Digital Commons Network^™

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Stigma And Barriers To Seeking Mental Health Care Among Emergency Department Providers – A Mixed Methods Study, Shannon C. White, Charlotte H. Harris, Ravindra Gopaul, Joshua M. Smyth

Student Papers, Posters & Projects

High levels of psychological distress and depression are common among clinicians working in US emergency departments [ED], yet treatment-seeking remains rare, contributing to burnout and negative well-being. Reluctance to seek care often reflects concerns about negative consequences (e.g., stigma, negative professional impact). We sought to characterize the availability of mental health resource availability, beliefs about seeking care, and barriers faced by emergency department healthcare providers. A sequential mixed-method design was employed. Phase 1 included a survey of ED physicians, advanced practice providers (APPs; i.e., nurse practitioners and physician assistants) and medical residents at an academic medical center. The survey assessed …

Bridging Traditions: A Mixed Methods Systematic Review Of Yoga For Trauma Recovery In Indigenous People, Andreia Schineanu, Fredrik Velander, Julaine Allan

Journal of the Australian Indigenous HealthInfoNet

Objective: The aim of this mixed methods systematic review was to explore if Yoga can alleviate mental health issues for Indigenous people, and how participants experience the effects.

Methods: Peer-reviewed primary research published in English retrieved from 2002 to March 2024 was identified using the databases Medline, Scopus, Informit, ProQuest and PsycINFO. Qualitative, quantitative and mixed method studies with Indigenous populations, where the primary intervention was Yoga or mindfulness programs with significant yoga components that reported on mental health outcomes were included.

Results: Only 5 studies met the inclusion criteria. The studies demonstrated significant improvements in mental health outcomes, including …

State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic

Faculty Scholarship

Introduction Deaths related to drug overdose and suicide in the USA have increased 500% and 35%, respectively, over the last two decades. The human and economic costs to society associated with these - €- deaths of despair' are immense. Great efforts and substantial investments have been made in treatment and prevention, yet these efforts have not abated these increasing trajectories of deaths over time. The COVID-19 pandemic has exacerbated and highlighted these problems. Notably, some geographical areas (eg, Appalachia, farmland) and some communities (eg, low-income persons, - €- essential workers', minoritised populations) have been disproportionately affected. Risk factors have been …

Policy Project: Creating An Animal Assisted Therapy Policy For A College Of Nursing, Brooke Peyton

Doctor of Nursing Practice Projects

Nursing students experience high levels of academic stress, anxiety, and burnout, which can negatively impact learning, professional development, and overall health. Evidence indicates that Animal-Assisted Therapy (AAT) has the potential to impact stress levels, improve community connection, and enhance overall well-being among nursing students. Many academic institutions lack structured policies to guide AAT programs into educational settings. The purpose of this Doctor of Nursing Practice project was to develop a formal AAT policy for the College of Nursing with standardized procedures to implement an AAT program. Rogers’ Diffusion of Innovations theoretical framework was used to guide the development of the …

Cross-Pollination Of Ideas: Exploring The Mental Health Implications Of Academic Pressure In Dual Enrollment Programs For Students, Lorenzo Rene

Concurrent Enrollment Review

The research examined the mental health implications due to the DE program’s academic pressure on students. The available literature demonstrates that the DE program is associated with a large number of students entering colleges, academic success in college, and self-confidence development. Nevertheless, the DE program exerts some pressure on the high school learners in terms of their mental health. Besides managing the high school curriculum, DE students are supposed to complete the relevant degree courses in the DE program. This leads to duplication of academic classes that strains the work-life balance, leading some students to encounter high levels of stress …

Psychological Impact Of Pulmonary Embolism: A Narrative Review., Farooq Hyder, Hina Pervaiz, Fnu Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari Vishal Nenwani, Allah Warayo, Kishor Kumari, Muhammad Salman, Abida Parveen, Mubeena Javid, Raveena Bai Bansari

Journal of Community Hospital Internal Medicine Perspectives

Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health …

Black Men’S Experiences Of Intergenerational Trauma And Identity Development: A Phenomenological Study, Richard N. Tabb

