Digital Commons Network^™

A Formative Evaluation Using Re‐Aim Framework For Enhanced Shelter Services, Raissa Meegan

Doctor of Nursing Practice Projects

Background: Poor health is not only a major cause of homelessness but being homeless also worsens existing health issues. Effective interventions that address the unique needs of this population are a critical component of ending homelessness. A review of literature has revealed four evidence-based approaches that includes a Housing First approach, Trauma Informed Care (TIC), case management, and service integration as key priorities for homeless service providers. It is important for service organizations supporting this population to conduct program evaluations to ensure best practices are utilized in program implementation.

Objectives: The objective was to perform a formative evaluation guided by …

Increasing Staff Compliance With Routine Hcv Screening And Improving Linkage To Care Among Patients Testing Hepatitis C Positive In The Emergency Department, Carson G. Swartz

DNP Projects

Background: Hepatitis C virus (HCV) is a blood-borne pathogen that can cause severe liver disease, cancer, and death and is a significant source of morbidity and mortality in the United States. Several academic medical centers including University of Kentucky Healthcare have implemented routine HCV screening for patients presenting to the emergency department (ED) and have discovered a large viral burden amongst patients who are often symptomatic.

Purpose: The purpose of this doctoral project is to increase staff compliance, confidence, and education regarding the HCV screening process in an urban, Level I emergency department, as well as to evaluate whether an …

Effectiveness Of A Web-Based Smoking Cessation Training Program For Health Care Professionals Within An Acute Psychiatric Facility, Allie Carmichael

DNP Projects

Background: Tobacco use is the leading preventable cause of death and disease in the United States, with the prevalence remaining especially high among people with mental illness. Mental health providers often lack training in smoking cessation and feel uncomfortable addressing the issue with this patient population. Studies show that educational training offered to providers can lead to increased knowledge that improves the provider’s confidence and attitude about delivering smoking cessation treatment to patients. Mental health professionals must receive training on smoking cessation treatment modalities so they can effectively provide holistic care needed for recovery for patients with mental illness.

Purpose …

The Use Of A Pediatric Palliative And Hospice Education Module To Enhance The Knowledge And Practice Of Emergency Room Providers, Morgan Garrett

DNP Projects

Background: Palliative and hospice care resources are underutilized in pediatric patients with chronic and life-limiting illnesses. One contributing factor is the lack of formalized education for medical providers regarding the differences and scope of palliative and hospice care models. Without adequate education about these services, providers are not able to effectively utilize otherwise available resources to provide holistic care.

Purpose: The purpose of this study was to assess the current perception of knowledge among providers pertaining to pediatric palliative and hospice care. The study investigated improvements in educational outcomes in ten categories after participation in a web-based training. A secondary …

The Measurement Of The Impact Of Well-Being Resources On Moral Distress And Burnout Following The Covid-19 Pandemic In Front-Line Nurse Leaders, Benjamin Hughes

DNP Projects

Background: Due to the COVID-19 pandemic, there is significant burnout among front-line nursing staff. Little literature has been published about the measurement of burnout among front-line nursing leaders, such as nurse managers and directors, nor the interventions used to help with this ever-growing issue among this group. Since the pandemic began, there have been many resources identified to help front-line staff members with burnout, but none specifically looking at what has worked or been utilized by front-line nursing leaders.

Purpose: The purpose of this project was to describe what well-being resources were identified as being effective in decreasing moral distress …

The Effects Of Cultural Competency Training On Providers Knowledge, Skills And Attitudes Towards The Latino Population, Jennifer L. Peppiatt

DNP Projects

Background: Providers in the United States (U.S.) healthcare system need to understand the cultural values, beliefs, and traditions of the growing Latino population. As a result, academic institutions are incorporating cultural competency training in their curricula. However, a noticeable knowledge gap exists for those currently practicing in the healthcare arena, impacting patient and provider satisfaction and healthcare outcomes.

Purpose: The purpose of the study was to obtain a baseline assessment of the cultural competence of a select group of Advanced Practice Providers (APPs) caring for the Latino population at the University of Kentucky and provide a targeted educational intervention, followed …

Countering Moral Distress In Ecmo Nurses With Case-Review Debriefings, Sherry D. Griggs

DNP Projects

Abstract

Background: Moral Distress occurs when nurses know the ethically correct action to take, but they are restrained from taking it. It is especially prevalent in nurses caring for critically ill patients, such as those on extra-corporeal membrane oxygenation (ECMO). Effectively addressing moral distress is crucial to the growth and health of the nursing profession, which is the cornerstone of quality and safety in healthcare.

