Digital Commons Network^™

Understanding Resident-To-Resident Conflicts In Long Term Care Settings From The Perspective Of Administrative Staff, John F. Walker

All Graduate Theses, Dissertations, and Other Capstone Projects

Assisted living facilities are expanding in response to the growing population of older adults in the United States. Assisted living facilities offer a wide array of services including memory care. Research has shown that a majority of assisted living facilities have residents with cognitive impairments living along with non-cognitively impaired individuals (i.e., mixed populations). Little is known about the conflicts that may arise between cognitively and non-cognitively impaired residents in a mixed population. The present study hoped to better understand what conflicts occur, how direct care staff are trained to handle these conflicts, from the perspective of assisted living facility …

Issues Of Elder Care Among Migrant Workers In Contemporary Rural China: Filial Piety Redefined From A Foucauldian Perspective, Longtao He, Kate Van Heugten, Maria Perez-Y-Perez, Yongqiang Zheng

Faculty Publications - College of Social Work

This article reports on research that explored rural migrant workers’ experiences of returning to their hometown to provide care for elderly parents diagnosed with cancer. The authors used a culturally integrated approach to Foucauldian discourse analysis to consider how 24 participants narrated their experiences of care in China. The discourse of care demonstrated a strong commitment to filial piety despite their unique care challenges, and this commitment was bolstered by discourses that emphasized how much parents had sacrificed, as well as by a persistent forgetting of experiences or background details that suggested any lack of parental sacrifice in recent Chinese …

Home Healthcare Embodied Agents: Priorities And Opportunities, Faith Sauber

Honors Undergraduate Theses

Prevention is a central tenet of modern healthcare. New ways of informing, educating, and allowing patients to keep track of their health are continually developing. Integrating technology that bridges the gap between healthcare providers and their patients is essential in today's digital age. One emerging idea is the use of home healthcare embodied agents. Embodied agents are conservational interfaces that can interact and look like human beings. They can exhibit both verbal and non-verbal language cues and be capable of having a natural conversation. This kind of technology could help both patients and healthcare providers by giving patients a helpful …

Impact Of A Standardized Situation, Background, Assessment, And Recommendation Tool On Satisfaction And Communication In The Perioperative Area, Salomy Abraham

Walden Dissertations and Doctoral Studies

AbstractEffective communication among health care providers is critical to maintain patient safety during the handoff of care. Communication breakdown during handoff can lead to medical errors and sentinel events. The perioperative area is a vulnerable area that is prone to communication errors due to the involvement of providers from various disciplines and the nature of the quick patient turnovers within the perioperative area. To ensure proper communication during the handoff in the perioperative area, a unit-specific handoff tool is required. The focus of the project was to implement a standardized situation, background, assessment, and recommendation (SBAR) communication tool in the …

Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis

Walden Dissertations and Doctoral Studies

The exploitation of unpaid healthcare staff led to a volunteer flight from long-term residential facilities during the COVID-19 pandemic. A literature gap existed on human resource policies to support volunteer eldercare workers who had remained at their posts and taken charge of work in long-term care facilities during the public health crisis. The purpose of this qualitative narrative inquiry study was to explore how volunteers in eldercare facilities viewed their daily experiences and interpreted their role in eldercare facilities during the COVID-19 pandemic. This study was framed by Garner and Garner’s theory of volunteer retention and Studer’s concept of volunteer …

Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton

Walden Dissertations and Doctoral Studies

Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …

A Clinical Practice Guideline: Hospice Care In The Emergency Room, Samer Saad

Walden Dissertations and Doctoral Studies

Hospice patients use the emergency department (ED) for the management of symptoms, making it necessary for ED nurses to be equipped with the knowledge and skills to care for hospice patients. EDs should have staff specially trained to address end-of-life needs due to ED staff’s minimal knowledge of treating and managing hospice patients. When healthcare organizations fail to provide clinical practice guidelines (CPG) and collaborate with significant stakeholders adequately, gaps in care delivery can occur, and hospice care is often not delivered safely. Standardized guidelines on end-of-life care in the ED should provide adequate guidance for ED nurses in bridging …

Relationship Between Wellness, Resilience, And Vicarious Trauma Among Clinical Mental Health Counselors Serving Interpersonal Violence Survivors, Elizabeth O'Neill Hunter

Walden Dissertations and Doctoral Studies

Interpersonal violence (IPV) can result in the traumatization of primary survivors, as well as the mental health professionals who support them, which is referred to as vicarious trauma (VT). VT is an occupational hazard that if unaddressed can lead to significant personal and professional disruption. Clinical mental health counselors (CMHCs) who provide counseling services to IPV survivors are at increased risk of integrating the traumatic session content into their worldview. VT can lead to psychological distress including symptoms of post-traumatic stress disorder and can threaten the quality and ethical nature of the counseling relationship. The purpose of this quantitative survey …