Doctoral Dissertations and Projects

This qualitative phenomenological study explored how Black men exposed to intergenerational trauma describe their experiences of identity development. Grounded in Vivian Rakoff’s Intergenerational Trauma Theory and William Cross’s Nigrescence Theory, the study employed a transcendental phenomenological design to examine how trauma is transmitted across generations and its implications for Black male identity. This research addresses a critical gap in the mental health field, particularly regarding the historical roots of trauma and their impact on contemporary counseling practices. Findings revealed that the enduring legacy of historical trauma rooted in slavery, systemic racism, and ongoing forms of oppression continues to profoundly shape …

Mental Health Impacts On African Refugees, Michelle Mailhiot

Doctoral Dissertations and Projects

This qualitative study explores the mental health impacts of African refugee women traveling with children under the age of 18 during migration to Europe through Morocco, a key yet under examined transit country. The purpose of this qualitative phenomenological case study was to examine the lived experiences of distress, coping, and barriers to mental health support. Twenty participants were recruited through local NGOs and community networks in Morocco, and data were collected through semi-structured interviews. Thematic analysis was employed to identify recurring patterns across participants’ narratives including hunger, homelessness, and exploitation intensifying psychological strain, particularly in relation to caregiving responsibilities …

African American Women Employed In The Education Sector Who Have Biological Children With Mental Health Or Behavioral Problems: A Qualitative Phenomenological Study, Cynthia Henderson Porter

Doctoral Dissertations and Projects

This phenomenological study is purposed to identify and describe the lived experiences of African American mothers employed in a pre-K-12 public school district in Virginia who have biological children with mental health or behavioral problems. The study was qualitative, as this method allowed challenges to be explored personally and humanistically. The theory guiding this study is social constructivism, as it relates to African American mothers’ views of their experiences in the work setting; the assumed perception of colleagues, administrators, and others; and challenges at work pertaining to limitations in functioning, performance, and interpersonal stressors that mothers may encounter. The central …

What Are The Barriers And Facilitators To The Acceptance Of Information And Communication Technology-Based Interventions For Improving Resilience And Mental Health Of Healthcare Workers: A Scoping Review Protocol, Elisabete Alves, Ricardo Rodrigues, César Fonseca, Manuel Lopes, Inês Faria, Nina Dalkner, Paul Barach, Frans Folkvord, Jim Ingebretsen Carlson, Eva Reininghaus, Michele Wessa, Yvonne Prinzellner, Vanessa Leung, Eva Turk, Lara Guedes De Pinho

College of Population Health Faculty Papers

INTRODUCTION: Healthcare workers (HCWs) report overwhelming demands and experience crisis levels of burnout and unique challenges that further impair their mental health. Promotion of mental health among HCWs using information and communication technology (ICT) has received little empirical research attention and interventions for improving mental health resilience in HCWs are not well established.

DESIGN: Scoping review to map existing evidence and identify gaps for future research regarding the main barriers and facilitators of the acceptance of ICT-based interventions for improving resilience and mental health among HCWs working in all healthcare settings.

METHODS AND ANALYSIS: This protocol was developed in accordance …

Understanding Firefighter Culture And Mental Health, Alyssa G. Chirillo

Doctoral Dissertations and Projects

This qualitative study, using a grounded theory approach, explores the lived experiences of firefighters, the cultural dynamics within the firefighting profession, and the stigma surrounding mental health, particularly post-traumatic stress disorder (PTSD), among this group. Drawing on previous research, the study examines how exposure to vicarious trauma, the roles and responsibilities of firefighters, and the inherent risks of the profession shape attitudes toward mental health treatment. The research investigates explicitly whether firefighter culture and lived experiences influence the pursuit of mental health support. Participants from the Summerville Fire Department in Summerville, South Carolina, were recruited voluntarily. Data were collected through …

Mental Illness In African American Women: A Transcendental Phenomenology On Self-Efficacy And The Treatment-Seeking Behavior Of Secondary And Post-Secondary Educators, Sasha N. Gordon

