Medicine and Health Sciences Commons^™

Icanfeel: A Digital Art Activity To Support Distress Detection In Adult Oncological Patients, Marie J. Deschamps

Expressive Therapies Dissertations

Considered the 6th vital sign, distress, a combination of hopelessness, anxiety, fear, and depression, can impact patients’ quality of life, treatment adherence, and mortality. While screening is required in oncological centers, distress remains under-detected. This study examined the use of Icanfeel, a novel digital art-based tool, to complement traditional psychometric assessments such as Edmonton Symptom Assessment System (ESAS), to support patients’ expressions of symptoms and distress detection. Hospitalized adult oncological patients (N = 22) engaged twice with Icanfeel and with an active control condition. At various time points during the protocol, patients self-reported symptom burden using ESAS, self-disclosure …

"With A Heavy Heart": A Literature Review Exploring The Embodiment Of Grief And Its Implications For Grief Processing, Mollie Pratt

Expressive Therapies Theses

Though a plethora of literature has explored the connection between bereavement and the body, much of that research has focused on bereavement’s effects on physical health. Little research has been conducted to explore bereaved individuals’ embodiment of their grief, and even less has investigated the implications of those embodied sensations on the possible use of embodiment in interventions for grief processing. This literature review aimed to gain a better understanding of how grief is felt by and expressed through the body. The literature was synthesized, and common embodied themes reported by bereaved individuals were identified. Additionally, a discussion of possible …

Reimagining “Embodiment” In Dance/Movement Therapy: Unraveling The Roots Of Oppression In Our Bodies And Our Practice—A Literature Review, Holly A. Herzfeld

Expressive Therapies Theses

This thesis explores the intertwined roots of power, privilege, and oppression embedded in the term “embodiment” within Dance/Movement Therapy (DMT) and how it is applied in the profession via a review of the literature. By locating the body as the vessel of experience, including trauma and oppression, this work challenges the dominant understanding of embodiment as solely about connectedness and groundedness, questioning why connection to the body is so often equated with psychological health. While the mind has been historically privileged over the body, DMT’s emphasis on bodily experience presents a unique opportunity to decolonize our dominant understanding of embodiment. …

Dance/Movement Therapy Interventions That Can Address And Decrease Impacts Of Developmental Prosopagnosia: A Literature Review, Caitlin Rivenbark

Expressive Therapies Theses

This literature review explores dance/movement therapy (DMT) as a treatment modality for developmental prosopagnosia (DP) or face blindness. Research on DP causes and assessments are limited, as well as research on treatments and supportive management. In order to conceptualize how DMT might support people with DP, this paper focuses on mitigating the impacts of having the condition by exploring treatments for conditions with similar impacts including attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and social anxiety disorder (SAD). The interventions included were pharmacotherapy, behavioral contingencies, mainstream therapies, and alternative therapies including DMT and drama therapy (DT). The various …

The Authentic Self In Mental Health Practitioners Through The Use Of Internal Family Systems And Character Card Creation In Art-Based Therapy, Tracy J. Evans

Expressive Therapies Theses

Mental health practitioners, or therapists, are complex beings who carry not only the trauma from their life experiences but are also presented with the undertaking of trauma stewardship for clients. This study explores how participating with clients fosters self-expression and promotes emotional regulation, while enhancing social interactions within myself. Combining the terminology from the Internal Family Systems (IFS) Model and the concept of collaged card creation from SoulCollage to create character cards, made with clients, that represent the various parts of the personality. This qualitative study on the intervention found that it provided a safe space for both clients and …

How Can Tattoos Be Understood As Intermodal Expressive Arts Therapy?: Integrating Visual Art, Personal Narrative, And Embodied Experience: Development Of A Method, Rachel S. Hall

Expressive Therapies Theses

This paper explores the inherent intermodal nature of tattoos through the lens of expressive arts therapy, demonstrating how tattoos integrate visual art, personal narrative, and embodied experience. A group intervention was designed and implemented in an outpatient setting, drawing on existing literature and the Expressive Therapies Continuum (ETC) to examine how tattoos function as therapeutic tools that support identity formation, emotional healing, and self-expression. The intervention guided participants through an intermodal process that began with reflective writing on identity-forming experiences, followed by visual art-making and somatic engagement. This approach illuminated the transformative potential of tattoo conceptualization within a therapeutic context, …

