Digital Commons Network^™

Resilience And Associated Factors In Pediatric Nurses, Benjamin M. White

Dissertations

The purpose of this dissertation was to explore pediatric nurse resilience and the contextual factors surrounding it, and propose a heuristic framework of pediatric nurse resilience. A convergent mixed-methods approach to secondary analysis was utilized and the resulting findings informed the heuristic framework.

Histories Of Stress: A Life Course Approach To Population Health In Late Medieval And Early Modern Berlin, Emily Brennan

Theses and Dissertations

Given our current climate crisis and urban population increases, researchers are increasingly interested in the health outcomes at the intersection of climate change and urbanization. Since climate change and urbanization affects human health in a variety of ways, more work is needed in diverse cultural contexts to understand temporal and geographic variations of such phenomena more fully. Using skeletal individuals from 13^th – 18^th century Berlin (n = 387), this project analyses demographic and health trends from the founding of the city in the late medieval period (c. 1200 – 1500) to the early modern period, when the …

Mindfulness And Perceived Stress Among English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov

The Interactive Journal of Global Leadership and Learning

The current study investigated the effective of mindfulness training versus study skills training on perceived stress among Uzbek English language students. The researchers conducted a quasi-experimental study using a convenience sample of sixty 2^nd year students studying English as a foreign language at a large public university in Tashkent, Uzbekistan. One group of students (n = 30) received mindfulness training while the other group served as an active control group (n = 30) and received study skills training. Both groups received 20-minute training in their English classes, four days a week, for 4-weeks. All participants completed pre- …

A Study On Stress-Induced By Anaesthesia And Surgery Training Using Live Animals In A Veterinary School, Krittee Dejyong, Jutapoln Sunghan, Nantarat Chutijiratthitikan, Chonnakarn Jatchavala

The Thai Journal of Veterinary Medicine

The veterinary curriculum includes an anesthesia and surgery course that utilizes live animal laboratories and euthanasia, potentially causing stress in students. We used a validated psychology questionnaire to assess their stress levels, confirming that live animal laboratories induce significant stress. Forty-two fourth year veterinary students, including individuals who identified as male, female, and LGBTQ, and who held religious beliefs in Buddhism and Islam, volunteered to participate in the study. The study had received ethical approval from the Human Research Ethics Committee at Prince of Songkla University. After series of stress questionnaires before and after Veterinary surgery and anaesthesia class, female …

Exploring The Mental Health Impact Of Incidents Of Mass Violence On First Responders, Alexandra Rothrock

Master of Arts in Human Services

The mental health impacts first responders face due to work-related stress can be extensive and severe. These impacts are understudied and often simply not considered. First responders, while trained to perform superhuman acts, are simply human beings who are not impervious to feeling the effects of the extraordinary events they are called to witness and partake in. Common mental health impacts can include sleep disorders, substance disorders, PTSD, Generalized Anxiety Disorder, and suicidal ideation. First responders are deserving of more time, attention, and study by great researchers who are willing to better understand associated risk factors, the severity of negative …

Teacher Wellness: Cognitive-Behavioral, And Mindfulness Techniques (Cbm), Jacob Nadler

Educational Specialist, 2020-current

The purpose of this study was to examine the impacts of participating in a teacher wellness program on teachers’ self-reported stress, well-being, mindfulness, and burnout. Participants included a small group of teachers from a primary school and elementary school in a small school district in rural Virginia. Self-reported stress as it relates to inadequate school-based support and teaching-related demands decreased from pre- to post-test completion, however none of these changes were significant. Teacher subjective well-being as it relates to school connectedness and teaching efficacy increased slightly yet was not significant. Teacher mindfulness defined by aspects of calmness, clarity, and kindness …

The Relationship Between Overtime And Burnout Among Alabama Secondary Music Ensemble Directors, Ashley Deleen Gresko

Doctoral Dissertations and Projects

Although there is an existing body of literature discussing stress and burnout among music educators, there has yet to be a significant study regarding the relationship between working hours and the burnout of secondary music ensemble directors. This study covers the perspectives of secondary school instrumental and choral music ensemble directors in Alabama. This quantitative research study identifies influences of overtime that require additional exploration regarding the burnout of Alabama secondary school music ensemble directors. This study surveyed secondary music ensemble directors in Alabama to illustrate the correlation between overtime and burnout. This study is vital to music ensemble directors …

