Digital Commons Network^™

Expanding The Agency Of Incarcerated People, Amber Kim

Seattle Journal for Social Justice

No abstract provided.

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …

Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler

Walden Dissertations and Doctoral Studies

Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …

Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah

Walden Dissertations and Doctoral Studies

A lack of diversity and inclusion policies can lead to the perception of exclusion in the workplace and cause some employee groups to underperform. Some hospital leaders lack strategies for developing and implementing effective diversity and inclusion policies to improve business performance. Grounded in transformation leadership theory, the purpose of this multiple case qualitative study was to explore strategies for improving performance through diversity and inclusion in the healthcare field. The participants included four leaders from hospitals located in the southeastern region of the United States. Data were collected using semistructured interviews and review of company documents. Data were analyzed …

The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins

Walden Dissertations and Doctoral Studies

Patient satisfaction has been utilized to measure healthcare quality and outcomes, which affects reimbursement. Some claim such measures could be biased as they do not consider the patient’s socioeconomic status. Measuring the quality of care, Area Deprivation Index (ADI), and patient experience has been captured and publicly reported; and the measuring indicator Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), however, hospitals serving patients in low ADI areas generally score poorly. Grounded in the theory of Donabedian, the purpose of this quantitative correlational study was to examine the relationship between patient experience associated with socioeconomic disparities and how patients …

Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler

Walden Dissertations and Doctoral Studies

Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …

Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson

Walden Dissertations and Doctoral Studies

Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the …

Religiosity, Family Sexual Communication & Gender As Predictors Of Attitudes Toward Oral Sex Among College/University Students In The United States, Antoinette Napier

Dissertations

Purpose

The purpose of this study was to investigate whether religiosity, family sexual communication and gender were predictors of attitudes toward oral sex among college/university students in the United States.

Method

Participants completed several surveys, which measured participants' personal religiosity, family sexual communication, and attitudes toward oral sex. A path analysis model was used to analyze the relationship between the proposed variables.

Results

The path analysis hypothesized model resulted in a poor fit for the data. The model was respecified by removing three items which showed weak beta weights. The respecified model produced a good fit for the data. The …

Not Just A Pain: A Medical Simulation Case About Biased Communication And Osteomyelitis In Pediatric Sickle Cell Anemia, Adeola A Kosoko, Yakira R Alford, Karl A Upplegger, Gowri S Stevens

Faculty, Staff and Student Publications

Introduction

Biases in communication can be harmful to patient perceptions of care and the medical team's decision-making. Optimal communication must be taught and practiced similarly to the optimal management of the complex medical conditions associated with sickle cell disease (SCD). This simulation is designed to teach about biases, optimizing communication to and about a patient with SCD, and appropriately diagnosing and managing pediatric osteomyelitis as a complication of SCD.

Methods

We designed and implemented a simulation case targeting emergency medicine residents and fellows to raise awareness about biases associated with SCD care and the complication of osteomyelitis in children with …

Black Marriage, Attachment And Connecting In Relationships: An Observational Multi-Method Study Investigating The Effects Of The Getting The Love You Want Workshop On Black Couples’ In-Session Attachment, Interactions, Marital Satisfaction And Communication, Paula Smith

Antioch University Dissertations & Theses

The focus of this dissertation is examining the impact of Imago Relationship Therapy (IRT), more specifically the “Getting the Love You Want” workshop (GTLYW), on five Black/African American couples’ attachment, interactions, marital satisfaction and communication. This study examines Black couples’ lived experiences through a modified version of a quantitative measure, called the Patient Attachment Client System (PACS), the Marital Satisfaction Questionnaire-Revised (MSQ-R), semi-structured questionnaires to measure qualitative data as well as direct observation of participants’ interactions. PACS analyzes how patients’ in-session discourse enables them to share present experiences and link these processes with their attachment structure. In this view, attachment …

“My Ob/Gyn Has The Worst Bedside Manner…” A Qualitative Analysis Of Patient-Provider Communication And Mental Health Outcomes Of Women In Rural Georgia, Tobi F. Oloyede

College of Graduate Studies: Theses & Dissertations

Despite technological advances in medicine and public health innovations, maternal mortality in the United States remains significantly higher than in other developed countries. Specifically, Georgia ranks as the second worst place to give birth in the country. Maternal mental health conditions are common, manageable complications that can happen at any point during pregnancy, childbirth, or in the first year following delivery, with 1 in 5 women affected. Unfortunately, 75% of women who experience MMH symptoms are left untreated.

