Medicine and Health Sciences Commons^™

Wellness As A Predictor Of Turnover Intention In The Active Duty Military, Thomas Clifford Seguin

Counseling & Human Services Theses & Dissertations

Due to the unique nature of military service compared to civilian professions, military attrition is difficult to predict using methods derived from career development theories, so turnover remains an ongoing concern for the active duty military. For this reason, military attrition, through turnover intention, should be investigated through a novel lens with the intention of capturing an essence of military service which previous methods may have overlooked, namely the holistic construct of perceived wellness. Previous studies have shown how wellness-related factors affect turnover intention, but none has studied the relationship between perceived wellness and turnover intention. The main hypothesis of …

Consensus On Best Practices In Neuroscience-Informed Treatment Of Combat-Related Posttraumatic Stress In Military Veterans: A Delphi Study Of Experts In The Field Of Mental Health, Danielle Lauren Winters

Counseling & Human Services Theses & Dissertations

The purpose of this study was to capture consensus among mental health professionals who work with combat trauma-afflicted veterans and/or utilize a neuroscience-informed counseling approach, about a set of best practices for uniting neuroscience-informed treatment modalities with the treatment of veterans who present with Post Traumatic Stress (PTS). A multi-round Delphi study was used to elicit information from mental health professionals, which led to the proposition of ways in which mental health professionals may more efficiently work with combat veterans while utilizing neuroscience-informed treatments such as Prolonged Exposure Therapy, Eye Movement Desensitization and Reprocessing (EMDR) neuro-informed Cognitive Behavioral therapy (nCBT), …

The Lived Experiences Of Counselors-In-Training Completing Practicum And Internship During Covid-19, Shelby Lauren Dillingham

Counseling & Human Services Theses & Dissertations

COVID-19’s classification as a pandemic in March 2020 changed numerous professions as they adjusted to social distancing expectations. Mental health providers particularly encountered transitions that included higher acuity caseloads, working different hours, and increased exposure to COVID-19. Counselors-in-training (CIT) faced the dilemma of earning their clinical hours in a safe manner, especially CITs working within integrated healthcare settings, such as hospitals or clinics. Despite some research with licensed professional counselors, limited research exists examining CITs' experiences working during the COVID-19 pandemic. This study sought to understand the lived experiences of CITs who completed their clinical hours in an integrated behavioral …

Partners In Crisis: A Phenomenological Exploration Of Collaboration Between Crisis Intervention Team Officers And Mental Health Professionals, Jessica L. Huffman

Counseling & Human Services Theses & Dissertations

Law enforcement officers (LEOs) are often the first responders to crisis situations, which increasingly include mental health crises. Collaborating with mental health professionals and organizations increases the likelihood that individuals will receive a response that is contextually and culturally informed by an understanding of mental health needs and considerations. For this reason, Crisis Intervention Teams (CIT) have been established to train LEOs and to unite efforts with mental health professionals, advocates, and community constituents. While there is existing and ongoing literature exploring the responses provided by CIT, there is limited research on the experiences of CITs related to their unique …

Balancing Wellness And Leadership: Exploring Black Women Administrators’ Subjective Well-Being, Resilience, And Radical Self-Care In Higher Education, Lashae Grottis

Electronic Theses and Dissertations

Leaders in higher education experience high and unrealistic demands for their skills, time, and energy, causing stress, competing priorities, burnout, compromised health, and attrition. However, unlike other racial and gender groups, Black women higher education administrators experienced these challenges more intensely. As a result of chronic stress associated with being undervalued and overworked, discriminatory and unwelcoming workplaces, and intersectional biases, Black women leaders are leaving higher education workplaces. Despite the link between gendered racism and unwellness, little is known about the problem from a positive leadership perspective. This study addressed the lack of knowledge of the wellness strategies Black women …

The Correlational Effects Of Academic And Demographic Factors On Nursing Students’ Attrition, Progression, And Completion At A University College Of Nursing, Adebusola A. Obafemi

Electronic Theses and Dissertations

High United States nursing student attrition rates have attracted political, organizational, and social interest for numerous reasons. This attrition places financial burdens on the students, results in revenue loss for the college, and exacerbates the existing nursing shortage. Students' success in a nursing program is crucial for nurses to practice nursing. The purpose of this retrospective study was to explore the effects of academic performance and demographic/categorical factors on nursing students' progression and completion at a University College of Nursing in the Southern United States. The target population consisted of students enrolled at the University College of Nursing from January …

Diabetic Coaching Program To Improve African American Patients Glycemic Control, Shonda Moore

Student Scholarly Projects

Practice Problem: The purpose of the practice problem was to find out if, among African Americans with type II diabetes who are over 18, adopting a diabetic coaching program that emphasizes diet management can result in better glycemic control over 10 weeks than for those who do not receive coaching.

