Digital Commons Network^™

Wellness Programming For Men In Long-Term Care, Katie Hautman, Ashley Heinze

Occupational Therapy Capstones

Introduction: The purpose of this project was to develop a wellness guide for staff to implement in long-term care (LTC), to increase participation of meaningful activities and well-being for male residents of all abilities, both physically and psychosocially.

Methodology: A literature review was conducted to understand the need for activities of male residents in LTC. Sources included: online databases, textbooks, and government websites. The Canadian Model of Occupational Performance and Engagement (CMOPE) was selected to direct the development of the program guide. The CMOP-E promotes engagement in occupations and enablement of occupational performance, both of which are important for male …

Evolution Of Occupational Therapy Practice: Life History Of Joan Rogers, Phd, Otr/L, Faota, Michelle Arnhalt, Ivy Steiger

Oral History Student Papers

Objective: This qualitative study was to examine the evolution of occupational therapy practice throughout the life history and career of Joan Rogers. The purpose of the study is to provide current and future generations of occupational therapists a view of the history and how occupational therapy practice has evolved from its inception to current practice through the life history stories of occupational therapists who have held leadership roles at the national level and beyond.

Method: The Kawa Model guided Semi-structured interview questions. Throughout the interview process, the researchers gained information regarding Joan Roger’s experiences related to gaining her occupational therapy …

Annual Report Of The Registrar 2018/2019, University Of Northern Iowa

Institutional Effectiveness & Planning Documents

Contents:

--- Definitions
--- Some Comparisons
--- Annual Report Data
--- Summary of Attendance
--- Attendance by Session
--- Degrees Granted 2018/19
--- Degree Summary 2018/19
--- Program Certificates 2018/19
--- Miscellaneous Enrollment Information
--- Degrees Granted by College, Degree and Racial/Ethnic Classification

Measure Development And Validation Of A Self-Efficacy Scale For Advance Care Planning, Alexandra N. Murray

Open Access Dissertations

A disparity exists between the medical intervention people say they want to receive at end-of-life and the care that is typically delivered. Advance care planning (ACP) involves discussing end-of-life care wishes, including relevant values and cultural beliefs, and documenting these preferences for medical providers and loved ones to minimize unwanted suffering and maximize quality of life. Numerous healthcare institutions have emphasized the importance of doing ACP prior to an imminent medical need, prompting researchers to implement awareness campaigns and interventions in earlier stages of healthcare interactions (e.g., primary care). However, motivation to follow through with ACP varies depending on numerous …

Rebooting Empathy For The Digital Generation Lawyer, Lauren A. Newell

Scholarly Works

No abstract provided.

Bulletin: General Catalog Issue 2019-2020, Portland State University

Bulletin & Curriculum Change Documents

Volume 1 - Programs is available via the Download option, Volume 2 - Courses is available in the Additional Files below

Mapping Collective Action Structures And Activities In A Rural Age-Friendly Communities Initiative, Althea R. Pestine-Stevens

Legacy Theses & Dissertations (2009 - 2024)

Age-Friendly Communities (AFC) initiatives convene stakeholders across sectors and service areas throughout a community to work together to improve the social and built environments for older persons living in the community. While the AFC movement has been active internationally for thirteen years, little is known about the mechanisms that drive this work and its successes. This study aims to uncover some of the key collective action processes and structures that comprise AFC work in a rural county in New York State, through a collaboration theory framework and a social network analysis design.

Age-Related Differences In Cognition And Affect At Work : The Impact Of Mindfulness, Sara Michelle Stevens

Legacy Theses & Dissertations (2009 - 2024)

The present research examined job-related affective and cognitive processes across ages, and the role of trait mindfulness as a mechanism that influences the strength of these relationships. Specifically, job-related affective well-being, job satisfaction, and fluid intelligence were investigated as they relate to dynamics of aging. Participants on Amazon’s Mechanical Turk (N = 174) completed a two-time longitudinal survey separating individual difference tests of trait mindfulness and fluid intelligence at Time 1 from self-report assessments of job satisfaction and job-related affective well-being at Time 2. Overall, the results from this study provide strong evidence that age and mindfulness both play an …

Winter Commencement, December 15, 2019, Eastern Michigan University

Commencement Programs and Materials

No abstract provided.