Purpose: The purpose of this project was to evaluate the effectiveness of case-review debriefings on moral distress of ECMO nurses.

Conceptual Framework: Analysis of Moral Distress Process was utilized. This framework addresses moral distress …

Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship

DNP Projects

Background: Depression and anxiety are serious complications of cancer and deemed a challenging diagnosis due to the symptoms of depression mimicking common side effects of chemotherapy and radiation. Signs/symptoms frequently are underrecognized thus appropriate treatment is delayed, compromising the health-related quality of life (HRQOL) for pediatric oncology patients.

Purpose: Analyze existing physician and Advanced Practice Provider (APP) clinical practice regarding depression, via a pre- and post-survey and educational PowerPoint on the use of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) to promote early recognition of depression.

Methods: A prospective, single-arm, study was completed in the Kentucky Children’s …

“Bone By Bone”- Re(Collecting) Stories Of Black Female Student Activists At Fayetteville State Using Oral History Interviews With A Life History Approach, Francena F.L. Turner

College of Humanities and Social Sciences

Chapter 4 of Oral History and Qualitative Methodologies: Education Research for Social Justice

Panel 3: The Universal Museum Myth, Irini Stamatoudi, Patty Gerstenblith, Elena Korka, Joe Baker

Cardozo Arts & Entertainment Law Journal

The article critiques the concept of the "universal museum," arguing that it often justifies the removal of cultural heritage from its origin communities under the guise of public education and universal access. The discussion emphasizes the ethical and legal issues surrounding colonial-era acquisitions and advocates for a shift towards restitution and collaboration with source communities to address historical injustices.

Und Strategic Planning Workgroup Final Report Attachments: Collaboration And Engagement, University Of North Dakota

LEADS Development Documents

Attachments to the Collaboration and Engagement workgroup final report from the UND LEADS development process. The document preserves supporting materials connected to the workgroup’s findings, recommendations, and strategic planning input related to collaboration, partnerships, community engagement, and UND’s external relationships.

Animal Adoption Profiles: An Application Of The Human-Animal Connection, Autumn Stowe

Honors Program Theses

No abstract provided.

Proximity And Parental Interaction: Examining The Relationship Between Proximity Data And Mother-Infant Interaction Among Mothers With And Without Depression, Paige Farrenkopf

Public Health Theses

Background: There is a lack of data on response behaviors among young mothers in low- and middle-income countries. Emerging passive sensing technology has been increasingly allowing researchers to collect this type of day-to-day behavioral data.

Methods: We administered PHQ-9 depression surveys and the Observation of Maternal-Child Interaction (OMCI) measure to young mothers between the ages of 15-25 in the Chitwan region of Nepal, and conducted key informant interviews with all mothers selected for participation.

Results: Among 54 mother-infant dyads, we found that there was no statistically significant correlation between maternal responsiveness and proximity. When we stratified participant groups by depression …

Patient Experience During The Covid-19 Pandemic At Smilow Cancer Hospital At Yale-New Haven, Danielle Marie Kline

Public Health Theses

Background: The COVID-19 pandemic has sidelined many elective, as well as non-elective, procedures designed to improve patients’ care experience. Oncology patients are at higher risk of developing and dying from COVID-19 and experience greater difficulties accessing and affording healthcare, compared to patients without cancer.

Objective: To explore the trends in patient experience of outpatient oncology patients in relation to the COVID-19 pandemic.

Methods: We utilized the additional comments section of the Press Ganey survey to ask respondents (n=12,514) about their experiences utilizing care. The survey was administered after each patient visit and analyzed quarterly from January 2020 to February 2021: …

Operationalizing The Unesco Universal Declaration On Bioethics And Human Rights Through A Trans-Cultural Lens: A Qualitative Study With Students In South Korea And The United States, Francis Yang

Public Health Theses

The UNESCO Universal Declaration on Bioethics and Human Rights (UDBHR) was a well-intentioned but controversial document. Some scholars appreciated UNESCO’s attempts at providing an internationally recognized set of ethical guidelines. Other critics maintained the UDBHR, in particular Article 12, was yet another representation of Western ideological hegemony and an ill-informed attempt at embracing universality at the expense of diversity. This paper acknowledged this debate but approaches the UDBHR in trans-cultural manner, framing the UDBHR not as an imposing guideline, but as a seed around which dialogue can coalesce. Such dialogue might engage similarities, differences, and nuances between different ethical perspectives, …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Holistic Treatment: A Qualitative Study Of The Integration Of Chinese Medicine With Psychoanalysis In China, I. Wang