PICOT: In African Americans with type II diabetes over 18 years of age (P), does a diabetic coaching program on diet management (I), compared to no coaching program (C), improve glycemic control (O) over 10 weeks (T)?

Evidence: The evidence used to guide this project came from databases, including PubMed, …

Inhaled Microbiomics: Targeted Delivery Of Prebiotics And Antibiotics In Patients With Cystic Fibrosis, David Arran Mcchesney, Seth M. Daly, Patricia Marshik, Pavan Muttil

Pharmaceutical Sciences ETDs

Adults with Cystic Fibrosis (CF) are a unique and expanding patient population in the context of massive progress in disease screening and treatment. However, exacerbations remain a significant complication of the disease associated with its decline. CF pathophysiology promotes chronic respiratory bacterial infections, which are implicated in exacerbations. An important finding in research surrounding the respiratory microbiome has correlated the loss of diversity being with a worse prognosis in chronic lung diseases. We developed an aerosol formulation towards supporting the existing, diverse respiratory microbiome. Our formulation of prebiotics with and without antibiotics was designed to fit within the complex, multistep, …

A Comparative Analysis Of Births For Women Aged 20-25 Vs. 35-39: An Examination Of Longitudinal Trends Of Volume And Outcomes, Kristy Hampton

MUSC Theses and Dissertations

Maternal health impacts the well-being of society as it is commonly viewed as an indicator of public health welfare. Childbirth at an advanced maternal age (AMA) increases the likelihood of less favorable birth outcomes. As births to AMA women have increased over time, it is important to understand the impact age has on birth methods and birth outcomes. This research examined the proportion of births to women aged 20-25 years in comparison to AMA women aged 35-39 years in North Carolina from 2002-2017. The proportions of births to AMA women have increased over time despite increased risk and birth outcomes. …

The Impact Of Health Insurance Coverage On Short-Term And Long-Term Readmissions To The Emergency Department For Pediatric Patients With Asthma: A Retrospective Regression Analysis, Micheline Plantada

MUSC Theses and Dissertations

Inadequate health insurance coverage may hinder the management of asthma in children in recurrent emergency department (ED) visits in comparison to children with health care insurance. Children with asthma who do not have health insurance are at risk of not having access to primary care physicians. They may live in poorer communities, where they are more likely to encounter higher concentrations of asthma-inducing agents or factors contributing to increased healthcare utilization, resulting in increased expenditures and reduced patient outcomes.

Effectiveness Of Contact-Based Strategies On Improving Mental Illness Stigma And Help-Seeking Behaviors Within Families, B. Michelle Wilks

USF Tampa Graduate Theses and Dissertations

Adolescence is a developmental period that often involves extreme physical, psychological, and emotional changes and sometimes the experience of significant personal and social challenges. In addition to these challenges, youth are trying to find their place in the world and developing their identities, which depend heavily on their relationships with others. Adolescents who struggle with their mental health and also fail to develop meaningful connections with others, tend to have poor self-esteem, self-isolate, are ostracized by others, and have a poor social self-concept, all of which are associated with poor mental health and increased risk for suicidal ideation. The impact …

Individual Behavioral Modeling Across Games Of Strategy, Logan Fields

USF Tampa Graduate Theses and Dissertations

An individual’s actions in a particular environment and with specified resources can reveal their decision-making tendencies and patterns, and by analyzing the variations in cognitive traits among individuals, it may be possible to identify trends that can foretell their future behaviors. This can be a powerful tool in various fields including cognitive modeling, player analytics, computer security, and threat detection. Collectible card games are a fruitful test space for studying cognitive differences in decision-making, as they can have clearly defined and replicable environments and large player bases. As such, in this work, I explore the potential of using two virtual …

A Gateway To Next-Generation Patient Monitoring System, Kishore Kumar Kadari

USF Tampa Graduate Theses and Dissertations

Healthcare patient monitoring is undergoing a significant digital transformation, and the integration of Cyber-Physical Systems (CPS) and Artificial Intelligence (AI) is becoming increasingly crucial in reshaping patient care. In an era where digital technology is revolutionizing medical practices, this research aims to take a leading role in advancing a fundamental aspect of predictive and sustainable healthcare practices, enhancing patient outcomes and uplifting the practice of medicine.