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …

A Semiparametric Modeling Approach For Analyzing Clinical Biomarkers Restricted To Limits Of Detection, Sandipan Dutta, Susan Halabi

Mathematics & Statistics Faculty Publications

Before biomarkers can be used in clinical trials or patients' management, the laboratory assays that measure their levels have to go through development and analytical validation. One of the most critical performance metrics for validation of any assay is related to the minimum amount of values that can be detected and any value below this limit is referred to as below the limit of detection (LOD). Most of the existing approaches that model such biomarkers, restricted by LOD, are parametric in nature. These parametric models, however, heavily depend on the distributional assumptions, and can result in loss of precision under …

Sibling Conflict And Caregiving For Aging Parents, Jennifer Elise Lawer

Department of Conflict Resolution Studies Theses and Dissertations

This dissertation presents the results of a grounded theory study of the key factors of sibling conflict when caregiving for an aging parent. Following interviews with 30 participants, I conducted initial coding, focused coding and theoretical coding, which led to the development of a theory that explains the relationship of conflict factors such as: beliefs & values, feelings & emotions, roles & expectations, and behaviors & responses. The dissertation includes a discussion of how birth order theories, power theories and psychodynamic theories apply to sibling conflict. In addition, I discuss how the findings apply to conflict resolution skills and offer …

Impact Of 9/11-Induced Adverse Experiences On The Mental Health Of Latino Americans And The Role Of Religious Service Attendance, Soyoung Kwon, Yongsok Kim, Jiyoung Moon Dr.

The Journal of Sociology & Social Welfare

Much research has documented the mental health consequences of the terrorist attacks of September 11, 2001; however, little is known about how the 9/11 attacks affect the mental health of Latino Americans. This study uses a nationally representative sample of Latino Americans (N = 2,346) from the National Latino and Asian American Study (NLAAS) to examine the relationships between 9/11-induced negative life experiences and mental disorders. The former includes losing a job, reducing family income, feeling less safe and secure, discrimination, loss of optimism, and inability to cope with things. For the latter, mental disorders may exhibit as psychological distress, …

Lsu General Catalog 2021-2022, Louisiana State University And Agricultural And Mechanical College

LSU General Catalog

The LSU General Catalog describes all undergraduate and graduate departments and programs with degree requirements and courses offered for each one. The LSU General Catalog includes information on registration and financial aid as well as academic services offered to all students.

Ic025: Marianne Marcus, Transcript, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcript of the oral history interview with Marianne Marcus. See more at University of Texas School of Nursing records and its finding aid.

Mentorship Experience Among Nurse Practitioners, Chelsea L. Noble

Doctor of Nursing Practice Scholarly Projects

Background and Review of Literature: The current literature provides the context of mentorship and its benefits across various disciplines. Nursing and medicine use mentorship frequently to guide each new generation of healthcare providers. There is a current lack of research focusing on nurse practitioners as it relates specifically to mentorship.
Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate mentorship in nurse practitioners and across subspecialties.
Methods: A descriptive correlational study was conducted. Data were collected using the Mentor Evaluation Tool (MET) and the National University Hospital Mentorship Evaluation (NUH ME) tool that were administered …

Caring Minds, Uthealth Cizik School Of Nursing

Caring Minds

No abstract provided.

Lhuft Bibliography January 2021, Karyl Johnson

Bibliographies

No abstract provided.

Property Law For The Ages, Michael Pollack, Lior Strahilevitz

Articles

No abstract provided.

Partnership Between Islam And Palliative Care At Swedish Health Services (First Hill And Cherry Hill), Hodo Mohamud

Articles, Abstracts, and Reports

INTRODUCTION  The spiritual practice of Islam is considered one of the three major monotheistic religions. There is minimal research about Palliative care and Muslim patients in both Muslim majority and Muslim minority countries. Engaging in internal assessment of palliative care provision to Muslim patients is important for quality care. This project aimed to examine gaps in Palliative needs assessment of Muslims in one institution.

OBJECTIVES Assess Swedish palliative care team’s barriers to spiritual care (SC) and baseline knowledge of Islamic influences on healthcare. Interview Muslim patients and insights from a Muslim Imam trained in chaplaincy about PC experience. Develop …

Cognitive Abilities In Hearing Loss: Perceived And Performance Abilities Of Adults Related To Attention, Memory, And Social Cognition, Karah Gottschalk

Theses and Dissertations--Gerontology

Hearing loss is the most common sensory deficit noted in aging adults. It is commonly known to reduce an individual’s ability to detect, identify, and localize sounds and speech and to cause issues in communication. However, there are other less commonly discussed impacts that hearing loss has beyond the auditory system. Literature suggests a correlation between hearing loss and cognition in aging adults. Similar to hearing loss, the domains of cognition experience performance and functional changes across the life span. In an aging adult, changes related to cognition are also suggested to be associated with hearing loss. This study aimed …

The Present And Future Of Medical Music Therapy For Adults In The U.S.A., Cheryl Dileo

Journal of Urban Culture Research

This article provides an overview of medical music therapy theory, practice, and research in the United States. The breadth and depth of treatment as well as clinical goals for those with a wide range of medical problems is described. Medical music therapy uses a range of music interventions. Differences between medical music therapy and other music practices in hospitals, e.g., music medicine are detailed. Results of systematic reviews published in the distinguished Cochrane Library are summarized. Recommendations for theory, practice, training, and research are provided as a means to advance medical music therapy in the future.

