Digital Commons Network^™

Reducing Vulnerability To Burnout Among Family Caregivers, Stephen J. Alvarado

Capstone Projects and Master's Theses

Family caregivers experience high levels of burnout and stress, which can negatively affect their well-being and the quality of care they provide. This capstone project was implemented at Health Projects Center in Salinas within the Del Mar Caregiver Resource Center program. Del Mar Caregiver Resource Center serves a diverse community of family caregivers, predominantly Caucasian, Hispanic, and Latino individuals caring for loved ones with a neurodegenerative disease like Alzheimer’s or memory impairment. The purpose of this project was to improve caregivers’ knowledge, confidence, awareness, and intention regarding self-care strategies to reduce their vulnerability to burnout related to caregiving. The project …

Exploring The Role Of Cine-Virtual Reality In Empathy And Awareness Of Social Determinants Of Health Among Occupational Therapy Students, Leah M. Stade, Madison Mckeever, Emma Gardner, Jana L. Wardian Phd

Innovations in Health Sciences Education Journal

Understanding social determinants of health (SDOH) is crucial for Occupational Therapy students to develop empathy and deliver optimal healthcare. This study explores using web-based 360° cinematic virtual reality (cine-VR) simulations in Level I fieldwork to address SDOH education and occupational engagement before community-based exposure.

This mixed methods study involved surveys and thematic analysis of written reflections from fifty students in a distance-based program at a Midwest university. Students viewed 12 web-based immersive cine-VR modules about a client experiencing multiple SDOH impacts. Surveys were conducted at baseline, post-intervention, and 6-weeks post-intervention, measuring empathy using the Jefferson Empathy Scale and attitudes toward …

A Market Of Care Skills: Profiting From Professional Education And Practice, Yasmin Y. Ortiga

Research Collection School of Social Sciences

Who profits from the commodification of care and how does such accumulation occur? Focusing on the case of the nursing care market, this paper shows how professional schools and local hospitals within source nations like the Philippines profit from nurses seeking the credentials to qualify for jobs overseas. While existing studies show how nursing skills are exploited and undervalued, this paper argues that it is the process of skilling itself that allows for the accumulation of profit, regardless of whether nurses leave their origin countries to work abroad. This study reveals how global care economies are tightly linked to local …

Investigating The Associations Of Cognitive Health, Health Behaviors, And Personality In Older Community-Dwelling Adults, Yan-Jhu Su

Graduate Doctoral Dissertations

Cognitive decline poses a significant public health challenge, with profound implications for aging populations. This dissertation investigates the associations between health behaviors, leisure activities, personality traits, and cognitive function in older U.S. adults, using data from the Health and Retirement Study (HRS) and the Consumption and Activities Mail Survey (CAMS). This work comprises three studies that explore both cross-sectional and longitudinal perspectives on cognitive aging.

Study 1 examines the complex interactions between personality traits, education, health behaviors, and cognitive function. The study is divided into two parts: Study 1a explores the role of health behaviors—smoking, alcohol use, and physical activity—as …

Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason

Walden Dissertations and Doctoral Studies

In this staff education initiative, I focused on fall prevention in long-term care facilities (LTCFs) by reinforcing the Morse Fall Scale fall risk assessment tool. Falls in LTCFs are a significant concern, leading to injuries, hospitalization, and declining residents' quality of life. The practice problem stems from insufficient staff training, contributing to inadequate patient care and an increased risk of falls. The practice-focused question was used to explore whether education about fall prevention measures and guidelines improves long-term care nurses’ knowledge and intent to follow these guidelines; a total of 23 participants were involved in this project. Pre- and post-education …

Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda

Walden Dissertations and Doctoral Studies

Dementia is a chronic neurodegenerative disease that is incurable and unpredictable. Patients with dementia experience a decline in functional abilities, communication, and social skills. Fifty-five million people worldwide live with dementia with over 6.9 million people over 65 years of age diagnosed in the United States. The practice problem identified by a 25-bed assisted living facility in the north-central United States was staff’s lack of knowledge of dementia diagnosis, person-centered care approaches, and optimal care strategies supporting a positive quality of life for patients with dementia. The practice-focused question addressed whether an education program consisting of evidence-based practices using the …