Thirty-Day Readmission Risk Factors Of African American Adult Copd Patients With Tracheostomies, Shekeita Gibson

Walden Dissertations and Doctoral Studies

The purpose of this study was to assess the association between hospital readmission and demographic variables (age, BMI, gender, income, marital status, comorbidities, and smoking history), and size and type of tracheostomy among African American chronic obstructive pulmonary disease (COPD) patients with tracheostomies. The Andersen model was the theoretical framework for this quantitative study. Secondary data were obtained from a long-term acute care facility. The sample comprised 438 African American adult patients admitted between 2010 and 2017. Logistic regression was used to analyze each research question and assess the odds of 30-day hospital readmission. The results indicated that the odds …

Late-Career Unemployment Has Mixed Effects In Retirement, Wendy C. Birmingham, Maren Wright Voss, M Beth Merryman, Lisa Crabtree, Kathy Subasic, Lori Wadsworth, Man Hung

Faculty Publications

Paid work forms a pattern of occupational engagement that shifts during both unemployment and retirement. Similar to unemployment, the occupational disruption associated with involuntary retirement has been linked to poorer physical and mental health outcomes. To better understand the health impact of work transitions during the pre- and post-retirement years, 24 retired individuals with late-career unemployment were interviewed at the Huntsman World Senior Games in October 2016. Demographic data were collected. Braun and Clarke’s (2006) approach was utilized to thematically analyse the interview data and interpretations were evaluated against existing theory. Themes identified included struggle, freedom, and transition, followed by …

Associations Of Ambivalent Leadership With Distress And Cortisol Secretion, Wendy C. Birmingham, Raphael M. Herr, Frenk Van Harreveld, Bert N. Uchino, Adrian Loerbroks, Joachim E. Fischer, Jos A. Bosch

Faculty Publications

Ambivalent social ties, i.e., whereby a relationship is evaluated simultaneously in positive and negative terms, are a potential source of distress and can perturb health-relevant biological functions. Social interactions at the workplace, in particular with supervisors, are often described in ambivalent terms, but the psychological and psychobiological impact of such interactions has received little scientific attention. The current study examined associations between ambivalent attitudes towards one’s supervisor, perceived distress (general and work-related), and diurnal dynamics of the stress hormone cortisol. 613 employees evaluated their supervisor in terms of positive and negative behaviors, which was combined into an ambivalent index. Higher …

Quantifying Activity Levels Of Community-Dwelling Seniors Through Beacon Monitoring, Jin Qiang Goh, Hwee-Pink Tan, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

The ageing population is rapidly increasing, both in Singapore and worldwide. Due to the shortage of healthcare professionals and institutionalized care, there is a pertinent need for seniors to age-in-place-safely and in the familiarity of their neighborhoods. In addition, changing family structures and rising divorce rates, coupled with the desire for more personal space and independence, have resulted in a significant proportion of seniors who live alone at home. In this paper, we describe a scalable and low-cost monitoring system that can help to identify community-dwelling seniors who are at risk of social isolation and/or frailty. This is achieved by …

A Study Of The Food Environment At Australian Family Day Care, Ruth Wallace, Brennen Mills

Research outputs 2014 to 2021

Overweight and obesity in childhood is a significant public health issue. Family day care (FDC) offers a setting where good eating habits can be nurtured in young children, yet often the food environment is unhealthy. This study aims to determine FDC educators’ knowledge and confidence about nutrition and the barriers and enablers to supporting healthy food environments. Australian FDC educators were recruited to a mixed methods study using self-administered e-surveys and qualitative in-depth interviews. The survey data (n = 188) revealed good knowledge about sugary foods, but poor knowledge of protein-rich foods. Nutrition knowledge was not associated with confidence …

Guidance For Research On Social Isolation, Loneliness, And Participation Among Older People: Lessons From A Mixed Methods Study, Julie Dare, Celia Wilkinson, Robert Donovan, Johnny Lo, Marie-Louise Mcdermott, Helen O'Sullivan, Ruth Marquis

Research outputs 2014 to 2021

This article provides methodological guidance to researchers wishing to develop collaborative research projects with local governments and other agencies, by describing the process adopted in a mixed methods study conducted in the City of Wanneroo (the City), a local government area in Perth, Western Australia. The study explored factors related to older people’s (60+ years) participation in community-based activities and links between their participation and levels of social isolation, loneliness, and social connectedness. The research incorporated four interrelated stages: (1) an audit of existing programs in the City and program participant characteristics; (2) focus groups with program participants and interviews …

Knowledge Of Hiv/Aids Among Older Adults (50 Years And Above) In A Peri-Urban Setting: A Descriptive Cross-Sectional Study, Reindolf Anokye, Enoch Acheampong, Amy Budu-Ainooson, Edmund Isaac Obeng, Emmanuel Tetteh, Yvonne Sabby Acheampong, Curtis Edward Nettey-Marbell

