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Asia Pacific Perspectives Vol. 14 No. 1, Fall 2016, University Of San Francisco

Asia Pacific Perspectives

Contents:

Editor's Introduction by Melissa Dale

This special issue presents five papers focused on themes related to the social history of medicine and contemporary cultural understandings of disease and patients' lived experiences in the Asia Pacific.

Rethinking Breast Mountain (Yuam): Surgical Treatments of Breast Cancer in South Korea, 1959-1993 by Soyoung Suh

This article analyzes premodern Korean medical treatises, professional surgical journals, and patient memoirs to expand our understanding of surgical treatment of breast cancer between 1959 and 1993 in South Korea. This essay discusses changing historical connotations of breast ailments, treatments, and surgical interventions. Although the depiction of breast …

Investigating Community Perspectives On Falls Prevention Information Seeking And Delivery: Older Person Perceptions Regarding Preferences For Falls Prevention Education Using A World Cafe Approach, C Bulsara, L Khong, A Hill, K Hill

Health Sciences Papers and Journal Articles

Falls among older people are a significant global socioeconomic problem, and older adults have low levels of self-perceived risk and a lack of willingness to take up existing falls prevention strategies. We believe that given the challenges of delivering falls prevention information, meaningful engagement of community members would create solutions based on an understanding of what would work best for that community. A World Cafe community forum sought the opinions of 70 community-dwelling older people about their preferences on how they would best receive and seek falls prevention information that could prevent falls within their age group. Participants evaluated the …

Essays In Economics Of Institutions And Culture, Luiza Valeriyevna Pogorelova

LSU Doctoral Dissertations

In this dissertation, I present two distinct essays in economics of culture and institutions that can be read independently from one another. In Chapter 2, using the European Social Survey data, I investigate the impact of increased educational attainment, induced by compulsory schooling reforms, on religiosity and superstitious beliefs. I find consistently negative effects of education on religiosity, superstitious beliefs, social religious acts (attending religious services) and solitary religious acts (the frequency of praying). In Chapter 3, I examine the impact of “culture of leisure” and tax rates on labor force participation and hours worked of second-generation immigrants residing in …

An Assessment Of Federal Outlay On Pivotal Growth Induced Sectors In Nigeria, Samson Adeniyi Aladejare, Eche Emmanuel, Charles Edobor Umonda

Journal for the Advancement of Developing Economies

This study analyses government capital and recurrent spending outlays on sectors (education, health, defense agriculture and transport and communication) believed to be critical to the growth of the economy, for the period 1980 to 2014. The Error Correction Method was adopted to analyze the short-run impact of each spending division on the prosperity of the economy. The disaggregation into capital and recurrent expenditure was done to gauge the impact each has economic growth. Empirical findings of the study reveal that though capital outlays on the sectors concerned have been more significant than recurrent spending towards achieving the goal of economic …

Good Collaborations: A Case Study Of The Health Information Technology Partnership, Dayna Defeo

CAEPR Reports

No abstract provided.

Collaboration Between Schools And Child Welfare Agencies In Florida To Address The Educational Needs Of Children In Foster Care, Kele Stewart, Vanessa Thorrington

Articles

No abstract provided.

Effects Of Early Childhood Education On Kindergarten Readiness Scores, Janis Monrose Modeste

Walden Dissertations and Doctoral Studies

The purpose of this correlational study, which took place in a Central Florida school district, was to investigate the relationship between the quality of the early childhood education (ECE) programs and students' kindergarten readiness scores. Vygotsky's sociocultural theory, which states that a child's environment, culture, and language are related to academic and social development, was the theoretical framework for this study. Many ECE centers have been rated using the Early Childhood Environment Rating Scale (ECERS). Additionally, some children in those centers have been rated for kindergarten readiness using the Florida Kindergarten Readiness Screener (FLKRS) developed by the Florida Department of …

Advanced Practitioner Provided Pre-Hospital Discharge Asthma Education, Lyndsay E. Gardner

Walden Dissertations and Doctoral Studies

Asthma is a leading cause of pediatric hospital admissions. Parents of children under the age of 18 with asthma require education to recognize and manage the signs and symptoms of the disease. Parent education has shown to decrease their children's hospital admission and readmission rates. The purpose of this pilot project was to develop an asthma educational module for the parents of children with asthma and obtain parent feedback on the content. Families with children under the age of 18 who had been admitted to the hospital with a diagnosis of asthma, an asthma exacerbation, or status asthmaticus were invited …

Cross-Age Peer Mentoring To Improve Sixth-Grade Student Reading, Christina L. Belotti