This study focuses on patient-provider communication through the birthing experiences of women who have been pregnant in Georgia to examine how their …

Staff Perceptions Of The Effectiveness Of Managerial Communication During The Covid-19 Pandemic: A Cross-Sectional Study, Gemma Doleman, Linda Coventry, Amanda Towell-Barnard, Manonita Ghosh, Lucy Gent, Rosemary Saunders, Beverly O'Connell

Research outputs 2022 to 2026

Aims: This work aims to explore staff perceptions of (1) the effectiveness of organizational communication during the COVID-19 pandemic and (2) the impact of organizational communication on staff well-being and ability to progress their work and patient care. Background: Effective coordination and communication are essential in a pandemic management response. However, the effectiveness of communication strategies used during the COVID-19 pandemic is not well understood. Design: An exploratory cross-sectional research design was used. A 33-item survey tool was created for the study. Methods: The study was conducted at a tertiary teaching hospital in Western Australia. Convenience sampling was used to …

Philosophical Inquiry In A Culturally Diverse, Faith-Based Community, Kwadwo Adusei-Asante, Kaz Bland, Nin Kirkham, Douglas Nelson, Stella Tarrant

Research outputs 2022 to 2026

This paper reports on collaborative research undertaken with the African Australian Christian Impact Centre (CIC) in Perth, Western Australia. It is part of a larger university philosophy outreach program in which the researchers seek to create opportunities for those on the educational and social margins, and young people, to engage in ‘doing philosophy’, and to learn from them about their experiences. We were interested to evaluate whether the collaborative philosophical inquiry methods we use in our university teaching could be beneficial outside of a formal educational setting, for members of the culturally diverse, faith-based community of CIC. In this multi-method …

Nurses’ Perception Of Missed Nursing Care In A Western Australian Teaching Hospital: A Cross-Sectional Study, Afia A. Sarpong, Diana Arabiat, Lucy Gent, Ebenezer Afrifa-Yamoah, Mandy Towell-Barnard Phd, Mnursing

Research outputs 2022 to 2026

Background

Missed nursing care (MNC) has gained increasing emphasis in nursing literature because of its association with nurse and patient outcomes in healthcare settings. While missed care has been widely studied, little evidence is available on the types and frequency of missed care, reasons for its occurrence, and predictors of missed care in Western Australia.

Aims

To determine nurses’ perceptions of the types of MNC, reasons for missed care and to identify factors predicting missed care occurrence in Western Australian acute care settings.

Methods

A cross-sectional study in medical and surgical wards was performed. The nurse MISSCARE survey tool was …

Profound Simplicity: Lessons Learned From Ed Schein On Rituals That Sustain And Nurture Relationships, Ilene C. Wasserman

PCOM Scholarly Works

As I attempt to digest Ed Schein's recent passing, I am present to the friendship I was honored to develop with him over the past 12 years and the voluminous lessons I learned. Like so many, my career was shaped by Ed Schein's scholarship. And yet, it was in our personal, unstructured conversations that I was most impacted by who he was, and the values and principles by which he lived. Our conversations centered on what creates, sustains and nurtures relationships all while we were doing so.

Needing More, Needing Less: Unravelling Why A Prompt Dependency Cycle Forms In Neurodiverse Relationships, Bronwyn Maree Wilson, Susan Main, John O’Rourke, Eileen Slater

Research outputs 2022 to 2026

Social interaction is a fundamental component of relationships; however, the key features of Autism Spectrum Disorder (ASD) include marked and lifelong impairments in social interaction that adversely affects abilities to fulfil this essential relationship requirement. Despite the momentum of worldwide research on ASD, there is insufficient empirical study on adults with ASD and their relationships. This research examined the reported social interaction needs of adults when involved in neurodiverse relationships (relationships that include adults with ASD and neurotypical (NT) adults). The use of an advocacy/participatory approach allowed for a detailed investigation of the characteristics of participants’ interpersonal communication. It was …

Readiness For Transfer: A Mixed-Methods Study On Icu Transfers Of Care, Soo-Hoon Lee, Clarice Wee, Phillip Phan, Yanika Kowitlawakul, Chee-Kiat Tan, Amartya Mukhopadhyay

Management Faculty Publications

Objective Past studies on intensive care unit (ICU) patient transfers compare the efficacy of using standardised checklists against unstructured communications. Less studied are the experiences of clinicians in enacting bidirectional (send/receive) transfers. This study reports on the differences in protocols and data elements between receiving and sending transfers in the ICU, and the elements constituting readiness for transfer.

