Digital Commons Network^™

Compassion Fatigue: The Effects Of Secondary Traumatic Stress And Vicarious Traumatization Among Baltimore Police Department Community Chaplains, Angela Teresa Jones-Ramirez

Doctoral Dissertations and Projects

Baltimore is plagued with a history of high crime, violence, and murder resulting in trauma. The purpose of the Doctor of Ministry action research project was to educate Baltimore Police Department (BPD) Community Chaplains concerning compassion fatigue while maintaining effective quality care. A two-day workshop was developed as an intervention to address the problem. Pretest and posttest surveys were administered using the Professional Quality of Life Scale, Version 5, and the Skovholt Professional Practitioner Resiliency and Self-Care Inventory. Data in the form of surveys, group notes, field notes, recorded testimonials, and stories were collected and analyzed. Results of the data …

A New Paradigm For Ministry In The World: Spiritual Care Services Of Maine, Lori H. Whittenmore

Doctor of Ministry

With dwindling church attendance in the State of Maine, people’s spiritual needs are often unattended to, especially in times of struggle. Clergy are serving shrinking congregations with shrinking budgets, leading to reduced hours. They don’t often have time to provide pastoral care to their flock, let alone people outside of their flock. This project creates a mechanism to organize a chaplain team and make them available by contract to organizations and their staff and clients. I have conceptualized, designed, and birthed a community-based per diem chaplain/spiritual care organization that can match the world’s soulful need with professional, competent chaplains.

The …

An Assessment Of Dropout Rates Of Former Student Ministry Participants In Self-Identified Evangelical Churches With 500-2000 In Weekly Attendance, Derik Wade Idol

Doctoral Dissertations and Projects

Over the last quarter-century, there has been a consistent call to reconceptualization and at times reject the youth ministry task resulting from the universally accepted church dropout statistic post-high school graduation. In 2008, Brandon Shields presented a falsification study that disproved the theory that high school graduates are leaving the church at a rate of 70-90% at Southern Baptist Megachurches. The purpose of this study was to examine the claim that 70-90% of youth ministry graduates are leaving the church by researching 17 self-identified Evangelical churches of 500-2000 in average church attendance. The research design was a quantitative replication study …

Caregivers Need Care, Too: Conceptualising Spiritual Care For Migrant Caregivers-Transnational Mothers, Ma. Adeinev M. Reyes-Espiritu

Theology Department Faculty Publications

Growing research revolving around the plight of (Philippine) migrant domestic workers is noteworthy. However, the focus is largely on their role, capacity and identity as caregivers, meaning as labour migrants and transnational mothers engaged in both paid and unpaid care work. Building on the “care circulation” framework of Baldassar and Merla that conceptualises care as given and received in varying degrees by all family members across time and distance, this paper takes up the task of recognising migrant domestic workers as care receivers. In a particular way, this paper conceptualises care for migrant caregivers-transnational mothers that is based on a …

Loneliness, Social Isolation, And Their Connection To Overall Health Across The Lifespan, Paige Miller

Senior Honors Theses

Due to recent circumstances, the incidence of loneliness and social isolation has skyrocketed. Fortunately, there have already been countless studies examining the longer-term implications of these two factors on health. Loneliness and social isolation have been found to impact cardiovascular health, stress response, immune function, resilience, mental health, attachment, spiritual health, and many other determinants of health. A variety of research was examined outlining the psychological implications of loneliness and social isolation. These factors also influence physiological processes and can exacerbate a variety of diseases. After presentation of this evidence, a collection of possible interventions will be discussed, and their …

A Framework For Utilizing Narrative Theory And Life Review In Healthcare Chaplaincy, Joshua M. Fagin

Doctoral Dissertations and Projects

In healthcare chaplaincy, narrative theory can help the patient separate themselves from their grief or terminal illness. It has been said that chaplaincy is a “ministry of presence,” however, just showing up is a low-level intervention. The purpose for this Doctor of Ministry thesis is to equip chaplains with a comprehensive framework for apply narrative theory and life review in the healthcare chaplaincy context. This thesis seeks to explore and define biblical models of storytelling and spiritual narratives. This thesis will encourage chaplains to have meaningful, engaging and longer visits in individual and group visits. If the spiritual care department …

Ambiguity, Agility, And Leadership—Not Rudderless, But Principled, Romeo B. Lee

Asia-Pacific Social Science Review

No abstract provided.