Walden Dissertations and Doctoral Studies

In a middle school in the southern United States, administrators and teachers are concerned that approximately 40% of sixth-grade students are reading below grade level despite intervention programs. The purpose of this mixed-methods case study was to inquire whether a cross-age peer mentoring program would improve sixth-graders' reading achievement and motivation to read. The theoretical framework for the study was Vygotsky's constructivist theory, with a focus on scaffolding. Research questions focused on sixth-grade students' perception of their participation in a cross-age peer mentoring program and the effect of the program on reading achievement and motivation. Data were collected through pre- …

Promoting Sexuality Education In Tertiary Institutions: Expected Roles Of Women Librarians In Nigeria, Nkechi N. Amaechi Dr. (Mrs.), Linda I. Anyalebechi, Ifeyinwa Aidah Ariole

Library Philosophy and Practice (e-journal)

This paper aimed at x-raying the expected roles of women librarians in promoting sexuality education on within the Nigerian context. The study adopted the desk-research approach where extensive literature review was used in generating data for the study. The findings reveals that women can organize talks for women and young people in the rural areas, organize sex education seminars in collaboration with students Affairs Division in tertiary institutions, use social media platform to disseminate information relating to sexuality education among others. Challenges relating to cultural, religious factors, low literacy level among rural women were identified in the paper. The paper …

It's Time To Talk About Sex And Social Work : Why Human Sexuality Education Matters For Social Work Practice, Sophia R. Glass

Theses, Dissertations, and Projects

This researched investigated human sexuality training received in social work programs and its impact on clinical practice. Specifically, it examined clinicians’ comfort and competency addressing sex and sexuality related topics with clients. 67 participants were recruited via a nonprobability snowball sampling technique, and data was gathered anonymously through a secure web-based survey instrument. The findings supported the author’s hypothesis that there is a substantial lack of human sexuality training in social work programs despite the finding that sexuality is highly relevant to clinical work. Barriers to social workers effectively addressing these topics with clients were identified as inadequate education and …

First-Generation College Students And Class Consciousness : Exploring How Social Class Influences College Adjustment, Rachel L. Redd

Theses, Dissertations, and Projects

First-generation college students (FGCS), defined as students whose parents have not obtained a bachelor’s degree, is a new identity constructed primarily over the past decade. Utilizing the umbrella term of FGCS is problematic as it places a heavy concentration on parental education and lack of cultural capital, ignoring how current class experiences in the context of other identities, such as race and gender, shape adjustment to college. The purpose of this quantitative study was twofold: (a) to examine whether class consciousness affects first-generation students’ adjustment to elite, non-profit private undergraduate institutions, and (b) to examine how the intersectionality of race, …

Does Degree Matter? : An Exploration Into The Stigmatization Of Mental Illness By Social Workers And Other Mental Health Professionals, Alexandria R. Huber

Theses, Dissertations, and Projects

This quantitative descriptive study sought to explore any differences in stigmatization by social workers and other mental health professionals. The second research question explored whether mental health professionals felt their degree program actively challenged them to explore stigma towards those with mental illness. Fifty participants completed an anonymous online survey that included the Community Attitudes Towards Mental Illness scale, measuring stigma of mental illness. There were an additional four Likert scale questions exploring stigma of mental illness, and the participants perspectives of their education about stigma. The findings indicated that social workers had a lower mean score on the subscale …

Teachers' Perceptions Of The Use Of Small-Group Tutorial, Karen Y. Johnson

Walden Dissertations and Doctoral Studies

This study addressed the implementation of the tutorial program currently in use at an urban school district in Mississippi. Because successful completion of assessments is a graduation requirement, the study site implemented the tutorial program to help at-risk students improve their academic outcomes on state-mandated assessments in Biology I, United States History, English II, Algebra I. The purpose of this study, guided by Bloom's theory of mastery learning, was to examine the perceptions of the teachers who served as tutors in the program. Using the narrative inquiry method, the research focused on the implementation of the tutorial program, the perceived …

Chiropractic Student Infection Control Practices And Methicillin-Resistant Staphylococcus Aureus Skin Infections, Jonathon Todd Egan

Walden Dissertations and Doctoral Studies

Chiropractic training involves many hours of skin contact, and chiropractors have manual contact with millions of patients annually, but chiropractic has only had professional clinical hygiene guidance since 2010. Methicillin-resistant Staphylococcus aureus (MRSA) is the most common cause of cultured skin and soft tissue infection (SSTI) in the United States. Using the epidemiologic triad of person, place, and time as a framework, this quantitative, cross-sectional study obtained the first assessment of MRSA SSTI incidence among chiropractic students and its association with infection control behaviors (hand and table hygiene, sharing gowns, and sharing lotion) and initiation of patient care. The study …

High Wire, No Net: Emergence From Generational Poverty Without Higher Education, Corey Alan Caugherty

