Medicine and Health Sciences Commons^™

Perspectives Of Middle Eastern Immigrant Parents Regarding Accessing Healthcare Services For Children During The Covid-19 Pandemic In London, Ontario, Sarvenaz Mehrabi

Electronic Thesis and Dissertation Repository

Background: During the COVID-19 pandemic, immigrants have been disproportionally affected and faced difficulties in accessing healthcare services. While it has been reported that the rate of pediatric healthcare utilization decreased during the COVID-19 pandemic, the reasons behind this decline are unclear. It has been suggested that immigrant children might be affected by the COVID-19 pandemic restrictions regarding accessing healthcare services. This study aims to understand the Middle Eastern immigrant parents’ perspectives regarding their access to healthcare services for their children in the London, Ontario, area during the COVID-19 pandemic.

Methods: This qualitative study was conducted with an interpretive description methodology …

The Impossible Situation? Impasse As Psychotherapeutic Paralysis, Possibility, And Progress, Leo Cancelmo

Dissertations, Theses, and Capstone Projects

Psychotherapeutic impasse has long been understood in the clinical literature as treatment stagnation and even failure, both from one-person and two-person psychodynamic perspectives. However, there is a dearth of empirical research that delves deeper to understand this complex and rich phenomenon. Using semi-structured interviews with nine psychodynamic therapists speaking about individual adult patients, this study examined experiences of impasse to better understand treatments that become embroiled in a kind of paralysis. Qualitative analyses revealed dyads where patients were conceptualized as struggling chronically with negative feelings about themselves and others, and who experienced traumatic personal histories. Impasse in and of itself …

The Experience Of Mindfulness And Its Nondual Nature In Active Practitioners, Benjamin Tran

Electronic Thesis and Dissertation Repository

Mindfulness-based interventions have become well-established in the literature as an effective treatment for various health issues. Its application in psychology is predominantly informed by dualism; however, according to its Eastern traditions, a true understanding of mindfulness is developed via nondualistic ontological experiences that emerge in a mindfulness state. The purpose of this study was to explore the experience of mindfulness and its nondual nature as it is experienced in the world. Hermeneutical phenomenology, informed by an interpretivist lens, was employed. A sample of 13 mindfulness practitioners were individually interviewed. The experience of mindfulness and its nondual nature was considered through …

Beyond The Plant: Facing Systemic Barriers As A Meatpacking Community During The Covid-19 Pandemic, Shannon Barrientos

Capstone Experience

The COVID-19 pandemic has revealed and magnified health disparities and social inequities that disproportionately burden racial and ethnic minorities. These disparities are readily seen within meatpacking communities, considering a lack of protections offered by the meatpacking industry have heightened COVID-19 susceptibility. These conditions have aggravated health inequities within rural communities throughout the span of the pandemic. Despite significant advances in research investigating the effect of COVID-19 on essential workers within the meatpacking plants, this research remains isolated within the meat processing industry. Moreover, research has focused predominantly on the pandemic’s impact on rural communities and the institutional barriers that hinder …

Overlaps And Gaps Of Preterm Birth Programs In The Triangle Area Of North Carolina, Amber Bobbitt

Capstone Experience

Background: Preterm birth rates are a long-standing issue that has yet to be adequately addressed and prioritized. Nationally about 1 in every 10 infants are born prematurely in the United States. In the state of North Carolina, 1 in every 9 live births was preterm in the year 2020. The aim of the study was to determine the strategies organizations use in North Carolina to reduce preterm births in comparison to the CDC’s Five Strategy framework and to understand how the organizations address health equity and measure/evaluate the success of their initiatives.

Methods: Semi-structured one-on-one interviews were conducted with four …

Examining The Social Validity Of Parent Training: Post-Participation Parent Perceptions And Reflections Of Group Triple P, Nycole C. Kauk

USF Tampa Graduate Theses and Dissertations

Child behavior problems are highly prevalent and impactful on the child and their family system, bringing both short-term and long-term consequences (Sanders, 2012). Many risk factors for child behavior problems are modifiable via the use of Behavioral Family Interventions, such as behavioral parent training programs (Kazdin, 1991). Behavioral Family Interventions (BFI) modify factors within the family system to minimize modifiable risk factors and engineer protective factors to produce behavior change (Kazdin, 1991). While several manualized behavioral parenting interventions exist, the Triple P parenting program is one of the most researched and effective programs used internationally, particularly the Level 4 package; …

