, and qualification for Tier 2 academic interventions in a multi-tiered system of support. This study was conducted …

Leadership, Teaching And Learning In Times Of Crisis In Southern Tanzania, Nipael Mrutu, Peter Kajoro, Hamis Pintson Nkota

Institute for Educational Development, East Africa

The outbreak of the COVID-19 pandemic has had a significant impact on education provision worldwide. School leaders, teachers and parents found themselves in uncharted circumstances, which hugely impacted their roles in promoting children’s learning. The purpose of this study was to investigate the roles played by leaders, teachers, and parents during the COVID-19 crisis. This paper discusses teaching and learning in this time of crisis. The study sampled 10 head teachers, 60 schoolteachers and 57 parents representing 10 primary schools in five districts in the Lindi region of Tanzania. A postmodernism lens was applied to respond to questions about the …

The Impact Of Covid-19 On Community Based-Organizations: A Case Study Of Jewish Organizations, Orit Zigmanlador

Theses and Dissertations

When COVID-19 started to spread in March 2020, no one could anticipate the impact it would have on the world. Social behavior is one key aspect that has changed dramatically as a result of the pandemic. Through restrictions that imposed social distancing, masks, and quarantines, feelings of loneliness, depression, and isolation increased. At the same time, there was also evidence of prosocial behavior, with the emergence of people helping those in need. As the pandemic turns endemic with restrictions lifting, the longstanding impact of the pandemic on people’s behavior is still unclear. One way to explore this phenomenon is through …

Power, Stress, And Uncertainty: Experiences With And Attitudes Toward Workplace Surveillance During A Pandemic, Jessica Vitak, Michael Zimmer

Computer Science Faculty Research and Publications

There is a rich literature on technology’s role in facilitating employee monitoring in the workplace. The COVID-19 pandemic created many challenges for employers, and many companies turned to new forms of monitoring to ensure remote workers remained productive; however, these technologies raise important privacy concerns as the boundaries between work and home are further blurred. In this paper, we present findings from a study of 645 US workers who spent at least part of 2020 working remotely due to the pandemic. We explore how their work experiences (job satisfaction, stress, and security) changed between January and November 2020, as well …

What Can We Learn From Covid-19?: Examining The Resilience Of Primary Care Teams, Frederick L Oswald, Trang N D Pham, Cheng Jiang, Sylvia J Hysong

Faculty, Staff and Students Publications

INTRODUCTION: The COVID-19 pandemic continues to place an unprecedented strain on the US healthcare system, and primary care is no exception. Primary care services have shifted toward a team-based approach for delivering care in the last decade. COVID-19 placed extraordinary stress on primary care teams at the forefront of the pandemic response efforts. The current work applies the science of effective teams to examine the impact of COVID-19-a crisis or adverse event-on primary care team resilience.

METHODS: Little empirical research has been done testing the theory of team resilience during an extremely adverse crisis event in an applied team setting. …

Unmet Needs And Coping Strategies Of Older Underserved Veterans During The Covid-19 Pandemic, Nipa Kamdar, Gala True, Mark E Kunik

Faculty, Staff and Students Publications

INTRODUCTION: The COVID-19 pandemic has had profound impacts on people with diabetes, a group with high morbidity and mortality. Factors like race, age, income, Veteran-status, and limited or interrupted resources early in the COVID-19 pandemic compounded risks for negative health outcomes. Our objective was to characterize the experiences and needs of under-resourced Veterans with type 2 diabetes during the COVID-19 pandemic.

METHODS: We conducted semi-structured qualitative interviews (March through September 2021) with U.S. military Veterans with diabetes. Transcripts were analyzed using a team-based, iterative process of summarizing and coding to identify key themes. Participants included Veterans (n = 25) who …