Effects On The Enduring Marriage Of Parenting A Young Adult With Autism Spectrum Disorder, Tawnya Anne Fabian

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the challenges facing couples who have been married for more than 18 years, and whose autistic child is now a young adult. It seeks to describe how the couples have overcome their trials. In addition, this study will investigate the dimensions along which the couple and the family are affected by the autistic family member. Parents raising a child with autism spectrum disorder (ASD) have a higher propensity than parents of neurotypical children to report worry, anxiety, stress, and depression, burdened as they are with the behavioral and social challenges …

Differences In Stress Among Healthcare Workers In Rural And Urban Healthcare Settings--The Role Of Spirituality, Lisa Yancey

Doctoral Dissertations and Projects

In recent years, stress has become an unspoken epidemic that has affected many working adults. Many adults spend much of their waking hours working, contributing to their stress. This quantitative study examined the relationship between spirituality and stress among rural and urban healthcare workers. The data for this study was collected through social media platforms, email, and word of mouth. An online survey consisting of ten demographic questions, twenty questions from the Spiritual Well-Being Scale, and ten questions from the Perceived Stress Scale was administered to healthcare workers at least 18 years old through an anonymous survey. Pearson correlations were …

Caregiver Interactions And Burnout In Speech-Language Pathology, Wyndi L. Capeci

Doctoral Dissertations and Projects

Speech-language pathology is a needed service for many children and adults. However, service provision is decreasing due to a critical shortage and an increased number of clients due to an aging population. Speech-language pathologists (SLPs) face near-insurmountable barriers to work satisfaction that manifest as burnout symptoms. This study aimed to examine the existing factor of caregiver contact, which is already prevalent in the therapy environment, and its relationship with symptoms of burnout. This quantitative study encompassed a quasi-experimental correlational design using a survey method to determine demographics, caregiver contact hours, and self-reported symptoms of burnout to address these issues. In …

Exploring Prelicensure Bsn Students' Knowledge Of Mindfulness Meditation Using A Smartphone App To Manage Stress And Promote Resilience: A Qualitative Single Case Study, Beth A. Kelley

Doctoral Dissertations and Projects

The purpose of this qualitative single case study was to explore pre-licensure Bachelor of Science in Nursing (BSN) students' knowledge of mindfulness meditation (MM) using a smartphone app (SMA) to manage stress and promote resilience. Guiding this study was the transactional model of stress, adaptation, and coping by Lazarus and Folkman (1984) and the zone of proximal development (ZPD) educational theory by Vygotsky. The study asked the following questions: What was pre-licensure Bachelor of Science of Nursing (BSN) students’ knowledge of mindfulness meditation (MM) using a smartphone app (SMA) to manage stress and promote resilience? What had the prelicensure BSN …

Investigating Nature-Based Mindfulness In Nurse Anesthesia Students: A Pilot Study, Douglas Lovern

Dissertations

Across the country, the mental health crisis continues to rage. Varying degrees of depression, stress, and anxiety are commonly found in college-age students. The COVID-19 pandemic augmented this crisis, but the pandemic is not the sole culprit for the escalation of mental health disorders in the United States. Students across the globe suffer mental health disorders that include depression, anxiety, and stress. Research has shown that graduate students are six times more likely to develop anxiety and depression than the general population. Student registered nurse anesthetists (SRNAs) are vulnerable to mental health disorders. SRNAs enter labor-intensive doctoral programs fraught with …

General Psychology 2e, Will Stutterheim

All Open Educational Resources

General Psychology 2e offers an insightful exploration into the complexities of the field of psychology and all that it has to offer. This book provides a thorough introduction to the foundational principles of psychology, covering essential theories, research findings, and applications that illustrate the intricate workings of the mind.