Methods Mixed-methods study of a 574-bed general hospital in Singapore with a 74-bed ICU for surgical and medical patients. Six focus group discussions (FGDs) with 34 clinicians comprising 15 residents and 19 nurses, followed by a structured questionnaire survey of 140 clinicians …

A New Era Of Policing: Uncovering Ways Officers Believe Community Relations Can Be Restored, Bradi Kai Kooyman

University of the Pacific Theses and Dissertations

The present study qualitatively investigated law enforcement officers’ opinions on creating more positive relationships with community members and how news media can play a role in deteriorating community attitudes and perceptions of law enforcement officers. A total of six participants were selected to participate in a forty-five-minute interview. Participants were asked questions regarding positive and negative factors in their relationship with their communities, local and national law enforcement portrayals in news media, reforms needed within law enforcement, beliefs toward community policing, and factors that lead to success in their relationships with citizens. This study discovered that building trust, implementing community …

Hearing Aid Loan Program For Hearing Loss At The End Of Life, M. Courtney Hughes, Diane Schecklong, King Chung

Faculty Articles, Papers, and Other Scholarship

This article describes a hearing aid loan program to provide free amplification devices for patients at the end of life to help them communicate more effectively at this critical time. It includes steps for establishing such a program, addressing challenges, and the role of the informal caregiver throughout the intervention. Healthcare professionals and social workers are encouraged to develop similar programs and use the information here as helpful suggestions to consider for their programs.

Survey Data On Dysfunctional Attitudes, Personality Traits, And Agreement With Persuasive Techniques, Annye Braca, Pierpaolo Dondio

Articles

Persuasion techniques play a vital role in human commu- nication, influencing various aspects of our lives. With the increasing prevalence of digital platforms, these techniques have permeated online spaces such as websites, mobile apps, games, and social media. This article presents a dataset col- lected via a survey, designed to gather information about in- dividuals’ demographics, personality traits, dysfunctional at- titudes, and their responses to statements embedded with persuasion techniques. Core messages promoting paid news subscriptions, blood donations, and exercise serve as the fo- cus, while definitions and examples of persuasive techniques are provided. By analyzing this comprehensive dataset, re- …

A Survey Of Using Machine Learning In Iot Security And The Challenges Faced By Researchers, Khawlah M. Harahsheh, Chung-Hao Chen

Electrical & Computer Engineering Faculty Publications

The Internet of Things (IoT) has become more popular in the last 15 years as it has significantly improved and gained control in multiple fields. We are nowadays surrounded by billions of IoT devices that directly integrate with our lives, some of them are at the center of our homes, and others control sensitive data such as military fields, healthcare, and datacenters, among others. This popularity makes factories and companies compete to produce and develop many types of those devices without caring about how secure they are. On the other hand, IoT is considered a good insecure environment for cyber …

Measuring The Effectiveness Of Using Rangers To Deliver A Behavior Change Campaign On Sustainable Palm Oil In A Uk Zoo, Katie Major, Daniel Smith

School of Psychology

A fundamental objective of modern zoos is promoting pro-environmental behaviors. This study experimentally assessed the contribution of zoo rangers (staff employed to engage visitors) in delivering a behavior change campaign promoting sustainable palm oil use. The campaign was delivered in a dedicated area in a walk-through animal exhibit, with rangers either “present” or “absent” in the campaign space. Questionnaires assessing awareness, knowledge, and purchasing intentions were completed by 1032 visitors. Two analyses were conducted: (1) comparing the impact of ranger presence versus absence (to assess the overall impact of having rangers present regardless of whether they talked to visitors) and …

Improving Handoff Communication In The Emergency Department, Amy Shepherd

Doctor of Nursing Practice Projects

Ineffective handoff communication has been recognized for years as a practice issue and is the most frequently reported cause of sentinel events in U.S. hospitals (Dufault et al., 2010) and responsible, at least in part, for 30% of all malpractice claims (Fucik, 2019). The development of standardized tools has been identified as a key component to improving handover practice. For this project, a standardized SBAR tool was modified for a local emergency department. The intervention was a process change in the emergency department to utilize an SBAR tool during handoff reports. The project was implemented by educating staff on the …