This research focuses on the study of Digital Twins for precision health, which are designed to monitor and provide intricate, personalized feedback dynamically during a patient's healthcare experience. The architecture of the system is …

Trauma-Informed Educational Practices: Perceptions Of Undergraduate Communication Sciences And Disorders Students, Lindsey J. Knussmann

Honors College Theses

Trauma is a prevalent issue among college students, with lasting negative effects on mental health, physical well-being, and academic performance. Despite this, literature exploring the application of trauma-informed education practices (TIEPs), specifically within the field of communication sciences and disorders (CSD), is limited. The purpose of this study was to address this literature gap by exploring which TIEPs CSD students find most beneficial.

Undergraduate students majoring in CSD participated in this research, rating the helpfulness of 12 TIEPs. Most participants reported perceiving all TIEPs as at least “very helpful”. These data represent a step toward improved understanding of the effects …

The Impact Of Covid-19 On The Utilization Of Early Magnetic Resonance Imaging (Emri) In The Assessment Of Acute Uncomplicated Low Back Pain (Lbp) And The Subsequent Effect On Health Care Service Utilization And Patient Outcomes, Kimberly F. Radcliffe

MUSC Theses and Dissertations

OBJECTIVES: To examine changes in MRI rates between Pre-COVID-19 period (Feb-April 2019) and COVID-19 period (Feb-April 2020) among commercially insured patients aged 18-60 with a diagnosis of acute LBP, and to analyze differences in patient characteristics and outcomes between the time periods. Additionally, to examine the impact of eMRI on patient outcomes and health care costs for patients in the COVID-19 period.

DESIGN/METHODS: Using IBM® MarketScan® Commercial Database (MarketScan) we performed a quantitative pre-post comparative retrospective observational study of 117,150 total patients to examine adjusted differences in patient characteristics and rates of MRIs between time periods. We analyzed 49,020 patients …

Readmission Rates Of Mothers Experiencing Preeclampsia Or Complications After Delivery In Underserved Populations, Sadia M. Robinson

MUSC Theses and Dissertations

Hospital readmissions during pregnancy nationwide impacts maternal health outcomes elevating the risk of maternal deaths after discharge. The accessibility and affordability of necessary prenatal care is integral to the field of health across the lifespan. Socioeconomic barriers within rural locations place expecting mothers at an adverse risk of developing conditions including preeclampsia and other complications that may result in hospital readmission. Economic barriers including hospital closures, shortages of specialty healthcare providers, unstable internet access and, ease of care access on further contribute to this disparity among rural women.

A retrospective analysis was conducted using data from Health Care Cost and …

Examining Childhood Trauma And Substance Use Problems Among Justice-Involved Adolescents In Florida, Skye C. Bristol

USF Tampa Graduate Theses and Dissertations

The purpose of this dissertation was to assess the relationship between childhood trauma and substance use problems as latent constructs among justice-involved adolescents (JIA). Additionally, racial differences and spatial analyses were examined. Previous research underscores the limitations of conceptualizing childhood trauma solely through Adverse Childhood Experiences (ACEs). This justified integrating child welfare involvement, or out-of-home placement, as an additional indicator to develop a comprehensive scope of childhood trauma among JIA. Furthermore, current literature established that childhood trauma is a key predictor of substance misuse among JIA. However, the lack of a standardized measure of substance misuse across juvenile justice systems …

Articulation Versus Motor Speech? Supervisor Perspectives Of Slp Graduate Students: A Qualitative Study, Maddison Verser