Dissertations and Theses

With its fundamental principle of body-mind unity, Chinese medicine has long been regarded as one of the most influential bedrocks of holistic treatment. Given its prevalence in China, Chinese medicine (CM) is a culturally appropriate way for therapists in China to integrate with psychoanalysis. This qualitative study investigates how Chinese psychotherapists in China with Western psychanalytic backgrounds synthesize the principles and methods of CM into their practice. Further, the barriers and facilitators to the integration are also examined. With a sample of twelve Chinese psychotherapists in China primarily trained at The China American Psychoanalytic Alliance, through semi-structured interviews, therapists' integration …

How Do Low-Income Single-Mothers Get By When Unemployment Strikes: Patterns Of Multiple Program Participation After Transition From Employment To Unemployment, Chi-Fang Wu, Yu-Ling Chang, Soohyun Yoon, Salma Musaad

Children’s Nutrition Research Center Staff Publications

Little is known about longitudinal patterns of welfare program participation among single mothers after they transition from employment to unemployment. To better understand how utilization patterns of these welfare programs may change during the 12 months after a job loss, we used the 2008 Survey of Income and Program Participation to examine the patterns of participation in Medicaid, the Supplemental Nutrition Assistance Program, Temporary Assistance for Needy Families, and unemployment insurance among 342 single mothers who transitioned from employment to unemployment during the Great Recession. Using sequence analysis and cluster analysis, this paper identified four distinct patterns of program participation: …

Ego-Feeling And Ego-Boundaries: An Examination Of The Work And Legacy Of Paul Federn, Samuel Selinger

Dissertations and Theses

Paul Federn was an important figure in the early development of psychoanalysis. He was, besides Sigmund Freud himself, the only founding member of the Vienna Psychoanalytic Society who was still a member when the society was disbanded by the Nazis in 1938. He was also an early pioneer in the use of psychoanalysis toward the understanding and treatment of psychosis, and was among the very first to consider the importance of the ego to psychoanalytic understanding of the mind and mental illness. This dissertation examines Federn’s key ideas-- ego-feeling and ego-boundaries-- their influence on later psychoanalytic formulations by Winnicott, Lewin, …

Role Of Nurses In Oncologic Emergencies, Nor Aziyan Yahaya

Research Publications (2021 to 2025)

Oncology nurses are crucial to recognizing and managing the signs and symptoms of oncologic emergencies.

2022 Annual Report For Ebp Workforce Development, Evidence To Practice, Cep Annual Reports, Lisa Staples, Ronnie Rubin, Brooke Dupre, Gabrielle Gonzalez, Willandra Whiting, J. Henning, Sonita Singh, Stephen Phillippi

Policy & Position Papers

No abstract provided.

A Qualitative Investigation Of Organizational Challenges And Facilitators To Screening Individuals Experiencing Homelessness For Hepatitis C Virus (Hcv) In Houston, Texas, Alane Celeste-Villalvir, J Michael Wilkerson, Christine Markham, Lourdes Rodriguez, Vanessa Schick

Faculty, Staff and Student Publications

BACKGROUND: Individuals experiencing homelessness may be at a disproportionately high risk for hepatitis C (HCV) because they may be more likely to engage in HCV risk behaviors. Community organizations that provide services to these vulnerable individuals can effectively screen, diagnose, and navigate them into HCV care. However, screening people experiencing homelessness for HCV at such organizations is limited by various challenges that remain understudied, including budgetary considerations and strategies to improve teamwork and communication. Accordingly, this study investigated the organizational challenges and facilitators to HCV screening of individuals experiencing homelessness as reported by homeless services providers.

METHODS: Staff (N = …

"Don't Know Where To Go For Help": Safety And Economic Needs Among Violence Survivors During The Covid-19 Pandemic, Leila Wood, Elizabeth Baumler, Rachel Voth Schrag, Shannon Guillot-Wright, Dixie Hairston, Jeff Temple, Elizabeth Torres

Faculty, Staff and Student Publications

The COVID-19 pandemic and related quarantine has created additional problems for survivors of interpersonal violence. The purpose of this study is to gain a preliminary understanding of the health, safety, and economic impacts of the COVID-19 pandemic on people that are experiencing or have previously experienced violence, stalking, threats, and/or abuse. An online survey, open from April to June 2020, was taken by people with safety concerns from interpersonal violence. Participants were recruited from IPV and sexual assault-focused agencies, state coalitions, and social media. Quantitative data were summarized using descriptive methods in SPSS and coding methods from thematic and content …