A Proposal For The Theoretical Integration Of Cognitive Behavioral Therapy And Dance/Movement Therapy, Sarah Crain

Expressive Therapies Theses

A recognized integration of cognitive behavioral therapy (CBT) and dance/movement therapy (DMT) has not been developed because the concept currently lacks a strong philosophical and theoretical background. Observations from adjacent integrative expressive therapies and clinical practice provide encouragement that these models may provide a unique contribution to the field of psychotherapy. CBT would support the field of DMT toward better establishing an evidence-based theoretical background and framework. It is proposed that a well-supported approach to CBT and DMT should be built from a theoretical integration that upholds integrity of both models while identifying connective philosophical roots. This literature review initiates …

How Can Art Therapy Be Utilized To Support Emotional Communication For Autistic Individuals With An Alexithymic Profile?, Kathryn L. Cohen

Expressive Therapies Theses

The expressive nature of art therapy can aid those with communication and sensory processing differences. Art making allows for the individual to access and emote in a way that spoken language cannot. This literature review will investigate and explore the features of the processing differences related to autism, interoception and alexithymia. The findings from the research explore the effectiveness of utilizing art therapy as a method to expand emotional communication. There are many challenges pertaining to emotional regulation and communication for autistic individuals. Accessing mental health resources and service providers familiar with communication differences is another challenge for this population. …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …

To Bear Witness: Analyzing Dmt As An Effective Trauma-Informed Approach For Treating Youth & Adolescents: A Critical Review Of The Literature, Jade Dennis

Expressive Therapies Theses

This literature review proposes dance/movement therapy (DMT) as a trauma-informed intervention for children and adolescents who have experienced psychological, emotional, or physical trauma. The project, inspired by internship experiences with young trauma survivors, explores the ways in which trauma manifests in the body, indicating that DMT may offer effective pathways toward healing. Many children exposed to potentially traumatic events exhibit emotional dysregulation, insecure attachment patterns, and behavioral or somatic symptoms that are not easily addressed through traditional talk therapy. As a body-based expressive arts modality, DMT engages the sensory, emotional, and relational aspects of trauma by supporting nonverbal expression, self-regulation, …

Therapeutic Qualities And Applications Of Clay In Expressive Arts Therapy: A Literature Review, Julia Caruso

Expressive Therapies Theses

This literature review investigates the therapeutic qualities and clinical applications of clay within the framework of expressive arts therapy (ExAT), with particular focus on sensorimotor, somatic, and developmental interventions. Drawing upon the expressive therapies continuum (ETC), this review synthesizes emerging research highlighting clay's kinesthetic and tactile properties as key mechanisms for facilitating emotional expression, accessing unconscious material, and promoting psychological resilience. Evidence is presented for specialized therapeutic modalities such as clay art therapy (CAT) and Clay Field Work, which engage the body-mind connection to support trauma integration and emotion regulation. Findings demonstrate that clay's inherent adaptability and sensory richness allow …

Sexy In Scrubs: How The Media And Cultural Perception Of Nurses Leads To Sexual Harassment And Violence In The Workplace, Elizabeth S. Stehle

Honors Projects

Western media has perpetuated society’s perspective of the nursing role through a sexual lens rather than a professional. Nurses face high levels of sexual harassment and violence, with some studies showing up to 80% of nurses experiencing some form of sexual harassment in the workplace at some point in their career. The relationship between the media’s sexualization of nurses has led to an increase in harassment and violence in the profession, as well as proliferating the stereotype of ‘sexy nurses.’ In this literature review, I examine both the media and cultural perception of the nurse and the data surrounding sexual …

A Comparative, Quantitative Analysis Of Birth Outcomes Among Women With Intellectual Or Developmental Disabilities, Jocelyn T. Reddix

