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A Quality Improvement Project Reinforcing Nursing Education On Support Resources For Families In The Icu, Emily Siel

Master's Theses and Capstones

BACKGROUND: The Intensive Care Unit (ICU) is often a source of psychological, physical, social, financial, and spiritual distress for families of patients. Multidisciplinary support resources are available but are often underutilized. Nurses are uniquely positioned to assess needs and integrate resources into care. Therefore, enhancing nurses' ability to guide families to appropriate support resources may alleviate distress and promote holistic well-being for patients and their families.

METHODS: The Plan-Do-Study-Act (PDSA) model was used to guide this project. A pre-intervention survey assessed awareness, utilization, and perception of ownership. Following dissemination of the intervention, a post-survey evaluated improvements in knowledge and integration. …

What's In A Name? Policing, Juliet., Shanée Brown

Scholarly Works

Child welfare" and "child protection" are misnomers. These terms do not accurately depict the investigatory nature of the system purported to help families, or at the very least, save endangered children. Contrary to public opinion, the "child welfare system" comprises of state actors who police parents and children. It is the naming of this system that convinces the public that these agencies are excised from the category of law enforcement, persuading many that the agencies engage in social work and not police work. Calling the system what it really is-family policing-is a step toward achieving justice for families adversely impacted …

Multidimensional Health Outcomes In Lgbtq+ Older Adults In The United States: Individual And Community-Level Protective Factors, Emily P. Lapidus

Theses and Dissertations--Psychology

Despite a lifetime of systematic barriers, LGBTQ+ individuals age into late adulthood, likely due to various protective factors. Guided by the Iridescent Life Course Framework (ILCF; Fredriksen-Goldsen & Muraco, 2019), I analyzed unique protective factors at two levels: (1) individual psychological factors (i.e., resilience, identity management) and (2) community-level factors (i.e., LGBTQ+ community connectedness, social support). Health was operationalized as mental health, physical health, and health-promoting behaviors. The present study accounted for covariates (i.e., financial barriers to healthcare, felt subjective age discrepancy, lifetime discrimination). I hypothesized that both stronger individual and community factors would be associated with better physical and …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

“A Bond As Strong As A Lock And Chain”: Youth Of Color In Low-Income Communities Use Photovoice To Theorize Developmentally Nurturing Processes Of Their Cross-Age Mentoring Programs, Kevin M. Miller, Katherine Tyson Mccrea, Victor Sarna, William Donnelly, Grace Ann Fitzgibbons, Jamie Kessler, Cynthia Onyeka, Chana Matthews, Maryse Richards, Elijah Daniels, Dreyce Denton

Social Work: School of Social Work Faculty Publications and Other Works

Youth of color experiencing low-income in the United States face multiple human rights violations: over-policing, community violence, racial discrimination, and insufficient voice in the programs and policies that impact their current and future lives. To accomplish transitional justice, participatory processes are needed that elicit youths’ cultural strengths and wisdom about themselves, their social conditions, services they find helpful, and why those services are helpful. This study highlights findings from a photovoice that elicited youths’ perspectives about a crossage mentoring out-of-school-program. Responding to “What does mentoring mean to you?” 147 youth took photographs in their communities and wrote narratives about the …

Self-Efficacy Is Not Just About The Self: African American Cross-Age Youth Mentors, Amzie Moore, Maria Wathen, Katherine Tyson Mccrea, Maryse Richards

Social Work: School of Social Work Faculty Publications and Other Works

Objective: Self-efficacy, a belief in one’s capacity to achieve specific outcomes despite obstacles, is tied to a myriad of positive outcomes in the educational, relational, mental health, and future achievement of Black youth. Black youth living in racially segregated, low-income urban communities face greater obstacles than other youth. This study examines how participation as mentors in a cross-age mentoring program influences self-efficacy, and what social and environmental factors are related to changes in self-efficacy

Method: The study employs growth-curve analyses to investigate the impact of participation on self-efficacy and to examine the effects of the strength of the mentor-mentee relationship, …

Pre-Migration Victimization And Fear Of Violent Crime Among New Arrivals In Chicago / Victimización Y Miedo Al Crimen Violento En El País De Origen De Los Migrantes Recién Llegados A Chicago, Cristian L. Paredes, Keyla Navarrete, Anna E. Bullock, Brianna Hernandez, Raymond A. Akumbilim