Walden Dissertations and Doctoral Studies

Existing literature indicates that education is vital to overcoming poverty, yet educational prospects for those in persistent, generational poverty (GP) are often limited. This qualitative phenomenological study centered on the emergence from GP of individuals without formal education beyond 12th grade or a high school equivalency certificate, and explored how those who have done it perceived their experiences. Rutter's resilience theory was the conceptual framework for examining this phenomenon and its challenges and processes. A sample of five adult participants from the United States were recruited using a snowball method, completed a screening survey, and then participated in in-depth interviews. …

Improving The Charge Nurse's Leadership Role: A Collaborative Learning Forum, Felicia Katherine Pryby

Walden Dissertations and Doctoral Studies

Staff nurses are frequently placed in charge nurse positions without the necessary formal training. The long-term goal of this project was to develop a curriculum for a formal institutional leadership workshop for the charge nurses at the practicum site. The Johns Hopkins Nursing Evidence-Based Practice model and Lewin's change theory were used to guide the development and implementation of the workshop. Data were collected using a focus group approach with 4 novice and 5 expert medical-surgical charge nurses. The short-term goal of the project was to understand the charge nurses' perceptions of leadership and the challenges as a front-line leader. …

An Exploration Of The Effectiveness Of Problem-Based Learning In Nursing Education, Yvette Marie Jackson

Walden Dissertations and Doctoral Studies

Critical-thinking is an essential skill that graduate nurses need to make sound clinical decisions. While traditional lecturing is the method most commonly used in nursing education, incorporating problem-based learning (PBL) into nursing curricula has been suggested as a better option for students' learning of theory and practice. The purpose of this study was to explore the difference in critical-thinking and problem-solving skills between nursing students taught using PBL versus those taught with traditional classroom lectures. A quasi-experimental approach, with cognitive learning theory as the foundation, was used to compare the results of an Assessment Technologies Institute (ATI) Comprehensive Predictor posttest …

Improving Nurses' Knowledge Of Stroke, James Trone Mcdaniel

Walden Dissertations and Doctoral Studies

Stroke is a devastating disease. Stroke care has advanced greatly in the past 20 years with innovations in radiologic imaging, development of tissue plasminogen activator (tPA), organized systems of care, telestroke, and best practice guidelines via Get with the Guidelines Stroke (GWTGS). However, stroke remains the 5th leading cause of death in the United States. To provide current and quality care for stroke patients, nurses need ongoing stroke education. Additionally, stroke centers must provide a sustainable stoke education program to their nurses to keep their knowledge current. Guided by Rosswurm and Larrabee's model, this quality improvement project addressed whether an …

Improving Quality Of Life In Older Adults With Depression And Diabetes Through Medication Compliance Education, Valreen Hinds-Beharrie

Walden Dissertations and Doctoral Studies

Improving Quality-of-Life in Older Adults with Depression and Diabetes through Medication Compliance Education

by

Valreen Hinds-Beharrie

MSN, Adelphi University, 1997

BSN, Adelphi University, 1986

Project Submitted in Partial Fulfillment

of the Requirement for the Degree of

Doctor of Nursing Practice

Walden University

March 2016

Diabetes and depression are prevalent diseases that cause morbidity and mortality. Diabetes is a heterogeneous metabolic disease in which hypoglycemia is a central feature. Depression is associated with increased counter-regulatory, hormone release, and alteration in glucose transport function. Depression occurs in some individuals with diabetes and is associated with poor metabolic control, inadequate control of diet, …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Walden Dissertations and Doctoral Studies

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

Improving Pain Management For Hospitalized Patients, Ronda Sweet

Walden Dissertations and Doctoral Studies

Uncontrolled pain has proven effects on both physiological and psychological responses of hospitalized patients. These incapacitating sequelae most often negatively impact patient outcomes resulting in unnecessary suffering and prolong hospitalizations. First line nurses often have preconceived notions about a patient's pain without developing an individualized patient context that considers appropriate pain management knowledge translated from best practice standards. Guided by Bandura's social learning theory and Lippitt's change theory, the purpose of this quality improvement project was to determine if use of the Curriculum Outline on Pain for Nursing from the International Association for the Study of Pain (IASP) improved nursing …

Impact Of Simulation Training On Novice Nurses, Sheila Marjean Moore

Walden Dissertations and Doctoral Studies

In 1999, the Institute of Medicine released its report on building a safer health system. Since then, safety in patient care has become a paramount interest. Given the growing support for increasing patient safety, simulation training has become a common part of novice nurses' orientation program. This simulation training is designed to mimic situations in the acute care setting where novice nurses can practice in a patient safe environment. In this DNP project, a stroke simulation scenario and supporting patient chart was developed as an addition to a novice nurses' orientation program. The National League for Nursing simulation template was …

Examining Barriers That Inhibit Student Achievement From A Teacher's Perspective, Taryn Everett