MUSC Theses and Dissertations

Women who are pregnant or planning to give birth deserve equitable resources, respect, and assurances to ensure a healthy and safe pregnancy, including women of childbearing age who are diagnosed with intellectual or developmental disabilities (IDD). These women are more likely to experience negative perinatal, delivery, and postpartum health outcomes (Tarasoff et al., 2020). Healthcare providers, clinicians, and the family and friends of those with IDD must understand the impact and implications of the prenatal and postpartum journey for this group of women. This comparative research examined 2021 birth outcomes of women in the United States with IDD compared to …

The Impact Of Kinesthetic Attunement On Parents And Their Children With Autism: An Exploration, Ritu Shree

Expressive Therapies Dissertations

This study explored the impact of kinesthetic attunement as experienced through dance movement therapy (DMT) with parent-child dyads on parental stress, children’s adaptive skills and joint attention. A qualitative reflective account of parents was also studied to understand the depth of parents’ experience of dance movement therapy with their children with autism. The research emphasized the importance of collective parent-child dance therapy sessions, that especially focused on attunement and connection that built its way up from sensory-motor, social-communicative, and relational play and engagement.

A total of six parent-child dyads participated in the study that lasted over eight DMT sessions. Parents …

Guidelines For The Creation And Implementation Of A School-Based Vision Program For The Greater Seattle Area, Suzanna P. Gill

Honors Projects

Proper vision care contributes to a child’s ability to perform academically as well as their overall health and wellbeing. Pediatric vision care begins with vision screening, which occurs in public schools in Washington state. These vision screenings allow for possible vision issues to be identified in children. They are not, however, a replacement for eye examinations that help determine what is causing the problem and provide treatment. A substantial proportion of children that are recommended to receive the exams will not, partially because Washington does not require parents to take their children to eye care professionals. These children are more …

Rural And Urban Disparities In Access To Glp-1 Agonists For Patients With Obesity, Christine J. Hackler-Moorman

MUSC Theses and Dissertations

The increasing interest in glucagon-like peptide-1 (GLP-1) agonists, such as semaglutide, which are often prescribed as a first-line treatment for managing Type II diabetes, as well as for non-diabetic purposes—such as weight management and improving metabolic health—highlights their potential in preventive care. This promise inspires hope for a future where preventive healthcare is more effective and accessible to a wider audience. Nonetheless, significant geographic disparities in access to healthcare, especially between rural and urban areas, create obstacles that prevent numerous patients from reaping the benefits of these essential medications. In rural communities, challenges like cost, availability, and awareness are often …

Barriers To Breastfeeding In The Workplace As A Nurse And Perceived Support, Juliette Parker

Honors College Theses

This paper explores a literature review of how women are expanding more into the workforce requiring them to balance the demands of both family and work. Attention was given to the importance of breastfeeding, and the current research involving lactation support for working lactating nurses. The goal of this paper was to assess a Southeast Georgia hospital for the barriers and perceived support for working lactating nurses. Based on the available literature investigating this topic, it was hypothesized that nurses would report a lack of resources and support for working lactating mothers. To investigate this, an anonymous survey was conducted …

Gothic Gender And Colonized Women: A Gothic Feminist Reading Of Women As The Subaltern In Evelina And Northanger Abbey, Abigail Chandler

Seton Hall University Dissertations and Theses (ETDs)

Evelina by Frances Burney and Northanger Abbey by Jane Austen are two woman-authored, Gothic texts that explore themes of feminism and coming of age as subaltern in a patriarchal context. The main character in each must enter the world and become disillusioned to the reality that they are treated as subhuman because they are women. The term subaltern refers to those living in the margins and their suppressed “potential for life and creativity, in given historical circumstances” (Pandey 4735), and primarily focuses on ethnic or racial oppression in postcolonial settings; however, this thesis explores the idea of women in patriarchal …

Heart Failure And The Need For Better Patient Education, Amber Ball

Doctor of Nursing Practice Scholarly Project

Heart failure is becoming a more prevalent condition, evidenced by the fact that 25% of patients who are diagnosed with heart failure are readmitted within 30 days of being discharged due to exacerbation of this disease process. Heart failure symptoms can worsen due to inadequate patient education and other issues with patient self-management of the disease process leading to readmissions and increased hospital stays—adding to an already burdened healthcare system.