Lived Experience Of Buddhist Spiritual Caregivers From The Gilanadhamma Volunteer Group, Paveesuda Nutsathapana

Asia-Pacific Social Science Review

No abstract provided.

Ministry In Medicine: Patient Perceptions Of Healthcare Professionals Praying In The Workplace, Allison Carole Kinsinger

Undergraduate Honors Thesis Collection

In the United States healthcare system, many patients practice prayer which causes healthcare providers to navigate the boundaries of patient-practitioner relationship when considering offering to pray with their patients. Practitioners should have the freedom to offer prayer to their patients because of the healing and calming properties of prayer. This study examines how patients respond when practitioners offer to pray with them, whether patients consider religion when selecting a healthcare provider, and if prayer from a provider with a religious affiliation different from their own impacts the desire for patients to accept prayer.

Michigan Physician Orders For Scope Of Treatment: Development Of A Nationally Recognized Program, Megan Owens

Doctoral Projects

Background: Advance directives are well intentioned, but fail to promote patient autonomy in emergent situations.

Objective: To develop a sustainable portable medical order program consistent with national standards through an evidence-based toolkit.

Methods: A literature review and policy analysis were conducted to develop toolkit. Interviews were conducted with content experts to validate toolkit.

Results: The final toolkit consisted of five components: educational materials for healthcare providers, a policy brief, strategies for fund development, strategies for quality monitoring, and a cost savings exemplar.

Conclusions: An evidence-based toolkit tailored to state-specific barriers is critical to development of a portable medical order program.

How Providing Care For Individuals With Dementia Affects How A Caregiver Changes Their Lifestyle: A Focus On The Positives, Veronica Joy Vodola

Senior Theses

Background/significance Caregivers of individuals with dementia (e.g. Alzheimer’s Disease) may change their day-to-day life, especially self-care, to meet the needs of the person with dementia, which can be detrimental to their health. Caregivers for individuals with dementia experience both primarily negative and primarily positive effects on physical and mental health through exposure to the effects of dementia. Caregivers often report substandard self-care practices and unpleasant impacts on mental health. Others report notable beneficial influences within different aspects of their life. The positive effects have not been widely researched in literature.

Purpose The objective of this research study is to understand …

Spiritual Care Of Gay Men In Committed Relationships: An Evidenced-Based Intercultural Approach, Marc J. Coulter

Electronic Theses and Dissertations

Sexual minorities have historically been targets of homophobia, heterosexism, discrimination, and persecution particularly within traditional, conservative religious organizations. As a result, many people who identify as male and gay reject traditional forms of religion and seek alternative spiritual beliefs and practices affirming their sexual orientation, often self-identifying as “spiritual but not religious” (SBNR). Some white, gay male couples in committed relationships also reject traditional views of sexual fidelity and negotiate open, consensual, non-monogamous sexual relationships with their primary partner. Gay couples seeking behavioral health assistance to navigate relational difficulties may encounter clinicians who fail to acknowledge the harmful influence of …

The Prosperity Gospel And The Church In Africa: A Missiological Assessment In The Light Of The Great Commission, Boubakar Sanou

Faculty Publications

No abstract provided.

Factors Influencing Nurse Spiritual Care Practices At The End Of Life: A Systematic Review, Rita Mascio, Megan Best, Sandra Lynch, Jane Phillips, Kate Jones

IES Papers and Journal Articles

Objectives: The aim was to identify determinants of nurse spiritual/existential care practices toward end-of-life patients. Nurses can play a significant role in providing spiritual/existential care, but they actually provide this care less frequently than desired by patients.

Methods: A systematic search was performed for peer-reviewed articles that reported factors that influenced nurses’ spiritual/existential care practices toward adult end-of-life patients.