Behavior Analysts’ Training And Practices Regarding Cultural Diversity: A Replication And Extension, Tania M. Valdez-Nuguid

Theses & Dissertations

Culturally responsive care, which involves adapting assessment and treatment methods to reflect the culture of individuals served (Sue & Torino, 2005), is crucial for client success, especially for minoritized and marginalized groups. This study replicated and extended Beaulieu et al. (2019) by surveying behavior analysts on their training, perceived competence, and practices in culturally responsive care. We extended Beaulieu et al. (2019) by including open-ended questions regarding culturally responsive practices and barriers faced in delivering culturally responsive care and offering the survey in Spanish. Participants reported feeling skilled and comfortable providing culturally responsive care, with increased training across various modalities. …

Educating The Educators: Increased Sexuality Training For Counselor Educators, Joshua C. Taylor

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

A robust body of literature has identified the need for counselors-in-training (CITs) to receive additional training in sexuality counseling. Growing efforts to identify efficacious training strategies have also been well-documented in the literature. These suggested updates have implicitly increased the counselor educator's role in delivering strategies to promote sexual counseling competence for CITs. Unfortunately, there is a dearth of literature regarding the adequate preparation of counselor educators in providing sexuality education. This article will underscore the counselor educator’s role in facilitating competence in sexuality counseling for CITs and provide a model for infusing sexuality counseling into doctoral curriculum.

Implementation Of An Evidence-Based Hearing Education Project For Patients And Their Care Partners, Jennifer Mahoney

Doctoral Projects

Hearing loss is a significant communication issue that impacts relationships, safety, and mental and physical health. There is an increased risk of dementia as well as increased mortality associated with untreated hearing loss. Hearing aids are one of the main treatments for hearing loss, but they are frequently not used. Cognitive impairment, osteoarthritis of the hands, cost and complexity are some of the reasons that hearing aids do not get utilized. But research has shown that involving family members and care partners in trainings on how to use hearing aids may increase use of them. The goal of this project …

New Tricks? Understanding The Role Of Education, Incarceration, And Reentry On The Older Correctional Population, Angela S. Murolo Phd, Lena Campagna Phd

Journal of Prison Education Research

Abstract

Education in prison provides an opportunity for personal growth and increased professional opportunities upon release. As older people leave prison and return to communities, the need for education serves multiple functions including successful reentry and healthy aging. The aim of this research was to explore the current literature relevant to older people during incarceration and upon release. The authors conducted a systematic literature review on 15 years of research between 2008- 2023 to understand how education in prison impacts older people while incarcerated and upon release. Articles published prior to 2008 were excluded from this study. Twenty-seven articles were …

State Schooling Policies And Cognitive Performance Trajectories: A Natural Experiment In A National Us Cohort Of Black And White Adults, Min Hee Kim, Sze Yan Liu, Willa D. Brenowitz, Audrey R. Murchland, Thu T. Nguyen, Jennifer J. Manly, Virginia J. Howard, Marilyn D. Thomas, Tanisha Hill-Jarrett, Michael Crowe, Charles F. Murchison, M. Maria Glymour

Department of Public Health Scholarship and Creative Works

Background: Education is strongly associated with cognitive outcomes at older ages, yet the extent to which these associations reflect causal effects remains uncertain due to potential confounding. Methods: Leveraging changes in historical measures of state-level education policies as natural experiments, we estimated the effects of educational attainment on cognitive performance over 10 years in 20,248 non-Hispanic Black and non-Hispanic White participants, aged 45+ in the Reasons for Geographic and Racial Disparities in Stroke cohort (2003-2020) by (1) using state- and year-specific compulsory schooling laws, school-term length, attendance rate, and student-teacher ratio policies to predict educational attainment for US Census microsample …

Lifelong Learning And Perceived Quality Of Life: An Exploratory Study Of Older Adult Learners In Southern California, Guadalupe Salgado-Shower