Usf Libraries Libguides Task Force Report 2020-2021, Usf Libraries

All Assessment Data

No abstract provided.

Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry

West Chester University Doctoral Projects

Abstract

This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart …

Addressing The Community Trauma Of Inequity Holistically: The Head And The Heart Behind Structural Interventions, 98 Denv. L. Rev. 1 (2021), Amy T. Campbell

UIC Law Open Access Faculty Scholarship

No abstract provided.

Effects Of Physical Activity On Physical Health, Cognition, And Activities Of Daily Living In Persons At Risk Of Alzheimer's Disease Or All-Cause Dementias, Trevon Hodge

Honors Undergraduate Theses

The purpose of this study was to summarize the effects of physical activity (PA) as a nonpharmacological preventative measure in people at risk of Alzheimer's disease (AD) or all-cause dementia. It was hypothesized that persons at risk of AD or all-cause dementia who engage in sustained and continuous PA would fare better in terms of physical health, cognition, and activities of daily living (ADLs). A systematic literature review was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) using 12 keywords. Studies were included if they were randomized controlled trials with people at risk of AD or …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …

Microrna-223 Deficiency Exacerbates Acute Inflammatory Response To Monosodium Urate Crystals By Targeting Nlrp3, Qi-Bin Yang, Ling-Qin Li, Quan-Bo Zhang, Yong-Long He, Qing-Sheng Mi, Jing-Guo Zhou

Dermatology Articles

Objective: MicroRNAs were identified as master-switch molecules limiting acute inflammatory response. This study investigated the potential role of microRNA (miR)-223 in the mechanism of gout.

Methods: Wild-type (WT) and miR-223 knock-out (KO) mice were used to evaluate the phenotypes of gout models. Inflammatory cytokines were measured in air pouch and peritoneal cavity lavage fluid. In addition to miR-223 level in gout patients, miR-223 and pro-inflammatory genes were examined in bone marrow-derived macrophages (BMDMs) from mice as well as peripheral blood mononuclear cells from healthy controls (HC) treated with monosodium urate (MSU) crystals in vitro.

Results: MiR-223 was up-regulated in the …

Survey Deficiencies As Quality Indicators In Oregon Assisted Living Communities, Ozcan Tunalilar, Sunny C. Lin, Paula C. Carder

Institute on Aging Publications

Background and Objectives License inspection data have commonly been used as a quality measure for nursing homes but has not yet been used to assess the quality of assisted living/residential care (AL/RC) communities. Drawing on resource dependency theory, we test the hypothesis that structural and environmental characteristics influence AL/RC quality as measured by deficiency citations (“deficiencies”) issued during license inspections.

Research Design and Methods Using data from 526 licensed AL/RC communities in Oregon that received a license inspection visit between 2008 and 2016, we examined the prevalence of deficiencies by type and year. We estimated regression models to identify structural …

Modeling Of Crash Risk For Realistic Artificial Data Generation: Application To Naturalistic Driving Study Data, Lauren Hoover

Electronic Theses and Dissertations, 2020-2023

Most safety performance analysis employs cross-sectional and time-series datasets, posing an important challenge to safety performance and crash modification analysis. The traditional safety model analysis paradigm relying on observed data only allows relative comparisons between analysis methods and is unable to establish how well the methods mimic the true underlying crash generation process. Assumptions are made about the data, but whether the assumptions truly characterize the safety data generation in the real world remains unknown. To address this issue, this thesis proposes the generation of realistic artificial data (RAD). In developing a prototype RAD generator for crash data, we mimic …

Measurement Invariance In The Cesd-8 And Assessment Of Mood Correlates Between American And Mexican Community Studies On The Multisystemic Geriatric Depression Cycle, Manuel Herrera Legon

Electronic Theses and Dissertations, 2020-2023

The Health and Retirement Study is a longitudinal study that is conducted every other year in the United States and has served as a precursor to similar studies across the world, such as the Mexican Health and Aging Study. The purpose of the current project was evaluating the relationship between depressive symptoms, inflammation and physical activity levels using data from the HRS and MHAS studies. The current project was divided in two main studies. The first study aimed at establishing measurement invariance in a brief questionnaire about depressive symptoms, the CES-D 8. The second study looked at various theories of …