Walden Dissertations and Doctoral Studies

Teachers at an urban high school in the Southeast have failed to see an increase in classroom achievement or standardized test scores despite efforts to increase passing rates. If achievement rates do not increase, school restructuring will occur. While the site has implemented programs to reduce academic failure, data exists that external barriers may be affecting student achievement. Guided by Bandura's (1986) theory of metacognitive beliefs and self-efficacy as the conceptual framework, this qualitative case study explored teachers' perceptions about the root causes of poor student achievement. This study examines how to identify those causes to help students improve academically, …

Addressing School Failure And Recidivism Among 10-13-Year-Old Incarcerated Juveniles: A Case Study, Beverly Savoy Nolan

Walden Dissertations and Doctoral Studies

Early involvement in delinquent behavior coupled with large academic deficiencies increase the chances of long-term offending over a lifetime. A 2012 Texas report on recidivism rates and types of judicial-related programs offered showed that 1-year reoffense rates for youth in secure placement rose slightly from 41.9% in 2007 to 43.3% in 2010. The primary purpose of this qualitative case study was to examine how a Texas-based juvenile probation department coordinated services to address the needs of incarcerated juveniles who are at risk of school failure and recidivism. Maslow's hierarchy of needs framework and Moffitt's developmental classification framework served as the …

Parental Involvement Of Ghanaian And Nigerian Immigrant Parents In Urban Public Schools, Joseph O. Quaye

Walden Dissertations and Doctoral Studies

Abstract

Immigrant parents face unique challenges in getting involved in their children's education. Research is limited about how immigrant parents cope with these challenges in supporting their children's education. The purpose of this qualitative study, as reflected in the central research question, was to describe the lived experiences of Ghanaian and Nigerian immigrant parents in relation to their involvement in their children's education. The conceptual framework was based on Epstein's theory of parental involvement concerning how the school, family, and community relate to each other. A phenomenological design was used, and participants included 11 Ghanaian and Nigerian immigrant parents living …

Socioeconomic Status As A Predictor Of Chronic Obstructive Pulmonary Disease, Hilaire Saint-Pierre

Walden Dissertations and Doctoral Studies

While epidemiological research has generated new knowledge about the treatment and prevention of chronic obstructive pulmonary disease (COPD) through smoking secession, the socioeconomic status (SES) of people with the disease has been under investigated. Thus, the purpose of this study was to determine the predictability of association between SES and COPD. This study was based on the ecological theory, which states that health and disease may have multiple underlying factors. This study was a secondary analysis of archived data from the Inter-University Consortium for Political and Social Research (ICPSR). The dataset was collected for the National Survey of Midlife Development …

An Educational Initiative To Prevent Unnecessary Hospitalization For Hospice Patients, Alkeisha Hill Mims

Walden Dissertations and Doctoral Studies

Avoidable hospitalizations of hospice patients cost Medicare $3 billion a year. When hospice nurses are able to identify early signs and symptoms of acute illness and provide appropriate interventions to prevent such admissions, 20-60% of the hospitalizations are preventable. The practice problem addressed in this quality improvement doctor of nursing project was the 30% hospital admission rate of hospice patients as evidenced by chart review, admission data, and revocation data. The first purpose of the project was to identify evidence-based nursing care paths in the literature for the top 5 medical diagnoses related to avoidable hospital admissions. The second purpose …

Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James

Walden Dissertations and Doctoral Studies

Pressure ulcers were a continuing concern among the nonverbal developmentally disabled population of a state institution. The lengthy use of wheelchairs, the inability to body shift, and physical and mental impairment were attributes of the target population that have been cited in the literature as contributing to pressure ulcer. The purpose of this quasi-experimental pretest/posttest project was to evaluate the effectiveness of an education intervention for direct care staff on the prevention treatment, and eradication of pressure ulcers among patients with developmental disabilities. Orem's self-care deficit theory, particularly the emphasis on the need for nursing staff to perform self-care activities …

Project Echo (Extension For Community Healthcare Outcomes): A New Model For Educating Primary Care Providers About Treatment Of Substance Use Disorders, Miriam Komaromy, Dan Duhigg, Adam Metcalf, Cristina Carlson, Summers Kalishman, Leslie Hayes, Tom Burke, Karla Thornton, Sanjeev Arora

Project ECHO Bibliography

BACKGROUND: Project ECHO (Extension for Community Healthcare Outcomes) trains and mentors primary care providers (PCPs) in the care of patients with complex conditions. ECHO is a distance education model that connects specialists with numerous PCPs via simultaneous video link for the purpose of facilitating case-based learning. This article describes a teleECHO clinic based at the University of New Mexico Health Sciences Center that is focused on treatment of substance use disorders (SUDs) and behavioral health disorders.

METHODS: Since 2005, specialists in treatment of SUDs and behavioral health disorders at Project ECHO have offered a weekly 2-hour Integrated Addictions and Psychiatry …