Concepts Of Leadership And The Value Of Leadership For Health Care Professionals: Perspectives From Doctor Of Physical Therapy Students, Tara Haj

Dissertations, Theses, and Projects

The complex and rapidly changing environment of health care requires health care professionals with leadership knowledge and skills. Many health professional education programs have recognized the importance of developing the leadership abilities of students studying to be professionals in their field. There is emerging evidence of the need for leadership development for physical therapists, including a set of leadership competencies that has recently been identified by physical therapists. The perspective of Doctor of Physical Therapy (DPT) students regarding leadership and the value of leadership for health care professionals is unknown.

This qualitative phenomenological study utilizing semi-structured interviews was conducted to …

Transitioning Eating Practices Of Older Adults, Michelle Lajoy Jackson

Dissertations

Purpose: The purpose of this descriptive qualitative study was to explore what factors may have influenced the transition of an individual older adult’s eating practices over a lifespan and the impact participants perceived those factors currently had upon their nutritional health in older adulthood.

Background: The older adult population is recognized as one of the fastest growing populations in the United States. One of many growing concerns for this population is the impact of dietary practices on the morbidity and mortality of this aging population. There is limited research to date that has explored the transitioning of appetite …

An Exploration Of Art Therapy Services Offered To University Community Members During Transition, Julia Arias, Marissa Gonzales, Melissa Gonzalez, Raegen Valdes

LMU/LLS Theses and Dissertations

This qualitative case study examined art therapy services offered by Loyola Marymount University's Helen B. Landgarten Art Therapy Clinic to university students and staff amidst the transition back to in-person services during the COVID-19 pandemic. The purpose of this study was to explore the efficacy of interventions and clinical themes that emerged as a result of the services offered to members of the university as they transitioned back to in-person services. Two focus groups were held to gather data from participants and facilitators of the workshops. The analysis of this data led researchers to find that the art therapy services …

Assessing The Feasibility, Acceptability, Appropriateness, Barriers, And Facilitators To Implementing Naloxone Distribution In Residential Areas At Ucf, Isabella S. Arguello-Howe

Honors Undergraduate Theses

With the rise of accidental fentanyl overdoses and recreational opioid use in college-aged populations, the need for campus-based overdose prevention and harm reduction measures is at an all-time high. Naloxone, an opioid antagonist, is an FDA-approved, lifesaving, medication which can be intranasally delivered by laypersons. Naloxone reverses opioid overdose, essentially buying time until an overdosing individual receives emergency medical attention. While some previous studies have examined access to naloxone on college campuses, to my knowledge no study has explored distribution of naloxone in residential college areas, such as dormitories and within Greek housing. Therefore, the purpose of this thesis was …

Navigating A Patchwork Maze: Individuals’ Experience Of Administrative Burden When Accessing Homeless Assistance Services, Leah Robinson

Public Health Theses

Despite significant efforts to address the issue of homelessness in the United States over the past several decades, over 500,000 individuals still experience homelessness on any given night. A large portion of this persistent and high rate of homelessness can likely be attributed to the shortage of affordable housing options, the eviction crisis, and limited financial support for rental assistance found throughout the country. However, administrative burdens may also contribute to the high rate of homelessness being seen.Our study explores this question by examining 28 individuals’ experience of administrative burden when navigating the landscape of homeless assistance services in New …

Patients’ Perspectives Of Quality Care With The Use Of Health Technology, Stacie Lois Campbell

Walden Dissertations and Doctoral Studies

More and more patients are using health technology to monitor their care and collaborate with their health care team. However, few studies address the patient’s perspective on the benefits of these health technologies. This descriptive qualitative study aimed to explore how health information technology contributes to the quality of care received from the patient perspective. The Institute of Medicine’s (IOM's) conceptual framework of quality care informed this study. Five participants were interviewed by telephone and resulting transcripts were coded using Tesch’s eight steps of coding. Themes emerged that were aligned to the six concepts identified by the IOM. From the …

Lived Experiences Of Crisis Counselors With Repeat Exposure To Mental Health Crises, Emily Genever