Doctoral Dissertations and Projects

This transcendental phenomenological research shows the influence of mental health treatment on the self-efficacy of African American women who are secondary or post-secondary educators in Northern Illinois. For African American women educators, taking care of their mental well- being and being aware of mental health conditions are crucial. Sharing personal stories and experiences can help reduce the stigma surrounding mental health. Promoting awareness and understanding of mental health issues are vital in our communities, and access to resources and support are necessary. Using self-identity theory can aid in comprehending motivations and behaviors, leading to greater satisfaction and fulfillment and the …

Communicating Effectively When Engaging People With Lived Experience In Mental Health And Substance Use Health Research: A Qualitative Descriptive Study, Lisa D. Hawke, Wuraola Dada-Phillips, Charlotte Munro, Shoshana Hauer, Claudia Sendanyoye, Yona Lunsky, Gillian Strudwick, Tanya Halsall, Natasha Y. Sheikhan

Patient Experience Journal

Background. People with lived experience of mental health and/or substance use challenges and families (PWLE/F) are increasingly engaged in research, providing positive impacts. However, effective engagement can be challenging, including ensuring effective communication. This qualitative study sought to understand the communication preferences of PWLE/F who are engaged in mental health and substance use health research. Method. A total of 18 participants (aged 19 to 79) took part in one of four focus group discussions. A semi-structured interview guide was used to facilitate the discussions. Focus group transcripts were analyzed using codebook thematic analysis. PWLE/F were engaged in all stages of …

“Better Than Any Medicine:” Understanding How Therapy Dogs Support Patients Presenting With Mental Health And Substance Use Concerns In An Emergency Department Setting, Alexandria R. Pavelich, Colleen A. Dell, James Stempien, Holly Mckenzie, Aimee Hozack, Jane Smith, Alexis Rowsell, Janet Gunderson, Elizabeth Pease

Patient Experience Journal

In Canada, emergency departments have a large number of patients with mental health and substance use concerns passing through their doors. Our research aim was to assess the impact that therapy dog visits may have for patients presenting with mental health and/or substance use concerns to an emergency department based in Saskatoon, Saskatchewan. Working alongside an active patient advisory group and community-based therapy dog program volunteers, our mixed method approach utilizing ethnography, surveys, and interviews showed that therapy dog visitation had a beneficial impact on both patients and staff, thus improving the overall patient experience. Our study displays how the …

The Impact Of Athletic Retirement On Anxiety In Elite Athletes, A Critically Appraised Topic, Jordan Gorham, Emily Madrak

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Though there is growing interest in athletic mental health, this interest appears to diminish significantly once an athlete enters athletic retirement. The abrupt transition can precipitate mental health struggles, exacerbated by the lack of adequate preparation for lifestyle after retirement and the attachment of athletic identity to their sport. Consequently, these circumstances may increase symptoms associated with poor mental health, with a specific focus on anxiety. As the athlete retires and moves into different stages of life, research notes that athletes with stronger athletic identities have poorer mental health than those who had weaker athletic identity^. While the scrutiny …

Role Conflict And Burnout: How Can Employed Graduate Students Thrive, Not Just Survive?, Eric M. Douthirt

USF Tampa Graduate Theses and Dissertations

This dissertation investigates several of the multifaceted challenges faced by employed graduate students, a growing demographic within U.S. higher education. Against a backdrop of intensifying technological change, evolving labor market dynamics, and increased educational attainment, these individuals encounter pronounced school-work-family conflict (SWFC), resulting in a heightened risk for personal burnout (PB).

Building upon the job demands-resources theory, this research explores whether school-work facilitation (SWF) and student emotional engagement (EE) might attenuate the deleterious relationship between school-work-family conflict (SWFC) and personal burnout (PB), with gender and number of children included as controls.

Data from 489 participants, collected via a single cross-sectional …

A Socioecological Needs Assessment Of Alternative Learning Environments: Implications For Occupational And Mental Well-Being In School Settings, Glenda Hux, Sydney Rice, Lexus Brettell Wicinski, John V. Rider

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Alternative learning environments (ALEs) support students with complex behavioral, emotional, and social needs, yet only a small amount of research has examined their occupational and mental health needs using a socioecological approach. This study aimed to demonstrate the process of conducting a socioecological needs assessment in an ALE and identify needs from multiple stakeholder perspectives. A qualitative descriptive design was employed. Semi-structured interviews and focus groups were conducted with 24 stakeholders, including students, educators, counselors, administrators, and a dietitian. Data were analyzed thematically by stakeholder group. Four overarching themes emerged: This School is a Shelter, We Believe in Resilience, We …