Sociology: Faculty Publications and Other Works

This project explores the situations and experiences of new arrivals/asylum seekers who have recently arrived in Chicago. Chicago has experienced a significant increase in the number of newcomers, due to Operation Lone Star, launched by Texas Governor Greg Abbott in March 2021. Since August 2022, Governor Abbott has bused more than 30,000 migrants to Chicago. The City of Chicago has acknowledged its responsibility to welcome everyone regardless of immigration status, adopting a proactive stance toward this humanitarian emergency. However, newcomers still struggle to get access to basic needs in the city. We have conducted a face-to-face, cross-sectional survey to collect …

J Am Coll Dent 2025 91 4

Journal of the American College of Dentists

The Journal of the American College of Dentists (JACD) publishes scholarly articles, editorials, essays, and reflections addressing the ethical, professional, and social dimensions of dentistry. The Journal serves as a forum for advancing ethics, professionalism, leadership, and excellence within the dental community. By fostering dialogue across disciplines and perspectives, JACD provides readers with insights that encourage ethical, professional practice, lifelong learning, and service to the public, reinforcing dentistry’s commitment to advancing oral healthcare and the common good.

Federal Laws And On-Campus Supports For Students With Disabilities In Postsecondary Education, Bruce J. Reed, Raquel C. Vasquez, Claudia C. Gonzalez

School of Rehabilitation Services & Counseling Faculty Publications

In the United States, the attainment of a postsecondary degree is seen as an important milestone that leads to a financially rewarding career. College graduates can expect an increase of 75% in lifetime earnings compared to non-college graduates (Kumok & Hahn, 2023). It is estimated that in 2022, 54% of American adults had earned at least a bachelor's degree (Welding, 2023). Estimates vary as to the number of students with disabilities (SWD) attending postsecondary education ranging from 9-19% (Blasey et al., 2023). The true number of college SWD at any one time is unknown as students must self-report and seek …

Investigating Trauma-Informed Practices Impact On Teacher Well-Being And Burnout, Philip Walter Schonebaum

Dissertations and Theses

Trauma-informed practices are a way to reduce the negative impacts of trauma without retraumatizing trauma victims (SAMHSA, 2014). Using trauma-informed training for staff, this study herein sought out to examine the overall impacts on utilizing trauma-informed care strategies on teacher well-being and burnout. The action research project, relying on qualitative data collection techniques, was an immersive approach to impact change in the educational landscape of a small, rural school district. Findings showed implementing trauma-informed practices in the school district led to a greater job satisfaction, reduced stress, and a sense of camaraderie with the students within the school. This study …

Exploring The Role Of Reward Functioning In The Overlap Of Post-Traumatic Stress And Cocaine Use Disorder, Kate Hull, Hanaan Bing-Canar, Krista Miloslavich, Christopher Holden, Aneet Ahluwalia, Scott D Lane, Joy M Schmitz, Margaret C Wardle

Faculty, Staff and Student Publications

Background: Posttraumatic stress disorder (PTSD) symptoms are common in people with cocaine use disorder (CUD), and even sub-threshold PSTD symptoms result in worse treatment outcomes. Difficulties with reward functioning may drive this comorbidity. Impairments in reward functioning are prominent in both PTSD and CUD and contribute to development of substance use problems after trauma. There are three distinct reward processes that may be involved in the PTSD/CUD overlap: consummatory reward (ability to experience pleasure), motivational reward (willingness to exert effort for rewards), and reward learning (adapting behavior based on reward history). Here we test whether impairments in these reward functions …

Development And Validation Of Natural Language Processing Algorithms In The National Enact Network, Yanshan Wang, Jordan Hilsman, Chenyu Li, Michele Morris, Paul M Heider, Sunyang Fu, Min Ji Kwak, Andrew Wen, Joseph R Applegate, Liwei Wang, Elmer Bernstam, Hongfang Liu, Jack Chang, Daniel R Harris, Alexandria Corbeau, Darren Henderson, John Osborne, Richard E Kennedy, Nelly-Estefanie Garduno-Rapp, Justin F Rousseau, Chao Yan, You Chen, Mayur B Patel, Tyler J Murphy, Bradley A Malin, Chan Mi Park, Jungwei W Fan, Sunghwan Sohn, Sandeep Pagali, Yifan Peng, Aman Pathak, Yonghui Wu, Zongqi Xia, Salvatore Loguercio, Steven E Reis, Shyam Visweswaran

Faculty, Staff and Student Publications

Objective: Electronic Health Record (EHR) data are critical for advancing translational research and AI technologies. The ENACT network offers access to structured EHR data across 57 CTSA hubs. However, substantial information is contained in clinical narratives, requiring natural language processing (NLP) for research. The ENACT NLP Working Group was formed to make NLP-derived clinical information accessible and queryable across the network.