Theses and Dissertations

This exploratory study examines the impact of lifelong learning programs (LLPs) on the perceived quality of life among older adults (OAs) against a global demographic shift towards an aging population (Narushima et al., 2018). With the number of people aged 60 and above projected to nearly double by 2050, understanding and enhancing the well-being of OAs has become imperative (United Nations, 2019). Lifelong learning (LL), involving the continuous acquisition of knowledge and skills irrespective of age, emerges as a promising avenue for improving cognitive functioning, social engagement, and emotional well-being among OAs (Longworth & Davies, 2017). This exploratory study adopts …

Oral Health In Long-Term Care Facilities: A Systematic Review, Eman Zaman

Honors Undergraduate Theses

Oral health in long-term care facilities (LTCFs) is becoming an increasing concern as the older population grows bigger. The oral hygiene of residents in nursing homes is deteriorating which may attribute to lack of education given to caregivers. A literature review was conducted using electronic databases such as PubMed, ProQuest, and PsychINFO to explore oral health in LTCFs and workforce’s roles in providing oral care. Findings across eight studies highlight the inadequate care residents are receiving due to several barriers resulting poor oral health outcomes. Oral health is not prioritized because caregivers are not educated on the consequences it may …

Why Occupational Therapy?: A Qualitative Analysis Of Incoming Students’ Reasons For Entering The Profession, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Insight into students’ views and understandings of what occupational therapy (OT) practitioners do and what a career will be like can shed light into how the profession is socially perceived. Additionally, this knowledge can be useful for recruitment, retention, and curriculum design, especially for addressing misunderstandings and inaccurate perceptions. Therefore, the objective of this study was to examine the narratives of incoming OT students when asked why they chose to enter the profession of OT. Descriptive statistics were used to analyze sociodemographic data, and then thematic analysis was used to analyze qualitative data about why participants wanted to become occupational …

Vision Rehabilitation In Ot And Ota Curricula: A Survey To Academic Programs, Angela Butler, Beth A. Barstow

Journal of Occupational Therapy Education

Occupational therapists are trained to evaluate and treat occupational performance problems. Client factors, such as vision, greatly impact an individuals’ ability to participate in meaningful occupations. New accreditation standards do not include language related to vision. Therapists must be prepared to evaluate and treat the increasing prevalence of visual challenges from children with cerebral visual impairment to older adults with age related conditions. This survey explored how vision rehabilitation is covered in accredited occupational therapy and occupational therapy assistant programs and the expertise of faculty teaching vision content. A thirteen-question survey was sent to accredited programs. Questions included multiple response, …

Multifactorial Fall Interventions For People Over 65 Years In The Acute Hospital Setting: Pre–Post-Test Design, Allison Wallis, Christina Aggar, Deb Massey

Research outputs 2022 to 2026

Background: Falls are the most reported patient safety incident for patients >65 years in acute hospital settings worldwide. While multifactorial fall interventions reduce the number of falls in subacute and rehabilitation settings, fall interventions in acute hospital settings are unknown. Aim: To evaluate the effectiveness of multifactorial fall interventions on the number of falls using codesigned education targeting staff and the patient and review the environment in acute hospital settings in NSW, Australia for patients over 65 years of age. Method: A pre–post-test design with a non-equivalent group was conducted. All acute hospital inpatient falls occurring both pre- and post-intervention …

Implementing A Gerontological Nursing Competencies Programme In Aged Care: Participant Experiences, Victoria Traynor, Nicole Britten, Diane Gibson, Stephanie Munk, Lynn Chenoweth, Jolan Stokes, Tracey Moroney, Karen Strickland, Toni Donaghy, Kasia Bail

Research outputs 2022 to 2026

Aims: To explore the experience of registered nurses and their mentors in the implementation of the Gerontological Nursing Competencies in long-term aged care and the perceived effectiveness and suitability of the programme to support nurse development. Background: The global population is ageing and needs a reliable aged-care nursing workforce. Introduction: Opportunities for education and mentorship for newly qualified and experienced aged-care nurses warrant investigation. Methods: Qualitative evaluation using semi-structured focus groups was conducted following the implementation of the programme into five not-for-profit long-term aged-care organisations and analysed by a reflexive qualitative thematic approach and reported according to COREQ criteria. Results: …

Nurse Graduates’ Experiences With Pain Science – A Qualitative Study, Rachel Bee, Cynthia Goodrich

Wisdom & Compassion: The LUSON Journal

Background: While the nursing profession has made great strides in pain management over the last 20 years, patients often report being under-assessed and undertreated for pain.