The aim of this project was to address the gap in nurse led patient education early on during hospitalization of patients admitted with a new diagnosis of heart failure or …

The Influence Of Perioperative Education On Postoperative Digestive Restoration, Christian Cedeno

Doctor of Nursing Practice Scholarly Project

The human body often needs encouragement to return to its natural state of functioning following intraoperative and postoperative drug therapy. Anesthesia can sedate the gastrointestinal tract and frequently requires medical and physical interventions to allow the body to return to full functionality. There are several methods thought to be beneficial in overcoming of this condition, and some have proven their significance more so than other methods. This project seeks to measure the power-of-knowledge methodology via a chart review of individuals specifically educated on what they can expect in the postoperative phase of care compared to those that receive routine education. …

Enhancing Care For Psychiatric Patients Boarding In The Emergency Department, Abby Ford

Doctor of Nursing Practice Scholarly Project

Psychiatric boarding in the emergency department has become a common phenomenon in emergency departments throughout the United States. The purpose of this DNP Scholarly Project was to create a quality improvement project to enhance the care that psychiatric patients receive while they are boarding in the emergency department (ED). This quality improvement project consisted of an educational PowerPoint module for ED nursing staff and the dissemination of a care plan that nursing staff utilized while caring for psychiatric patients in this specific ED. The target population for this scholarly project was emergency department nursing personnel in a 40-bed metropolitan ED. …

Enhancing Outpatient Referrals To Heart Failure Clinics, Charla Furing

Doctor of Nursing Practice Scholarly Project

Heart failure patients require complex and specialized treatment that can be provided for in a heart failure clinic. Heart failure is extremely complex and the recommendations for management require observation and diligence. Lindberg et al. (2022), recommends patients with heart failure receive specialized care from providers trained in optimizing therapy, especially patients with new onset heart failure, worsening heart failure, or those unable to tolerate first-line treatments in optimal doses. Patients require referrals to the providers specializing in heart failure management. This study created a comprehensive outpatient referral form for outpatient providers utilizing published heart failure referral forms, heart failure …

Cultural Competence Among Nursing Faculty And Staff Utilizing An Educational Course To Promote Diversity, Equity, And Inclusion Individually And Within The Baccalaureate Nursing Program, Jessica Shippee

Doctor of Nursing Practice Scholarly Project

Nurse educators play a pivotal role in fostering cultural competence among nursing students. The purpose of this quasi-experimental project was to provide an educational course to help nursing faculty and staff identify implicit bias, develop cultural competence, and recognize the importance of incorporating diversity, equity, and inclusion into practice. A pretest-posttest design collecting demographic data and the Healthcare Provider Cultural Competence Instrument (HPCCI) was given to 21 participants, the course was six-hours and delivered over two days. Participants were asked the day of, before the intervention, to complete the instrument and immediately after the intervention on the second day. Varying …

Implementing A Provider Education Program For Opioid Medication Management, Mitra A. Taylor

Doctor of Nursing Practice Final Manuscripts

Implementing a Provider Education Program for Opioid Medication Management

Mitra Akhavan Taylor, BSN, RN

Joseph F. Burkard, DNSc, CRNA, EBP-C, AACN Health Policy Fellow

Introduction: Continuing health provider education is an important intervention supported by health policy to counter the opioid epidemic. The purpose of this evidence-based project was to create and implement an opioid prescribing program in line with California and Federal regulations in response to the opioid epidemic. The purpose of this project was to evaluate the effect of the program and EMR template and guidelines on opioid prescribing practices. The motivation behind this evidence-based practice (EBP) project …

The Cost Of Accommodative Burdens: Prevalence & Impact On Deaf And Hard Of Hearing Individuals, Lorelei Becktel