Methods: We established the ENACT NLP Working Group with 13 sites selected based on criteria including clinical notes access, IT infrastructure, NLP expertise, and institutional support. We divided sites into five focus groups targeting clinical tasks within disease contexts. …

2025 Merc Annual Report, David B. Naff, Jesse Senechal, Paula L. Ogston-Nobile

MERC Publications

This is the annual report of the Metropolitan Educational Research Consortium (MERC) at Virginia Commonwealth University for the 2024-2025 academic year. It includes vignettes depicting MERC activities in the past year that align with each of its five principles: research, relevance, rigor, multiple perspectives, and impact. It concludes with a discussion of MERC's commitment moving forward.

From Affirmation To Equity: The Spiral Of Congregational Empowerment For Women In Baptist Congregations, Heather E. Deal, Will Ward, Gaynor I. Yancey

Funded Scholarship

Patriarchy has long structured Christian life and practice. In many Baptist settings, even formal affirmations of women in leadership leave a gap between stated commitments and women’s lived experience. This study investigates how Baptist congregations cultivate empowering environments for women by tracing the interplay of beliefs, practices, and processes through which theology is enacted in congregational life. Drawing on feminist theology and lived-religion perspectives, and using constructivist grounded theory, we conducted nine semi-structured interviews with 15 women clergy across seven U.S. Baptist congregations. Analysis proceeded through iterative initial, focused, and theoretical coding with attention to reflexivity and trustworthiness. Findings highlight …

Exploring Stress, Fatigue, Burnout, And Resilience Among Healthcare Personnel In Southeast Asia: A Scoping Review, Kelsey Trulik, Vijaya Arun Kumar, Wendy Wu, Muralidhar Varma, Mauli M. Patel, Kajol Manglani, Trini A. Mathew

Global Health Research Collaborative

This study aims to compare methods used to measure burnout, fatigue, stress, and resilience, as well as resilience-building interventions among healthcare personnel (HCP) in Southeast Asia. Even before COVID-19, HCP faced high levels of burnout and stress, exacerbated by the pandemic. Identifying effective resilience-building strategies is essential to supporting a healthier workforce. Studies published from January 2016 to December 2021 focusing on burnout, stress, fatigue, and resilience in HCP in Southeast Asia. A comprehensive literature search of seven databases (Jan 2016-Dec 2021), using terms related to resilience, HCP, and Southeastern Asian countries identified relevant English-language studies. COVIDENCE software was used …

Clinical Implications For Helping Professionals Learned From The Pastoral Care Of Lgbtq+ Youth, John Willis Ward, Heather Deal, Gaynor Yancey

Funded Scholarship

This qualitative article is informed by queer theory, and more specifically queer theology, and explores how youth ministers in various denominations care for LGBTQ+ teenagers in their congregations. Seven youth pastors from three major denominational groups were interviewed from the Cooperative Baptist Fellowship (CBF), Alliance of Baptists, and Presbyterian Church, USA (PC-USA). Participants had to identify as LGBTQ+ affirming, though their congregations could be in various states of affirmation. Thematic analysis found the following significant categories: confidentiality, implications of whole church engagement, student-led engagement, theology/image of God, and degree of support for identity development.

Short-Term Health And Safety Outcomes Associated With Digital Hotline Use At Interpersonal Violence-Focused Agencies, Leila Wood, Elizabeth Baumler, Rachel J Voth Schrag, Aly Kramer Jacobs, Jeff R Temple, Erin Clark

Faculty, Staff and Student Publications

Community organizations strive to help survivors of intimate partner violence (IPV), stalking, sexual assault and human trafficking address health and safety needs. Hotline, offered by local agencies, is the first line of support for survivors to address needs. Increasingly, hotline is offered in digital formats (chat and text) to meet the emergent needs of survivors. Despite the growing use of digital hotline, little is known about short-term health and safety changes associated with use. Partnering with 2 local agencies in a Southern state, we recruited first-time digital hotline participants to an online baseline and follow-up (6 weeks later) assessment (n …

Effects Of Teacher Reinforcements On Student Outcomes In Adapted Physical Education: A Systematic Review, Juliana Jamison-Espinoza