Results: The review identified 42 studies and included the views of 4,712 nurses across a range of hospital and community settings. The most frequently reported factors/domains that influenced nurse practice were patient-related social influence, skills, social/professional role and identity, intentions …

The Role Of Emotional Intelligence In Chaplaincy: An Analysis If Ei In The Delivery Of Patient-Centered Care, Dean A. Darroux

Doctoral Dissertations and Projects

This study addressed the role of emotional intelligence among healthcare chaplains and its place in delivering patient-centered care at Adventist healthcare, Maryland. The study assumed that since healthcare chaplains’ journeys with their patients help them process their feelings as they understand the nature of their illness, they must identify their feelings and that of their patients to provide better care. It further examined the role of personality in determining its relationship with emotional intelligence and how it would influence patient-centered care. The literature surveyed indicated that emotional intelligence helps individuals understand their emotions as well as that of others. A …

Missing Piece Of The Puzzle: Creating A General Meaning Of Sex Measure, Veronica R. Hanna-Walker

Theses and Dissertations

The presence of and/or search for meaning has divergent and salient outcomes for individuals’ physical, mental, and emotional well-being. Although numerous domains of meaning have been examined, the literature on the meaning of sex is sparse and lacks a quantitative measure. In this study, I aimed to validate a general Meaning of Sex (MOS) Measure that captured the presence of (MOS-P) and search for (MOS-S) the meaning of sex that predicted salient relational and sexual outcomes (i.e., relationship stability and satisfaction and sexual satisfaction). The MOS measure was based off of the Meaning in Life Questionnaire (MLQ) created by Steger …

Enhancing Pastoral Care And Support By Providing Opportunities For Spiritual Growth And Transformation To Crisis And Trauma Sufferers, Angela Roberts Jones

Doctoral Dissertations and Projects

Trauma experiences are becoming more prevalent in today’s society. For example, each day, the media reports the widespread impact of war, gun violence, domestic and international terrorism, violent crimes, sexual assault, domestic violence, child abuse and neglect, mass shootings, and natural disasters in the general population. The church has long been considered a place of refuge, hope, and healing for people who suffer from crises and trauma. It is often the first place Christians and the surrounding community turn in times of distress. Because pastors and churches are often the first responders when people experience crises and traumatic events, there …

Improving Spiritual Care By Chaplains For Service Members Who Witness Death, Beth M. Echols

Doctor of Ministry Doctoral Projects

This research studied the experience of military and Veteran Affairs chaplains who work with a spectrum of military veterans. The purpose was to better understand how chaplain training prepared or failed to equip spiritual care providers to minister to service members during and/or after the initial experience that they identified as traumatic.

The researcher asked nine open-ended questions to encourage and facilitate reflective responses. After grouping responses with similar answers, the researcher coded the chaplains’ responses to determine themes that would describe and somehow encompass the phenomenon of serving as a chaplain in a war theater. Throughout the study, the …

A Study Of Bullying In The Catholic Healthcare Workplace, Luann Mary Trutwin

Doctor of Ministry Doctoral Projects

This phenomenological qualitative study explored the impact and understanding of bullying in Catholic, mission-driven healthcare facilities, specifically how leaders respond to and manage bullying in their workplaces. The research is intended to make a positive contribution to Catholic healthcare communities by providing healthcare providers, educators, and policy makers information and tools to prevent and manage bullying in the workplace. The study employed Catholic social teaching and a Benedictine based theological reflection model to guide the two main areas of exploration: leaders’ experiences of hearing complaints about bullying and tools available to them to stop bullying. An anonymous survey was sent …

Exploring Experiences, Support, And Growth With Advanced Cancer Caregivers From Rural Communities, Melissa Ketner

All-Inclusive List of Electronic Theses and Dissertations

This study is an exploratory, qualitative research study of nonpaid caregivers for advanced cancer patients. Fifteen caregiver participants completed semi-structured interviews. The patients for whom they provided care lived at home and were diagnosed with advanced (stage 3 or 4) cancer. The original site of cancer and involvement in treatment was not important for the study. Research recruitment prioritized caregivers residing in rural settings, knowing these areas often lack resources. During the semi-structured interviews, caregivers discussed their perceived challenges and rewards, discussed their stressors and how they managed stress, and discussed their supports. Caregivers addressed the impact of caregiving on …

Use Of The Spiritual Development Framework In Conducting Spirituality And Health Research With Adolescents, Dora L. Clayton-Jones, Kristin Haglund, Jame Schaefer, Harold C. Koenig, Safiya George Dalmida

College of Nursing Faculty Research and Publications

Spirituality is considered a universal phenomenon, but research addressing the spiritual needs of adolescents in the context of health and illness is limited. The aim of this article is to provide a description of how the spiritual development framework (SDF) was used in conducting research with adolescents. An exemplar of a qualitative descriptive study is provided to demonstrate applicability of the SDF. The SDF was used as a guiding theoretical framework in conducting research with adolescents living with sickle cell disease. The SDF is culturally applicable and methodologically appropriate. Additional research applying the SDF is warranted.