The text begins with a historical overview of psychology, tracing its evolution from philosophical roots to its establishment as a scientific discipline. It then delves into essential topics regarding stress and mental health disorders and concludes with therapy and treatment approaches. It then covers research in psychology, biopsychology, consciousness, and perception. …

A Recreational Therapy-Based Bibliotherapy Program For Perceived Stress And Coping Among Siblings Of Individuals With Intellectual And Developmental Disabilities, Lindsey Kirschbaum

All Dissertations

Siblings of individuals with intellectual and developmental disabilities (IDD) face unique challenges and experiences different from their peers who do not have a sibling with IDD. These challenges can include increased sense of responsibility at home, decreased attention from parents, and feelings of social isolation; all of which can increase stress. While sibling support groups offer opportunities for siblings of individuals with IDD to connect with other siblings, these groups do not formally focus on improving participants’ stress-coping outcomes. Bibliotherapy has been shown to help youth express stress-related feelings and learn stress-coping strategies. However, no known research has assessed the …

Mental Health Of Healthcare Workers In Kosovo During The Covid-19 Pandemic, Latif Hoxha

All Dissertations

ABSTRACT

This study explored the mental health of healthcare practitioners in Kosovo during the COVID-19 pandemic, focusing on the prevalence of stress, depression, and anxiety, and the associated individual, family, and work-related factors. The research employed a cross-sectional design with a sample of 449 healthcare workers from two hospitals in Kosovo. The Depression, Anxiety, and Stress Scale (DASS-21) was used to assess mental health symptoms, while socio-demographic and work-related information was collected through a questionnaire.

Based on the descriptive statistics of DASS-21 scores, the prevalence of mental health issues among the participants included high levels of depression (18%), anxiety (25%), …

The Impact Of Perceived Administrative Support On Teacher Burnout, Madison L. Kelly

Electronic Theses and Dissertations

Teachers are crucial to many facets of life (Güneyli, 2012). Due to current occupational requirements and emotional demands, many educational professionals experience burnout (Roethler, 2021). Burnout occurs when daily occupational challenges overpower one's ability to maintain a healthy emotional state and meet professional demands (Roethler, 2021). Previous studies have been conducted on the levels of teacher stress and burnout (Agyapong et al., 2022; Chang, 2009; Lindqvist et al., 2021; Skaalvik & Skaalvik, 2021), while few studies explored the impact of administrative support and its contribution to burnout within the teacher population (Howard et al., 2017; Jacob, 2007; McCray-Davis, 2022; Tickle …

Promoting Resilience In Stress Management For Adolescents With Type 1 Diabetes: A Randomized Clinical Trial, Joyce P Yi-Frazier, Marisa E Hilliard, Maeve B O'Donnell, Chuan Zhou, Britney M Ellisor, Samantha Garcia Perez, Brenda Duran, Yuliana Rojas, Faisal S Malik, Daniel J Desalvo, Catherine Pihoker, Miranda C Bradford, Samantha Scott, Sridevi Devaraj, Abby R Rosenberg

Faculty, Staff and Students Publications

IMPORTANCE: Type 1 diabetes (T1D) requires demanding self-management health behaviors, and adolescents with T1D are at risk for poor psychosocial and medical outcomes. Developing resilience skills may help adolescents with T1D and elevated distress navigate common stressors and achieve positive outcomes.

OBJECTIVE: To test the efficacy of the Promoting Resilience in Stress Management (PRISM) intervention on levels of hemoglobin A1c (HbA1c), diabetes distress, self-management behaviors, resilience, and quality of life among adolescents.

DESIGN, SETTING, AND PARTICIPANTS: This phase 3, parallel, 1:1 randomized clinical trial that followed up 172 participants for 12 months was conducted from January 1, 2020, to November …

Traditional Art Dance Therapy To Reduce Stress Levels Of Elementary School Students, Shinta Restu Wibawa, Christantie Effendy, Heny Suseani Pangastuti, Ami Novianti Subagya, Eryono Budi Wijoyo, Aisya Puteri Andari, Dwi Apriliana, Qurrota Aini Zahrotu Sholikhah

Jurnal Keperawatan Indonesia

COVID-19 pandemic has accelerated the development of new learning systems that are more student-centered. Unfortunately, elementary school students experienced stress and difficulties in adapting from face-to-face to online learning system. Online learning environment lacks in accommodating outdoor activities which are important for children. Several techniques can be applied to reduce stress, including dancing. This research aimed to examine the effectiveness of Traditional Art dance Therapy (TATA) for elementary school students in reducing stress. In this quasi-experimental research, one-group pretest-posttest design without control group was applied, involving 84 students at one elementary school in Yogyakarta , Indonesia. Students’ levels of stress …

Graduate Healthcare Students' Mental Health: A Pilot Study, Soriya S. Ung-Koy, Lindsay Gietzen

Pacific Journal of Health

This pilot study investigates the mental health of healthcare professional doctoral students, focusing on stress, anxiety, and depression, which can lead to burnout. These students are responsible for intense academic demands, personal lives, and professional careers.