Community-Based Organization Leaders’ Communication Effectiveness And Effects On Performance Outcomes, Troy N. Nicholas

Walden Dissertations and Doctoral Studies

The purpose of this study was to determine if effective leader communication builds employee relationships that improves organizational performance. Organizational communication is a prominent factor that impacts the outcome of an organization’s goals and assists in executing its mission. There remain some gaps in the current literature considering the work environment and the attitudes of employees as they relate to organizational communication. To address the gap, the constructive grounded theory model was used to construct and analyze a theory of organizational communication. The sample for the study included 12 participants who were leaders or employees in a community-based organizations in …

Interpersonal Conversations In The Restaurant Industry, Erik Michael Ivey

Walden Dissertations and Doctoral Studies

Managers in the restaurant industry continue to struggle with workplace engagement and turnover at a rate of 31.8% greater than other industries. The general problem is that interpersonal relationships between employees and managers is a leading cause of issues related to job turnover and employee engagement. The specific problem is that some hospitality managers lack strategies to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. The purpose of this qualitative critical instance case study was to explore strategies hospitality managers use to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. …

Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson

Walden Dissertations and Doctoral Studies

Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the …

Increasing Self-Awareness In Nursing, Adrienne Irene Abbot

Walden Dissertations and Doctoral Studies

Nursing self-awareness is essential for nurses to develop relationships with co-workers and patients. In the local organization, the practice problem for this doctoral project is a perceived low level of self-awareness in nursing. This Doctor of Nursing project aimed to determine if an educational intervention focused on self-awareness and the benefit of self-awareness increased knowledge among nurses working on a medical-surgical unit. A comprehensive literature review of peer-reviewed evidence provided evidence to support this project. A total of 26 individuals (N = 26) participated in the educational intervention. Eighty-nine percent (89%) of the participants (n = 23) were female, and …

The Role Of Social Media As A Communication Facility For Hydrometeorological Disasters In Shallot Farming Activities, Nurul Khotimah, Dyah Respati Suryo Sumunar, Suhadi Purwantara, Nugraho Sistu Prabintoro, Mohd Hairy Ibrahim, Nasir Nayan

Informasi

Social media as a means of communication plays a role in building a new paradigm of disaster. One of the social media users for hydrometeorological disaster communication is a shallot farmer in Parangtritis Village, Kretek Subdistrict, Bantul District, Yogyakarta Special Region. This study aims to determine the role of social media as a means of communication for hydrometeorological disasters in shallot farming activities. The design of this research is descriptive quantitative research. The research was carried out from April to October 2021 by taking the location of shallot farmers in Parangtritis Village, Kretek Subdistrict, Bantul District, Yogyakarta Special Region. The …

A Pilot Intervention Combining Assessment And Feedback With Communication Training And Behavioral Nudges To Increase Hpv Vaccine Uptake., Andrea Bradley-Ewing, Brian R. Lee, Jason N. Doctor, Georgann Meredith, Kathy Goggin, Angela Myers

Manuscripts, Articles, Book Chapters and Other Papers

Human papillomavirus (HPV) causes >40,000 cancer diagnoses each year, yet vaccination rates remain low because widespread implementation of strategies to increase vaccinations has not occurred. Behavioral nudges have demonstrated efficacy in improving uptake of desired behaviors in health care settings but have not been tested for increasing HPV vaccinations. We assessed the impact of an intervention combining behavioral nudges with other proven strategies (i.e., assessment and feedback, provider communication training) on HPV vaccination rates and parental satisfaction in four Midwestern pediatric, outpatient practices. Practices were randomly assigned to receive either assessment and feedback or assessment and feedback combined with vaccine …

Randomized Algorithms For Resource Allocation In Device To Device Communication., Subhankar Ghosal Dr.

Doctoral Theses

In device to device (D2D) communication, two users residing in close proximity can directly communicate between them, through a common channel, without the need of a base station. A pair of D2D users forms a link and a channel needs to be allocated to it. The interference relationship among the active links at time t is modelled as an interference graph g(t). To establish interference-free communication, we have to assign a channel vector C(t) and a power vector corresponding to the active links such that the required signal to interference plus noise ratio (SINR) is satisfied for each link. Since …