Using Implementation Mapping To Develop Implementation Strategies For The Delivery Of A Cancer Prevention And Control Phone Navigation Program: A Collaboration With 2-1-1, Lynn N Ibekwe, Timothy J Walker, Ebun Ebunlomo, Katharine Ball Ricks, Sapna Prasad, Lara S Savas, Maria E Fernandez

Faculty, Staff and Student Publications

Cancer prevention and control (CPC) behaviors, such as cancer screening, human papillomavirus vaccination, and smoking cessation, are critical public health issues. Evidence-based interventions have been identified to improve the uptake of CPC behaviors; however, they are often inconsistently implemented, affecting their reach and effectiveness. Patient navigation is an evidence-based approach to increasing CPC behaviors. Nevertheless, there are few navigation programs that use systematically developed implementation strategies to facilitate adoption, implementation, and maintenance, which affects uptake and outcomes. This article describes the development of a multifaceted implementation strategy designed to facilitate delivery of a CPC phone navigation program to increase breast, …

Agile Course Design: Modeling Flexibility, Empowering Engagement, And Prioritizing Community, Julie A. Rowan, Todd A. Stanislav, Allison C. Bernknopf, Tracy E. Russo

Pedagogicon Conference Proceedings

The Agile Course Design Institute, created for faculty at a regional public university, utilized an agile thinking lens to model flexible, interactive learning. The Institute framework consisted of three core factors: sense of belonging, students’ bandwidth, and interaction and engagement. Faculty participated in online synchronous and asynchronous settings to develop agile courses. In doing so, they gained insights into the experiences their students might have in remote learning. Examples from the Institute and participant work are explored through a “Why” (purpose/outcome), “What” (connections to the ACDI framework), and “How” (tools and strategies) structure.

Using Video Technology For Discussion Forums: Building An Engaged Online Community, Shirley P. O'Brien, Steven Shisley Dr.

Pedagogicon Conference Proceedings

Faculty used various multimedia technology delivery methods within higher education in response to the COVID-19 pandemic. Instructors were urged to be more agile when considering tools to promote student engagement within the forced, online environment. Video technology is a mainstay in both online and hybrid education as well as in the workforce. Flipgrid, an agile learning tool, promotes asynchronous class discussions to reinforce higher levels of thinking in Bloom’s taxonomy of learning. Data collected from three courses suggests that Flipgrid promotes student engagement in a learner-centered approach. Implications are suggested for online learning.

Prevent Recidivism In Charles County, Maryland, Erin L. Gormley

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal: The goal of this social change portfolio is to prevent recidivism by offering a six-month life skills group at the local Health Department in Charles County, Maryland. The long-term goal of this prevention program is to reduce recidivism in Charles County by 5% in one year.

Significant Findings: Charles County, is a populous county in the State of Maryland with limited resources for adults with arrest records related to substance abuse. There are currently no long-term structural or prevention programs to assist with reintegration. The recidivism rate in the State of Maryland is near fifty percent (Maryland.gov, 2020). The …

Post-Partum Depression In Low-Income Hispanic Women In Bexar County, Texas, Emily Johnson

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this prevention program is to prevent post-partum depression (PPD) among Hispanic women in Bexar County, Texas. To aid in achieving this goal, I will offer low-cost psychoeducation counseling groups that run for 16 weeks per session to educate pregnant, low-income mothers about the signs and symptoms of PPD. These groups will also teach coping skills to help combat the symptoms of PPD. I will also offer a free workshop at a local community center that teaches mothers how to recognize the signs of PPD and introduce the group counseling classes. This project will track public …

Pornography A Public Health Crisis In Utah, Candace A. Green

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal is to reduce Utah’s teenage pornography consumption by 25% through the implementation of an in-home program where parents and guardians can learn communication skills, teach their children about the risk factors and dangers of pornography addiction, and apply prevention strategies and protective measures in their own home.

Significant Findings: Pornography use is more prevalent now than at any other time in history. Much of this can be attributed to our cell phones and the 24-hour internet access we have at our fingertips which makes viewing sexually explicit material a few seconds away at all times. Utah …

Increasing Awareness Of Sexually Transmitted Infections In Adolescents And Sexual Minorities, Carrington Kaiser

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: My goal is to reduce the transmission of sexually transmitted infections in adolescents and sexual minorities by increasing access to contraceptives, STI testing, and comprehensive sexual health education.

Significant Findings: The population addressed in this paper is adolescents and LGBTQ+ youth. Indiana is not required by law to teach sexual health education, let alone comprehensive and medically accurate information (Siecus, 2021). Sexual orientation and gender identities are not required in sex education even though men who have sex with men have the highest risk for STIs (Siecus, 2021; Blackwell, 2018). According to the Center for Disease Control and …