Cal Poly Humboldt theses and projects

This systematic review examined the effectiveness of various reinforcement strategies on student outcomes in adapted physical education (APE) settings for individuals with disabilities. A comprehensive literature search spanning from 1979 to 2024 across six databases identified 18 studies meeting inclusion criteria, involving 140 participants aged 3–22 with diverse physical and cognitive disabilities. Reinforcement strategies evaluated included token economies, verbal praise, tangible rewards, and alternative techniques such as video modeling and peer-mediated interventions. Outcomes measured were categorized into affective states, behavioral improvements, and cognitive gains. Results showed mixed effectiveness across studies: while 7 of the 18 studies reported significant improvements in …

Determining Child Care Market Rates In The State Of Tennessee [Fiscal Year 2025], Tennessee. Department Of Human Services

Market Rate Surveys

This report compiles information collected by the Boyd Center for Business and Economic Research at the University of Tennessee and the Tennessee Department of Human Services to determine the most appropriate Tennessee-specific structure for estimating child care market rates.

Gvsu Undergraduate And Graduate Catalog 2025-2026, Grand Valley State University

Course Catalogs, 1963 - Current

Grand Valley State University 2025-2026 undergraduate and graduate course catalog. Course catalogs are published annually to provide students with information and guidance for enrollment.

New Family Law Statutes In 2024: Selected State Legislation, Family Law Quarterly 2024–25 Editors, New York Law School

Redefining Family Law: State Legislative Updates

This article provides summaries and context for 35 changes to family law that were enacted in 2024 by legislatures in 25 states and the District of Columbia. The topics include (1) Equal Protection, (2) Child Custody and Visitation, (3) Nonparent Custody and Visitation, (4) Child Welfare, (5) Domestic Violence, (6) Juvenile Justice, (7) Parentage, (8) Age of Marriage, (9) Companion Animals, (10) Education, (11) Criminal Justice, and (12) Provision of Legal Services. More specifically, the topics of the laws featured in this article include (among others) supervised visitation; increased protections for LGBTQ+ families; pet custody in divorce proceedings; and strengthened …

What Works In Telehealth Play Therapy? An Appreciative Heuristic Inquiry, Veronica Ann Ball

Dissertations

With the onset of coronavirus disease 2019 (COVID-19) in the United States in March 2020 (World Health Organization, 2020), professional counselors providing traditional in-person play therapy found themselves in a quandary regarding the delivery of services during a global pandemic (Evans, 2022; Mitchell, 2020; Whaibeh et al., 2020). Online counseling proffered a means to prevent the disruption of services, respond to the need for emerging counseling services, and comply with social restrictions (Evans, 2022). Prior to the pandemic, telehealth play therapy was used sparingly (Haslam & Harris, 2011; Smith et al., 2021), and many child-serving mental health professionals lacked training …

What About The Children? An Exploration Of Family Counselors' Play Therapy Training And Preparedness To Integrate Children Into Family Counseling, Patricia J. Walker Monical

Dissertations

Children are an important part of families, yet family counselor education programs often do not incorporate training for including children in family counseling. At some point in their careers, family counselors and therapists will encounter clients who have children 3–12 years old. The problem is that since these professionals often receive little to no training in play therapy and thus do not typically include young children in family therapy, these younger family members are often overlooked. Research has confirmed that, due to a lack of sufficient training and supervision in play therapy, many family therapists report feeling unprepared to work …

Faculty Of Arts And Sciences Prospectus 2026, Faculty Of Arts And Sciences

The Aga Khan University Prospectuses and Brochures

• Message from the Pro Chancellor
• Message from the President
• Message from the Dean
• About AKU
• About the Faculty of Arts and Sciences
• About the Programme
• Core Curriculum
• Interdisciplinary Majors
• Experiential Learning
• Senior Capstone
• Message from the Director of Undergraduate Studies
• Explore Our Majors
• Asian and Middle Eastern Studies – Career Pathways
• Environmental Studies – Career Pathways
• Philosophy, Politics, and Economics – Career Pathways
• Social Development Studies – Career Pathways
• Courses at a Glance
• Message from the Associate Dean – Research
• The Design Laboratory (D-Lab)
• FAS Library
• Hallmarks of FAS Graduates
• Student Testimonial
• Student Testimonial
• Applying to the FAS
• Fees and …

The Aga Khan University Prospectus 2025, The Aga Khan University

The Aga Khan University Prospectuses and Brochures

• Message from the President
• Message from the Provost & Vice President, Academic
• About AKU
• Our Mission, Vision & Values
• Why AKU?