Advancing Children's Mental Health In Nevada, Kelliann Beavers, Christopher Kearney

Lincy Institute Events

Nevada ranks 51st nationally in youth mental health access and services, underscoring persistent shortages and disparities across the state. Nearly one in four youths aged 12–17 (23.5%) experienced a major depressive episode in the past year, and 73% did not receive treatment. Approximately 34,000 Nevada youths have reported suicidal thoughts—an urgent call for prevention and coordinated support.

During the 2024–2025 school year, 31.3% of Clark County School District students were chronically absent (missing 10% or more of school days), a challenge closely linked to mental health struggles and socioeconomic barriers.

This community forum provided an opportunity to generate dialogue and …

Electrochemical Breath Sensors In Medical Diagnostics: Emerging Trends And Future Directions, Natalie E. Strom, Courtney J. Weber, Olja Simoska

Faculty Publications

With the rising prevalence of metabolic diseases, infections, and mental health disorders, there is a growing demand for noninvasive diagnostic tools that enable early detection and continuous health monitoring. In this context, exhaled breath biomarkers provide insight into physiological and pathological processes. Electrochemical breath sensors (EBSs) have emerged as a promising platform for rapid, real-time, and cost-effective disease tracking via the detection of volatile breath biomarkers, such as NH₃, NO, and CO₂. Recent advancements in electrode materials, biological recognition elements, and sensor architectures—spanning nanomaterials, enzymes, aptamers, and molecularly imprinted polymers—have enhanced the analytical performance of EBSs. …

Electrochemical Breath Sensors In Medical Diagnostics: Emerging Trends And Future Directions, Natalie E. Strom, Courtney J. Weber, Olja Simoska

Faculty Publications

With the rising prevalence of metabolic diseases, infections, and mental health disorders, there is a growing demand for noninvasive diagnostic tools that enable early detection and continuous health monitoring. In this context, exhaled breath biomarkers provide insight into physiological and pathological processes. Electrochemical breath sensors (EBSs) have emerged as a promising platform for rapid, real-time, and cost-effective disease tracking via the detection of volatile breath biomarkers, such as NH₃, NO, and CO₂. Recent advancements in electrode materials, biological recognition elements, and sensor architectures—spanning nanomaterials, enzymes, aptamers, and molecularly imprinted polymers—have enhanced the analytical performance of EBSs. …

Prevalence And Determinants Of Nomophobia Among Healthcare Workers In Nepal: A Cross-Sectional Study, Prakash Banjade, Asmita Itani, Munish Sharma, Reena Shah, Jasmit Shah, Aakansha Singh, Rahul Kashyap, Salim Surani

Brain and Mind Institute

Introduction: Nomophobia, the fear of being without a mobile phone, has become a significant concern in the current digital age. Healthcare professionals rely heavily on mobile devices for communication and information access. This cross-sectional study aimed to assess the prevalence and determinants of nomophobia among healthcare workers in Nepal.

Methods: A modified Nomophobia Questionnaire (NMP-Q) was used to determine nomophobia scores. Demographic characteristics such as age, gender, race, type of smartphone, hours spent on a smartphone, and type of medical specialty were considered to evaluate nomophobia in diverse groups of healthcare workers. Summary statistics were presented as frequencies …

The Link Between Mental Health And Physical Health : A Study On Seafarers In Southeast Asia, - Dewi Balqis Binti Azfar

World Maritime University Dissertations

No abstract provided.