Beyond Meaning And Connectedness: Family Caregivers Spiritual Experiences In A Hospice Setting, Nasreen S. Lalani

International Nursing Research Congress (INRC)

Participants will be able to embrace the experiences of spirituality among family caregivers caring for their dying family member in a hospice setting from an Eastern context. Findings will guide healthcare professional in developing spiritual care interventions in palliative care.

Jesus: Ancient Architype, Sacrificial Son, Divine Messenger, Liz Hood

Consensus

No abstract provided.

Discipleship In Urban Contexts, Boubakar Sanou

Journal of Adventist Mission Studies

"With the current state of discipleship, congregations can no longer afford to rely on their church-centered programs as their main means of growing disciples. Programs do not disciple people; people disciple people. Becoming authentic communities who create intentional spaces where believers of all ages and stages in their faith journey can effectively and meaningfully connect with one another and with God, grow spiritually, and reach out to the world around them is of vital importance in urban discipleship. With the imperative to share the gospel in the cities, urban congregations need to objectively do their own discipleship reality assessment in …

The Spiritual Health Of Oncology Patients: A Comparison Of Nurse And Patient Perceptions, Martha E. Highfield

Dissertations

Nurses who are committed to care of the whole person must be knowledgeable about patients' spiritual needs. This descriptive, cross-sectional survey was designed to investigate the spiritual health of oncology patients. Parallel nurse (r =.89) and patient (r =.77) Spiritual Health Inventories (SHI) and demographic sheets were distributed to a convenience sample of 40 nurse-inpatient pairs from two hospitals. Respondents included 23 patients with primary lung cancer and 27 Registered Nurses. Patients reported a normatively high level of spiritual health, positively related both to age (p < .02) and physical well-being (p < .014). Analysis of 21 matched nurse-patient SHI scores indicated that nurse respondents inaccurately assessed their patients' spiritual health. Patients and nurses ranked family members or friends and clergypersons as priority choices of spiritual caregivers. Although not generalizable, findings should assist in future studies.

Sustaining Lamentation In Traumatic Grief Through The Contemporary Elegy: A Practical Theology Of The Poetics Of Testimony, Patricia Shawn Fawson

Electronic Theses and Dissertations

This project addresses the problem that sustaining lamentation for particular testimonies of bereaved people is not supported culturally or spiritually by current practices of mourning. In a democracy, religious leaders become public theologians who respect and respond to diverse religious, political, historical, and economic interests without losing focus on the individual, family, and corporate systems and the ongoing elements of traumatic grief. In the context of lamentation and memorialization, when spiritual caregiver fail to acknowledge potentials for particular ways of mourning to contribute to empowerment and healing, mourners' grief can be foreclosed.

In North America, the dominant rhetoric of public …

Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is one of the most difficult and stressful chronic diseases for parents of afflicted children to manage. Managing SCD can be traumatic for parents particularly if they have no specific coping strategies for managing the disease or ensuring the child visits the doctor as scheduled. The use of certain coping strategies may affect the parents' and patients' perceptions of the illness and influence their decisions regarding treatment, which can have a lasting impact on their lives. Effective parental strategies such as positive thinking can aid in disease management, but there is limited research on the coping …

A Pediatric Spiritual Care Training Model Utilizing Volunteers At Children's Hospital In New Orleans, Louisiana, Allen L. Mitchell

Doctor of Ministry Projects

Problem

Children's Hospital—New Orleans is a regional medical center for children with a 247-bed capacity. The hospital is growing in size and scope. However, the number of quality spiritual care providers has not kept up with the growing needs of the institution. As a medical center continues to grow, more spiritual care providers are needed to meet the demand of our increasing patient population. Financial resources are limited and budgets do not favor hiring additional full-time staff chaplains.

Method

A spiritual care training manual was developed to increase the number of trained volunteers to provide spiritual care coverage. A 12-hour …

Geriatric Palliative Caregiving Among Caregivers In Metro Manila: Experiences And Assessment Of Health Identity And Life Satisfaction, Wilfred Luis Clamor

Asia-Pacific Social Science Review

No abstract provided.

“Do You See What I See?”, Nancy Vernon Kelly

Consensus

No abstract provided.