Research outputs 2014 to 2021

Background: In the absence of vaccine or cure, public knowledge about Human Immune Virus (HIV) is a central tool for curbing HIV epidemic. This study sought to assess the knowledge of HIV among older adults (50 years and above) at the Methodist Faith Healing hospital, Ankaase, Ghana. Methods: Using a descriptive study design, older adults (50 years and above) who visited the Ankaase Methodist Faith Healing hospital were randomly sampled for the study. A structured questionnaire was administered to collect data which was analyzed quantitatively using Statistical Package for Social Sciences (SPSS version 16.0). Results: A total of 100 respondents …

Developing A Clinical Practice Guideline For Improving Communication During Transitions Of Care, Darla P. Hardy

Walden Dissertations and Doctoral Studies

Transition of care refers to the movement of patients between health care settings; it occurs each time patients move between providers within the same setting or between settings based on the patient's acute or chronic health care needs. Care transition includes the efficient and accurate exchange of information needed to provide high-quality continuity of care. A rural community hospital in in the northeastern region of the United States has a skilled nursing facility and an acute care hospital on one campus. This project focused on the development of a clinical practice guideline (CPG) for the hospital to improve communication during …

Implementing Aromatherapy For Falls Reduction In The Inpatient Hospice Population, Kimberly Kay Pistek

Walden Dissertations and Doctoral Studies

Falls among the elderly is a health concern affecting multiple patients annually. Hospice patients and those with multiple comorbidities are at the greatest risk of falling and sustaining injuries from falls. Aromatherapy has been used for reducing multiple symptoms as well as for decreasing falls. The practice-focused question explored whether an education program on using aromatherapy for fall prevention would increase knowledge of this intervention for an interdisciplinary group of hospice staff. The design was developed using Knowles's theory of andragogy and Bloom's taxonomy. Thirteen staff members from the same facility participated in the education program. The program was targeted …

Caregiver Review Of Nonpharmacological Interventions For Behavioral Symptoms Associated With Dementia, Karla Chaney Ballew

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most common form of dementia and affects an individual’s overall cognitive function, including orientation, memory, and executive function. Most AD patients in the United States reside in residential care facilities or private homes under the care of individuals with little education on the challenges of the AD patient. Among the challenges faced by caregivers are behavioral and psychological symptoms related to dementia (BPSD). Education has been shown to improve caregivers’ treatment of BPSD in AD patients and to improve caregiver retention. The purpose of this project was to develop an evidence-based education module guided by …

Mental Health Counselors’ Experiences In Personal Counseling, Torrie Gilden

Walden Dissertations and Doctoral Studies

In various aspects of the counseling profession, instructors, supervisors, and colleagues often recommended that their fellow counselors engage in personal counseling for professional development and personal wellness. However, the existing literature has yet to explore the lived experiences of mental health counselors in personal counseling. The purpose of this transcendental phenomenological study was to explore the lived experiences of mental health counselors in personal counseling. Purposeful sampling was used to select 7 licensed mental health counselors in a Northwestern state. Data collection methods included semistructured interviews in person and via Zoom, an online video conferencing format. Interpretive phenomenological analysis was …

Training Satisfaction Of Behavioral Health Providers Treating Older Adult Substance Use, Claudia Lpc Crosse-Wynn

Walden Dissertations and Doctoral Studies

Substance use disorders among the baby boomer generation are steadily increasing, but knowledge and training satisfaction regarding older adult substance use disorders among behavioral health providers (BHPs) has not been explored. Using the Kirkpatrick evaluation model, this quantitative study involved an examination of the knowledge and training satisfaction of four behavioral provider groups: addiction counselors, licensed professional counselors, marriage and family therapists/social workers, and psychologists. Each participant (N = 154) completed a demographic questionnaire, satisfaction questionnaire, and the Alcohol and Older Adult Questionnaire to measure knowledge level on older adult substance use disorders. The results showed that licensed professional counselors …

Perceptions Of Fear Of Falling In Older Adults, Ken Germano

Walden Dissertations and Doctoral Studies

Many adults are afraid of falling. While aging can affect one'€™s physical and cognitive abilities related to fear of falling (FOF), research has revealed that FOF increases risk of falls and adversely affects independence levels among older adults. The purpose of this study was to explore older adults'€™ perceptions of FOF and risk of falling. Guided by the health belief model, the research questions focused on older adults'€™ perceptions of FOF, contributing factors of FOF, and how FOF may affect independence levels. How older adults perceive FOF, and how FOF may affect an individual older adult'€™s fall risk and independence …