• Programmes of Study

  Undergraduate Programmes

• School of Nursing and Midwifery, East Africa
• School of Nursing and Midwifery, Pakistan
• Medical College, East Africa
• Medical College, Pakistan
• Faculty of Arts and Sciences, Pakistan
• Institute for Educational Development, Pakistan

• Graduate Programmes

• School of Nursing and Midwifery, East Africa
• School of Nursing and Midwifery, Pakistan
• Institute for Educational Development, East Africa
• Institute for Educational Development, Pakistan
• Medical College, East Africa
• Medical College, Pakistan
• Graduate School of Media and Communications, East Africa
• Institute for …

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Comparative Analysis Of Hydration Status And Microbial Quality Of Tap Water Between Urban And Rural Settings In The Ashanti Region Of Ghana, Marina A. Tandoh, Priscilla Owusu, Claire-Rush N.A. Nkrumah, Veronica Tawiah Annaful, Chris Y. Asare, Samuel Selormi Attu

Food Science Faculty Publications and Presentations

Maintaining proper hydration is crucial for human health, physiological functions, and cognitive performance. This study sought to determine the hydration status and the microbial safety of tap water in an urban setting (Kwame Nkrumah University of Science and Technology Campus) and a rural community (Adjamesu) in the Ashanti Region of Ghana. The water safety perception and hydration status of 171 study participants aged 10-61 years were assessed. Six taps were randomly selected at each site in triplicates, resulting in 36 water samples. The microbial quality of the water was assessed by testing for heterotrophic bacteria, coliforms, Staphylococcus aureus, and Salmonella. …

Quality Over Quantity: Doula Perspectives On Equity, Access, And Quality Of Care In Black Maternal Health Outcomes, Terry-Ann E. Lynch

West Chester University Graduate Theses, Dissertations, and Final Projects

Black maternal mortality in the United States is a public health crisis. There are a plethora of reasons as to why maternal and fetal deaths disproportionately impact Black women. From a public health perspective, health disparities are an area of concern in marginalized communities, with Black maternal mortality being a risk factor. “According to the Centers for Disease Control and Prevention (CDC), in 2021, the maternal mortality rate for non-Hispanic Black (subsequently, Black) women was 69.9 deaths per 100,000 live births, 2.6 times the rate for non-Hispanic White (subsequently, White) women (26.6)” Maternal Mortality Rates in the United States, 2021” …

Maternal Stress And Infant Anxiety: Examining The Link Through Fear Temperament, Melissa Ayala

Electronic Theses and Dissertations 2020 - Present

This study explored the relationship between maternal stress and infant fear temperament. Infant temperament is important because it allows the caregiver to understand the individual variation in the emotional and social needs of the child. Due to previous research, it can be inferred that maternal stress can influence the development of infant fear temperament. The current study looks at the relationship between maternal stress and infant behavioral fear temperament. In this study there was no relationship between maternal stress and infant behavioral fear when collapsing the across conditions and emotions expressed during the Lab-TAB. However, infants varied in their fear …

Importance Of Social Support: Buffer To Social Identity Threat In Institutions, Kaylah J. Scott

Electronic Theses and Dissertations 2020 - Present

Due to the minority status non-white students face in higher education, they are susceptible to social identity threat (Steele & Aronson, 1996), which may lead to psychological distress. However, social support, particularly from in-groups, offsets related distress consequences, e.g., self-esteem, anxiety, and depression (Haslam et al., 2021). This study investigates social support, through collective racial socialization, as a buffer for social identity threats to minority college students. I investigated Hispanics and Black undergraduates' self-esteem, using the Rosenberg Self-Esteem Scale (Rosenberg, 1979), before and after stereotype threat, with participants in minority-centered organizations as the moderator. Results revealed that there was a …

Trends In Contacts Made By Immigrants To The National Domestic Violence Hotline, Before And During The Covid-19 Pandemic, Sarah Treves-Kagan, Vi D Le, Liris S Berra, Colleen M Ray, Yanet Ruvalcaba, Leila Wood, Denise V D'Angelo, Tatiana M Vera, Lianne Fuino Estefan

Faculty, Staff and Student Publications

Objectives: Immigrants in the United States are more likely than nonimmigrants to experience risk factors for intimate partner violence (IPV) and problems in getting support. The COVID-19 pandemic and recent incidents of xenophobia and anti-immigrant sentiment may have exacerbated exposure to IPV risk factors. We examined immigrant experiences of IPV before and during the COVID-19 pandemic.

Methods: This study identified changes in characteristics of abuse, services used, referrals, and barriers to services among those who contacted the National Domestic Violence Hotline (NDVH) and identified as immigrants, reported immigration status as a concern, needed immigration support, and/or identified immigration status as …