Refugee Stigma And Its Toll On Mental Health: Development And Validation Of The Refugee Stigma Scale (Rss), Hamed Abdollahpour Ranjbar, Khaled Elazab, Ibrahim Yigit, Fatema Almeamari, Ceren Acartürk, Gülşah Kurt, Janet Turan, Andrea Norcini Pala, Bulent Turan

Student Publications [Scholarly]

Background Unprecedented, forced displacement, especially from conflict and war areas, requires addressing resultant mental health issues. Aim Refugees experience mental and physical health problems due to post-displacement stressors, and the pervasive stigma associated with refugee status can exacerbate these difficulties, highlighting the need for a comprehensive assessment tool to understand various facets of refugee stigma. Method We developed the refugee stigma scale (RSS), consisting of 43 items informed by the literature, qualitative and quantitative data. The scale includes four theoretical dimensions of stigma: perceived community stigma, experienced stigma, anticipated stigma and internalised stigma. To examine convergent validity, validated self-report measures …

A Descriptive Study Of Black College Students’ Perceptions Of Law Enforcement After Police Brutality, Alisia L. Collins

PANDION: The Osprey Journal of Research and Ideas

Police brutality is a social issue that has tormented the mental health of the Black community for decades. Seeing brethren battered and bruised countless times has taken an emotional toll on the relationship of the Black community with the American justice system and the officers meant to uphold it. Previous research has shown that the Black community primarily has a negative perception of law enforcement because of factors like police brutality, unjustified shootings, and legal policies within the justice system. Compounding experiences can occur for people with disabilities within the Black community. Specifically, autistic people have a higher risk of …

Anxiety Among Adolescents Aged 15-18 In The City Of Prizren, Besarta Sadriu, Kosovare Hamiti

UBT International Conference

Anxiety is one of the most prevalent mental health concerns among adolescents, significantly impacting their well-being and daily functioning. This study explores the level of anxiety among adolescents aged 15-18 in the city of Prizren, focusing on differences by gender, age groups, and type of school (public vs. private). The methodology employs a quantitative approach, with data collected using the Beck Anxiety Inventory (BAI), a well-known instrument for measuring anxiety symptoms. The study included 60 students from two high schools, one public and one private, comprising 31 girls and 29 boys. The findings aim to shed light on how demographic …

The George-Anne Deep Dive, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

The Practice Of Perfect Mistakes, Kelly Allen

The Open Journal of Occupational Therapy

Cheryl VanderMolen Neway, a fashion designer and textile artist residing in Fairfax, Virginia, provided the cover art for the Fall 2025 issue of The Open Journal of Occupational Therapy (OJOT). The photograph features a flowing, floor-length duster jacket entitled, The Free Spirit, 2024, made from an upcycled denim jacket with lace and hand-dyed linen, using shibori and indigo-dyeing techniques, modeled by Shamola Crosbie. Cheryl’s designs serve to express emotion, meet her need for creative exploration, and empower her community through fashion. Using resist-dyeing techniques paired with upcycled textiles and salvaged materials, she creates vibrantly unique clothing and mixed-media artwork …

The Role Of Traumatic Brain Injury On Intimate Partner Violence And Changes In Mental Health From Late Adolescence To Young Adulthood, Eric J Connolly, Elizabeth Baumler, Deborah M Little, Meghan L Royle, Anne C Wingert, Leila Wood, Jeff R Temple

Faculty, Staff and Student Publications

Purpose: Intimate partner violence (IPV) victimization and traumatic brain injury (TBI) are common correlates of mental health problems in adolescence. However, research has yet to investigate whether IPV victimization is related to developmental changes in mental health, as well as the contributing role that TBI may play in conditioning this association. We address this gap by analyzing longitudinal data with well-validated measures of mental health from an ethnically diverse sample of adolescents.

Methods: Prospective data from the Dating it Safe sample (n = 699) were used to measure IPV victimization, depression, post-traumatic stress, binge drinking, and TBI from 2015 to …

Mental Health And Wellbeing Practices In Design Education: A Call For Action, Daniela Sangiorgi, Martina Čaić, Amalia De Götzen De Götzen, Rike Neuhoff, Rebecca Prices, Nuria Solsona Caba, Josina Vink, Hena Ali

ServDes Conference Series

Alarming numbers of university design students are experiencing significant issues related to their mental health and wellbeing. While the conditions affecting their mental health are systemic, universities play a key role in addressing academic related factors. This paper aims to better understand the stressors impacting design students’ wellbeing and identify strategies for addressing them. It reviews general academic and design-specific stressors highlighted in the literature. Drawing from a small sample of European design schools, the paper also shares promising practices for addressing these stressors. Kick-starting cross-institutional sharing, it offers a starting point for further collective efforts to improve student wellbeing.