Purpose: The study purpose was to understand the lived experiences of practicing nurses who had completed a baccalaureate-level pain management course during their undergraduate training. The study aims included understanding how pain management skills were implemented in the clinical arena, determining barriers to implementing pain management skills, and identifying opportunities to improve the patient experience regarding pain management.

Design: The researchers implemented a qualitative methodology with a phenomenological design. Data collection consisted of semi-structured …

Social Structural Differences In Qualitative Perspectives On Well-Being, Jennifer Morozink Boylan, Monica Adams, Julia K. Boehm

Psychology Faculty Articles and Research

Well-being (WB) is associated with healthier and longer lives, more social connections, and workplace success. However, assessment of WB is primarily based on self-report measures. This mixed-methods research examined how diverse adults described the sources of their WB and whether such views differed by education, race, and gender. Data came from midlife and older adults from the Midlife in the United States Study who responded to the question “What do you do to make your life go well?” (N = 2,118; 54% some college or less; 19% Black). We used directed content analysis to develop a codebook comprising 20 …

Money Matters To All Students, George Padilla, Michelle H. Abrego

i.e.: inquiry in education

The question whether money matters in education strikes at the foundation of America’s democracy—an educated electorate. Despite decades of evidence that money does matter, the question still remains unanswered among many and even answered to the contrary of the evidence. It is important to fully understand that money does matter in American education, American lives, and America’s future and to increase awareness of political and social factors that undermine that money matters for all students to learn.

Analyzing The Impact Of Implicit Bias In Pharmacy And Healthcare-Related Professions, Jessica Bylyku

Honors Scholar Theses

American healthcare is a broad, complicated field of study and work. Those who work in healthcare may possess or be affected by implicit biases, which complicates matters more. Implicit bias is the unconscious mental tendency to create automatic associations with a particular group of people.1 As such, implicit biases have the potential to become explicit biases in the form of stereotyping, microaggressions, prejudice, and ultimately discrimination. Researchers believe implicit biases may have a biological basis in human brains, and several theories implicate bias in decision-making processes. The implications of bias have promoted researchers to perform many studies about effects on …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Chairs Of Excellence Annual Report 2024, Tennessee. Higher Education Commission.

Academic Programs and Workforce Reports

No abstract provided.

Frailty Knowledge, Training And Barriers To Frailty Management: A National Cross-Sectional Survey Of Health Professionals In Australia, Leila S. Hanjani, Sarah Fox, Ruth E. Hubbard, Emily Gordon, Natasha Reid, Sarah N. Hilmer, Rosemary Saunders, Danijela Gnjidic, Adrienne Young

Research outputs 2022 to 2026

Objective(s): To understand Australian health professionals' perceptions of their knowledge and previous training about frailty, as well as barriers to frailty assessment and management in their practice. Methods: A cross-sectional online survey was developed and distributed to health professionals (medical, nursing and allied health) engaged in clinical practice in Australia through convenience and snowball sampling techniques from March to May 2022. The survey consisted of five sections: frailty training and knowledge; confidence in recognising and managing adults with frailty; the importance and relevance of frailty; barriers to assessing and managing frailty in practice; and interest in further frailty training. Responses …

Outcomes From An Interprofessional, Dementia-Focused, Telementoring Program: A Brief Report, Julianna Fernandez, Kathryn S Agarwal, Amber B Amspoker, Kyler M Godwin, Erial Green, Sabrina Pickens, Jasmin Lindo, Ali Abbas Asghar-Ali