Walden Dissertations and Doctoral Studies

Due to the potentially traumatic content that crisis counselors face, members of the counselor education community must understand the psychological implications of repeated exposure to mental health crises to fulfill their responsibility of properly training, supervising, and supporting crisis counselors. The purpose of this qualitative phenomenological study was to explore the lived experiences of crisis counselors who had worked full-time with a variety of mental health emergencies. A hermeneutic design and constructivist self-development theoretical lens allowed for the illumination of the perceived positive and negative consequences of crisis work. Purposive sampling strategies were employed to recruit seven crisis counselors for …

Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah

Walden Dissertations and Doctoral Studies

Promotoras are frontline community health workers who help link Latino community members to health and social services. Latino women have high rates of attrition and lack of participation in weight loss programs due to various barriers, and the promotora model is vital to address these concerns. The approach incorporates strong family support and influence to address health and social issues through interdependent ties of promotoras and families who live and work within the community they serve. The purpose of this qualitative study was to explore how promotoras influenced the acceptability of and participation in physical activity and dietary modification programs …

Primary Care Physicians’ Participation, Knowledge, And Views Of Nutrition Counseling For Weight Management, Carl Schlesser

Walden Dissertations and Doctoral Studies

AbstractAn estimated 70% of the United States population is considered overweight or obese, which has led to an epidemic. Primary care physicians (PCPs) are considered the first line of defense to help fight obesity through weight management by providing nutrition care to patients. With little known about how PCPs engage with their patients on nutrition care combined with changing guidelines on treating obese patients, there is a gap in research on how PCPs help patients with weight management and what tools PCPs use to accomplish this. Guided by the health promotion model, the purpose of this qualitative study was to …

Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed

Walden Dissertations and Doctoral Studies

There has been limited research on Arab Americans as they are an unidentified minority population. The specific research problem addressed through this study is that there is little research pertaining to the role of intimate partner violence (IPV) in poor contraceptive practice among Arab Americans, contributing to the larger problem of unwanted pregnancies, reproductive coercion, and other aspects of reproductive health. The problem with a high prevalence rate of IPV among Arab American women is that they are more susceptible to becoming pregnant and not accessing the reproductive health services that they may need. Thus, the purpose of this qualitative …

Psychosocial Influences On And Behavioral Characteristics Of Young Adult Food Addiction, Rachel A. Wattick

Graduate Theses, Dissertations, and Problem Reports

Introduction. Research on food addiction has increased in recent years, but there are few studies focusing on college-attending young adults, who may be at risk of developing food addiction due to the stress of the college environment. Additionally, causes and characteristics of food addiction are under-explored.

Aim. This dissertation aims to 1) determine the impact of adverse childhood experiences (ACEs) and other early life influences on the development of food addiction in college-attending young adults and 2) determine the psychosocial and behavioral characteristics of young adults with food addiction.

Methods. A sequential explanatory mixed-methods design was used for aims 1 …

B-Sure (Bereavement Support Research): The Differential Experiences Of Peer And Professional Support In Grief, Andrea Crowley

Theses and Dissertations (Comprehensive)

Abstract

The project aimed to investigate the differential experiences of those who have received peer or professional support for grief and bereavement. Although much is known with regards to the perceived impacts of peer and professional support in general, there is little research surrounding these support types in the context of grief and bereavement, the potential for these support types to be complementary, and how the COVID-19 pandemic may have impacted the experiences of those receiving these forms of support. The main goal of this project was to address a significant gap in the literature by investigating the following questions: …

The Use Of Simulation With The School Of Nursing And Health Professions (Sonhp) Prelicensure Students To Support Affirming Practice With Transgender Communities, Genevieve Charbonneau

Doctoral Dissertations

This dissertation investigates how prelicensure nursing students are prepared to address healthcare disparities with transgender patients, specifically through simulation scenarios at the University of San Francisco School of Nursing and Health Professions Simulation Center.

A critical review of current literature reveals how microaggressions against transgender communities create and sustain barriers to equitable healthcare. The qualitative study was designed to explore the lived experience of prelicensure nursing students who are actively seeking to understand the healthcare needs of transgender patients in the San Francisco Bay Area.

This was a qualitative research study including data that suggests that using simulation scenarios featuring …