Undergraduate University Honors Capstones

This exploratory qualitative study (n=8) investigated the mental health effects of lack of reciprocity in accommodation and the resulting accommodative burden on deaf and hard of hearing individuals. Lack of reciprocity occurs when the split of the burden for communication accommodations falls significantly more on the deaf or hard of hearing individual. The resulting accommodative burden occurs when deaf and hard of hearing individuals adapt to make communication easier for hearing people at a level that is uncomfortable, unwanted, and/or detrimental to their needs. Effects, determined by participant responses, were examined via semi-structured interviews and analyzed via thematic analysis. Relationships …

Comparison Of Hand-Wrist And Cvms Methods For Craniofacial Growth Spurt Assessment, Ardita Ajvazi

Master's Theses (2009 -)

Objective: Hand-wrist (HW) radiographs are considered the most accurate method for assessing pubertal growth spurts in orthodontics but have declined in use due to added radiation exposure and the expertise required. Cervical vertebral maturation staging (CVMS) is now commonly used, given the routine availability of lateral cephalograms. However, the validity of CVMS remains uncertain. A recent study reported only 66% inter-observer reliability across time periods (Ingersoll, 2024). This follow-up study aims to evaluate CVMS as a predictor of growth to guide clinical decision-making. Methods: With protocol approval (MU HR-4695), this retrospective study followed a design modeled after a prior study …

Staff Education To Enhance Nurse Knowledge Of Depression And Screening Tool Using Patient Health Questionnaire-9, Oluwakemi Omotayo Aregbesola

Walden Dissertations and Doctoral Studies

Summary This staff education program focused on addressing a practice deficit regarding nonstandard depression assessment and substandard nurse knowledge of evidence-based screening tools, mainly the Patient Health Questionnaire-9 (PHQ-9), a nine-item, self-reporting test used to screen for depression and assess severity of the condition based on the Diagnostic and Statistical Manual of Mental Illnesses, 5th Edition. Depression exists as a familiar yet unidentified disorder among psychiatric inpatients, resulting in delayed treatment inferior outcomes. The staff education project targeted the nurses’ knowledge of depression identification while also teaching them to administer the PHQ-9 for prompt screening and intervention. I used an …

Community-Based Toolkit For Parents And Their Children With Severe Mental Illness, Adam Thai, Jo Loomis, Alicia Kletter

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Many adult children with severe mental illness (SMI) reside with their aging parents, who not only provide financial and housing support but often serve as the caretakers and care coordinators. Circumstances can change in an instant for this population with the loss of their parents.

Local Problem: Persons with SMI in San Mateo County that have been reliant on their parents throughout their lives would suddenly be unhoused, vulnerable and without support in the community, which can adversely affect health outcomes.

Methods: A Doctor of Nursing Practice (DNP) student-led pilot online community-based toolkit was designed …

Trauma-Informed Care: A Therapeutic Communication - Executive Summary, Nicole Anne Leonce

Doctor of Nursing Practice (DNP) Projects

Background Effective therapeutic communication is essential for building strong patient relationships, yet bias, stigma, and judgment can exacerbate trauma and widen health disparities. Trauma-Informed Care (TIC) emphasizes respect, compassion, and empathy to mitigate these issues. Problem Although TIC is extensively studied in high-income regions such as the United States, Europe, and Australia, its application in developing countries remains limited. This gap impedes culturally sensitive healthcare practices that address unique social, cultural, and economic challenges, potentially deepening disparities. Methods A comprehensive literature review was conducted to assess current TIC training research among healthcare workers. The review aimed to underscore TIC's importance …

“Invisible Populations”: A Policy Brief Approach To Address Housing Data Needs In Vulnerable Communities, Kristin E. Moser

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Dependent adult children with severe mental illness (ASMI) living with aging parents have been an increasing population over decades due to lack of supportive housing and services in the community. ASMI living with aging parents is a high-risk group for housing instability and future homelessness. Local Problem: A limited amount of literature and data exist to determine the size and needs of the population of ASMI living with aging parents. A collaboration with University of San Francisco (USF) and non-profit, Solutions for Supportive Homes (S4SH) of San Mateo County (SMC) formed to disseminate information and quantify the “invisible …