Faculty, Staff and Students Publications

Despite a burgeoning older-adult population, the number of healthcare professionals with geriatric expertise continues to lag behind. In 2014, the American Geriatrics Society’s position statement encouraged interprofessional training for healthcare professionals. Telementoring remotely connects clinicians with specialists for education and group mentoring. This dementia-focused, 11-month, 1-hour each, telementoring program was modeled on the Alzheimer’s Association ECHO. Our interprofessional expert panel consisted of a geriatrician, a geriatric psychiatrist, an adult nurse practitioner (with geriatrics expertise), 2 geriatric pharmacists, a licensed social worker (coordinating a dementia day program), and a project coordinator. Learners were residents in family medicine and general psychiatry, physician …

Application Of Teaching Regarding Injury Appearance In Darker Pigmented Skin Patients: A Quality Improvement Project, Tiffany Akiba

DNP Projects

Significance and Background: The skin is the largest organ of our body, and skin injury prevention begins with accurately inspecting skin. Current practices stress on looking for any signs of redness which often signify that the skin is possibly injured or compromised. However, darker skin tones do not appear red when injured. Assessing for redness is a practice that is suited better for lighter skin tones.

Purpose: Provide education to providers on current skin assessment practices of darker skin tones.

Methods: The IHI Model of Improvement was used for this project, and the Plan-Do-Study-Act cycle was used to test for …

Use Of Evidence-Based Telehealth To Reduce Complications In Adults With Type 2 Diabetes In A Rural Health Facility, Joni Kelley

Doctor of Nursing Practice Projects

Background: Formal education for type 2 diabetes mellitus (T2DM) patients is essential, especially in rural areas where diabetes is approximately 17% higher than in urban areas (Bolin & Ferdinand, 2018). In 2019, diabetes was listed as the direct cause of 1.5 million deaths, and 48% of all deaths due to diabetes occurred before 70 years (American Diabetes Association, 2021). According to the American Diabetes Association (2021), approximately 550,149 people in Alabama, or 14.1% of adults, have been diagnosed with diabetes. An additional 119,000 people in Alabama have diabetes but are unaware, significantly increasing their risk of complications (American Diabetes Association, …

Education, Beliefs, And Health Literacy Of Care Providers On Mouth Care Of Older Adults, Molly Lakin

Honors Program: Senior Projects (Public)

Oral health is important to one’s overall health and quality of life as it can lead to chronic illnesses such as cardiovascular disease, stroke, and neurodegenerative disorders (Haumschild et al. 2021). In long-term care facilities, it is important that dependent older adults are provided mouth care to maintain their oral health and decrease their chances of developing a chronic illness; however, there are barriers affecting the level, quality, and quantity of mouth care being provided in these facilities. A survey was developed to look at the education, beliefs, and health literacy of care providers on providing mouth care in hopes …

Gender, Personality, And Cognitive Resilience Against Early-Life Disadvantage, Joseph L. Saenz, Sadaf Arefi Milani, Silvia Mejia-Arango

School of Medicine Publications

Objectives: Early-life disadvantage (ELD) relates to lower late-life cognition. However, personality factors, including having an internal locus of control (LOC) or a conscientious personality, relate to resilience and effective stress coping. We explore whether personality factors convey resilience against the negative effects of ELD on cognition, by gender, in Mexico.

Methods: Using the 2015 Mexican Health and Aging Study, we estimated expected cognition using multiple ELD markers to identify a subsample in the lowest quartile of expected cognition given ELD (n = 2,086). In this subsample, we estimated cross-sectional associations between personality and having above-median observed cognitive ability (n = …

Impact Of An Aprn Directed Workflow Change On Outpatient Palliative Care Referral Acceptance Rates, Stefanie Rashti

West Chester University Doctoral Projects

Abstract

Patients diagnosed with an advanced disease or serious illness often experience a variety of distressing symptoms that can negatively impact their functional status and quality of life. Outpatient palliative care is a medical specialty that often requires a referral from a primary care or specialty care provider who has identified a need for specialized pain and symptom management, psychosocial or caregiver distress, end-of-life care management, or goals of care discussions. Despite notable effectiveness in the provision of palliative care for patients with advanced disease and serious illness, barriers exist that prevent patients from accepting palliative care referrals even after …