This study explored student mental health in the Doctor of Medical Science (DMSc)/ Doctor of Health Science (DHSc) programs at the University of the Pacific's School of Health Sciences. The study contributes to existing literature, exploring how educational experiences impact healthcare students' mental health, behaviors, and symptoms.

The DASS-21 survey tool was utilized to assess anxiety, depression, and stress symptoms during their graduate studies. …

The Role Of Positive Affect In Asthma Control And Symptom Severity In Adolescents, Brooke N. Jenkins, Logan T. Martin, Jill S. Halterman, Judith T. Moskowitz, Laura M. Glynn, Pornchai Tirakitsoontorn, Sunil Kamath, Zeev N. Kain

Psychology Faculty Articles and Research

Introduction

We test the effects of positive affect and its arousal subscale components of calm, wellbeing, and vigor on asthma control and symptom severity in adolescents with moderate to severe asthma. Additionally, we test whether positive affect (and its arousal components) moderate how stress impacts asthma control and symptom severity.

Methods

Adolescents with asthma (N = 66, ages 12–17) completed brief surveys 4 times a day for 7 days reporting on their positive affect, stress, and asthma symptom severity and conducted a morning peak expiratory flow assessment each day. Asthma control and psychological asthma triggers were assessed at the …

A Confirmatory Factor Analysis Of The Psi-4-Sf In Parents Of Children With Autism Spectrum Disorder, Paige Weir

LSU Doctoral Dissertations

The factor structure of the Parenting Stress Index - Short Form (PSI-4-SF) was evaluated among parents of children with autism spectrum disorder (ASD). Two hypotheses were tested: (1) the original PSI-4-SF model would yield an unsatisfactory fit, and (2) a three-factor alternative model would improve fit compared to the original and other models. A sample of 205 parent-child dyads was analyzed using confirmatory factor analysis (CFA) with the lavaan package in R Studio. Preliminary analyses included descriptive statistics, normality checks, and assessments of skewness and kurtosis. Results supported the first hypothesis, showing poor fit indices for the original PSI-4-SF model. …

Stress, Resilience, And Coping: A Cross-Sectional Study Of Black Male Osteopathic Medical Students’ Experiences In Medical School, Eboni Anderson

Graduate Theses, Dissertations, and Capstones

This quantitative study investigated stress, coping, and resilience among Black male osteopathic medical students (BMOMS), focusing on the unique challenges that affect their academic success, mental and physical health, and professional development. This study was contextualized within the shifting demographics of U.S. osteopathic medical schools and the underrepresentation of Black males. Utilizing Moos’ Integrative Model of Stress and Coping, survey data from BMOMS (n = 85) were analyzed through descriptive statistics, correlations, and multiple linear regressions. Research questions addressed BMOMS’ specific stressors, the relationship between resilience and coping, and the influence of demographic variables. Out of 101 initial survey …

A Transcendental Phenomenological Study Exploring How Licensed Marriage And Family Therapists Describe The Emotional Impact Of The Covid-19 Pandemic, Melissa Lund

Doctoral Dissertations and Projects

The purpose of this qualitative, phenomenological study was to describe the experiences of Licensed Marriage and Family Therapists (LMFT) in private practice during the COVID-19 pandemic. The study was viewed through the lens of resilience theory, which suggests that an individual's ability to adapt and overcome adverse experiences is based on their individual level of resilience. Eight LMFTs varying in demographics, such as age, gender, and ethnicity, as well as length of time in practice participated in individual interviews exploring their lived experiences during the pandemic. The study's questions aimed to gain a better understanding of the emotional impact of …

Wearable Device Case-Study: Unveiling Physiological Stress Patterns In A Neurosurgeon Operating Multiple Surgeries, Andy Suarez, Justin Braun, Gabriel J. Sanders, Yoav Ritter, Steven Vanni, Jaime Tartar, Corey A. Peacock

Journal for Sports Neuroscience

Introduction

Utilizing a wearable device, this case study aims to measure stress at different surgical durations to bridge the gap in research regarding the physiological stress of surgery. Significant stress variations throughout the surgeries are anticipated, which will provide valuable insight into the patterns of physiological stress experienced by our neurosurgeon.