Decreasing Hospital Admission Rates In Long-Term Care, Melanie R. Meissner

Walden Dissertations and Doctoral Studies

Each year, hospitalizations from long-term care (LTC) settings occur, in part, due to underdeveloped nursing assessment skills, ineffective communication with primary care providers (PCPs), and delayed intervention. Through staff development nursing education, the quality and timeliness of care can be improved. The practice question that guided this doctoral project focused on whether evidence-based research information would assist in decreasing LTC-to-hospital admission rates through improved nursing assessment skills and better communication with PCPs. Using the logic model, the effectiveness of a program was evaluated and the impact of interventions on a predicted outcome was determined. Sources of evidence included obtaining best …

An Interprofessional Collaborative Approach To Fall Prevention Education, Lisa Prince-Clark

Walden Dissertations and Doctoral Studies

Hospital falls among medical-surgical inpatients are a safety concern. Inpatient falls that lead to significant injuries may be reduced by fall intervention education, which can lead to the preparedness of the patient and care providers. Orlando's deliberative nursing process theory and the plan-do-check-act model were applied to address the project practice-focused question that explored whether the education of staff nurses on fall prevention interventions would reduce the incidence of falls during a 2-month period. The purpose of the project was to implement and evaluate nursing staff education on the Morse fall scale, an evidence-based fall-prevention intervention. Evaluation of staff nurse …

Adhesive Transparent Chlorohexidine Gluconate Tegaderm™ Gel Dressing For Central Venous Catheter, Peter Kimiti Mwangi

Walden Dissertations and Doctoral Studies

Central-line-associated bloodstream infections (CLABSIs) occur during the insertion or change of the dressing of the central venous catheter (CVC) and are reportable healthcare-associated infections at the state and the national level. The purpose of this systematic review of the literature was to evaluate and synthesize available evidence to establish the effectiveness of using an adhesive transparent chlorohexidine gluconate (CHG) Tegaderm™ gel dressing for CVC in the prevention of CLABSIs. The logic model was used as a framework to guide the review of the literature to establish how an intervention that is not currently practiced can contribute to CVC prevention of …

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …

The Turkish Version Of The Modified Falls Efficacy Scale: Reliability And Validity From The Viewpoint Of Balance, Ni̇lüfer Çeti̇şli̇ Korkmaz, Mehmet Duray, Esra Doğru Hüzmeli̇, Hande Şenol

Turkish Journal of Medical Sciences

Background/aim: The factors associated with fall-related self-efficacy should be addressed, especially in the elderly. The Modified Falls Efficacy Scale (MFES) is a simple instrument with good scaling properties and reliability. The aim of the present study was to determine the reliability and the validity of the Turkish version of the MFES from the viewpoint of balance.Materials and methods: In this study, 164 participants aged >65 years were included. The use of walking aids and assistive devices, history and frequency of falls in the previous year, living environment, and exercise habits were noted. Balance and risk of falling were assessed with …

Graduate Catalog And Student Handbook 2019-2020, Nova Southeastern University

Abraham S. Fischler College of Education and School of Criminal Justice Graduate Course Catalogs

No abstract provided.

The Diversity Of Interest In Later-Life Entrepreneurship: Results From A Nationally Representative Survey Of Americans Aged 50 To 70, Cal J. Halvorsen, Yu-Chih Chen

Harvey A. Friedman Center for Aging

While older entrepreneurs are more likely to be male, white, and have higher levels of human, social, and financial capital, we know less about interest in later-life entrepreneurship. This study estimates entrepreneurial interest in a nationally representative sample of Americans aged 50 to 70 using partial proportional odds modeling. We estimate that more than 31 million older Americans have some interest in entrepreneurship and reveal key predictors of this interest (e.g., younger age). Importantly, the findings indicate that a more diverse group of older adults are interested in entrepreneurship than have become entrepreneurs, suggesting the need for additional research on …

Annual Report 2019, Nebraska Center For Justice Research, University Of Nebraska At Omaha, Ryan E. Spohn

Reports

The Nebraska Center for Justice Research (NCJR) was established in 2014 with a mission to develop and sustain criminal justice research capacity internal to the State of Nebraska. Our goal is to assist the Legislature, justice agencies, practitioners, foundations, and stakeholders with research and evaluation to reduce recidivism, promote the use of evidence-based practices, and improve public safety. This annual report summarizes the activities and financial status of NCJR in the 2018-2019 fiscal year. In this past year, NCJR once again crafted our Adult Justice in Nebraska report to provide a foundation of data trends in areas such as law …