Materials and Methods

One male neurosurgeon subject (n=1; age: 48; height: 188 cm; weight: 87.3 kg) conducted 82 surgeries (2023-2024). A wearable device (Whoop 4, Boston, MA) was used to monitor maximum heart rate (MAXHR), average heart rate (AVGHR), calories (CAL), strain (STR) and surgery duration (MIN). Surgeries were …

Improving Mental Health Outcomes For Amputees, Zachary Elmore

Dissertations

Problem: depression, anxiety, and other mental health disorders are more commonly diagnosed in the amputee population related to changes in mobility, activities of daily living, and quality of life (Turner et al., 2020.) As the amputation population is projected to reach over 3 million Americans in the next 25 years, additional screening is imperative to identify patients at high-risk for mental health deterioration (Ziegler-Graham et al., 2018).

Methods: this was a project that included screening all patients with the Personal Health Questionnaire for Depression (PHQ-8) meeting the inclusion criteria of being admitted to 7500 Vascular Surgery at Barnes-Jewish …

Student Stress In Animal Science, Jayden Lynn Lawrence

Theses and Dissertations

Anecdotally, college students have high levels of stress when compared to the rest of the population. There have been many studies that support this idea in programs outside of animal science, but with the shift in animal science from students that have prior livestock experience to those that do not, it is important to acknowledge how this shift impacts the student population. By evaluating courses in animal science, and how they impact student stress it is possible to determine if the present-day curriculum causes any additional stress on students that have less prior experience. In the United States, a majority …

Institutional Change And Employee Commitment In The United States Space Force, Daniel M. Dempsey

M.S. in Leadership

Change is desirable by organizations seeking to increase their competitive advantage and the United States Space Force is not immune to those same demands. As the United States’ newest military service, the Space Force initiated sweeping changes in an attempt to modernize how space operations are performed. Each of these changes imposed themselves upon stakeholders across the Space Force enterprise and my project sought understanding about their effects. With an increasing rate during the preceding decades, literary publications show linkages between the success or failure of an organization’s desired change outcomes and the level of commitment demonstrated by its employees. …

Reducing Stress And Improving Mindfulness Practices Among Mental Health Professionals Through Guided Meditation., Liara G. Patton

Doctor of Nursing Practice Papers

Abstract

Background: Chronic exposure to psychological stress places mental health providers in a vulnerable position when coping skills are not learned or available. Mental health providers are at risk for both mental and physical illness due to the empathetic demands of their client’s stressors. The deficit in adequate coping skills can cause provider-client relationships to suffer and create an undesirable work environment.

Setting: This project took place in Somerset, KY, at a mental health company called A New Beginnings Achievement Center (ANBAC). Twenty-six employees work at ANBAC, all of whom are involved in providing mental health services to developmentally delayed …

Exploring Burnout Program Effectiveness With Adult Day Health Providers, Katy R. Maguire

OTD DEx Reports - College of Pharmacy and Health Sciences

"Stress and burnout are frequently experienced by those in healthcare professions. While extensive research has been done on the impact of stress and burnout on nurses and physicians, other healthcare fields are less researched. One of these populations of health providers excluded from current studies is adult day health providers. Health providers at adult day health centers provide specialized services to persons with acquired, developmental, and intellectual disabilities. They orient these individuals to the community, administer their medications, provide opportunities for socialization and learning, accommodate leisure activities, and many other services that promote community and personal independence for their clients. …

Mitochondrial Health, Physical Functioning, And Daily Affect: Bioenergetic Mechanisms Of Dementia Caregiver Well-Being, E Lydia Wu-Chung, Luis D Medina, Jensine Paoletti-Hatcher, Vincent Lai, Jennifer M Stinson, Itee Mahant, Paul E Schulz, Cobi J Heijnen, Christopher P Fagundes

Faculty, Staff and Student Publications

Objective: Chronic stress adversely affects mental and physical well-being. However, health outcomes vary among people experiencing the same stressor. Individual differences in physical and emotional well-being may depend on mitochondrial biology, as energy production is crucial for stress regulation. This study investigated whether mitochondrial respiratory capacity corresponds to individual differences in dementia spousal caregivers' mental and physical health.

Methods: Spousal caregivers of individuals with Alzheimer's disease and related dementias ( N = 102, mean age = 71, 78% female, 83% White) provided peripheral blood samples and completed self-report questionnaires on quality of life, caregiver burden, and a 7-day affect scale. …