Student Theses and Dissertations

This qualitative study was to determine clinical supervisors' perceptions of graduate students’ skill set of articulation disorders compared to motor speech disorders. Participants in this study included SLP clinical supervisors of Master’s level graduate students in Communication Disorders across various pediatric settings, including private practice, school-based or outpatient clinics in north central Arkansas. Face-to-face/phone interviews were recorded with a digital recorder and transcribed using the speech-to-text transcription service at Temi.com. The data were analyzed by the primary investigator to identify concepts and themes. The results of this study showed three main themes: (1) students are perceived as more independent and …

Hearing Loss Vs Length Of Employment In The Steel Industry, Sarah Jane Hattle

Student Theses and Dissertations

The purpose of this research was to investigate if there was a relationship between hearing loss and length of employment in the steel industry. Participants included 11 males that worked in the steel industry. Participants completed questionnaires regarding demographics, employment, and noise exposure, as well as took part in an audiological exam. The results of the audiological evaluations showed that 45% of participants had hearing loss in the right ear, 36% of participants had hearing loss in the left ear, and 36% of participants had loss in both ears. While there was no significant relationship between hearing loss and the …

The Effect Of Virtual Standardized Patient Integrated Health Coach Training On Professional Confidence Gain In Veterans Health Administration Primary Care Nurses, David Mullins

Graduate Theses, Dissertations, and Capstones

Poor health behaviors cost the United States billions of dollars and tens of thousands of lives every year. The Veterans Affairs primary care delivery model uses health coaching as a catalyst to improve health behaviors in veterans. Health coaching is a complex skill that requires specialized training, repetitive practice, and professional confidence. Albert Bandura believed most people acquire skills and develop the confidence to use those skills through social learning. He posited that professional confidence played a critical role in skill acquisition, and people with low professional confidence were less likely to attempt to perform a skill. Bandura’s Theory of …

Exploring The Associations Between Drug Resistant Mutations, Low-Level Viremia, And Virological Failure In Persons With Hiv In Florida, Adriana Campos

USF Tampa Graduate Theses and Dissertations

Virologic suppression is an essential part to a successful regimen for Persons with HIV (PWH) and the 95-95-95 initiative. Yet, PWH experiencing episodes of low-level viremia (LLV) may be more prone to experience virological failure (VF). Currently, studies debate the clinical relevance of LLV and its effect on virological outcomes, but none have explored its interconnectedness with drug resistant mutations (DRM) and antiretroviral treatment (ART) adherence – all integral elements in predicting virological outcomes.

The goal of the proposed study was to contribute to the knowledge gap regarding the interconnectivity of drug resistant mutations, low-level viremia, adherence, and virological failure …

Community-Centered Early Warning For Outbreaks In Humanitarian Emergencies: Evaluating Community-Based Surveillance For Priority Communicable Diseases Among Internally Displaced Populations In Iraq, Caitlin M. Wolfe

USF Tampa Graduate Theses and Dissertations

Background: Community based surveillance (CBS) is the organized and rapid collection of information from health events identified in the community and includes the systematic detection and reporting of events of public health significance. While used globally to enhance the detection of priority diseases, CBS has not been routinely deployed in Iraq, where a once-robust health system has been devastated by decades of war, international sanctions, and large-scale population displacement. During infectious disease outbreaks, it is imperative to quickly detect and isolate suspect cases, investigate confirmed cases, and trace and monitor the contacts of confirmed cases. The COVID-19 pandemic underscored the …

Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd

Walden Dissertations and Doctoral Studies

No abstract provided.

Natural Language Processing Implementation: Electronic Medical Record Alerts For Child Abuse, James Robbins

Yale School of Medicine Physician Associate Program Theses

Suspected child abuse in emergency departments is best managed by a specialist team trained to distinguish abuse from non-abuse. Previous researchers have developed clinical decision support tools to aid frontline clinicians recognize often subtle signs of child abuse. However, little is published about the success of integration of these tools into clinical practice. Our objective is to explore the efficacy of a natural language processing tool developed and validated by researchers at Yale by measuring changes in referral rates to Yale’s child protection team before and after implementation of the tool in the form of electronic medical record alerts. This …

Oral Feeding Of Infants Who Require Noninvasive Respiratory Support: Retrospective Investigations, Carolyn Barnes

MUSC Theses and Dissertations

There is a dearth of evidence supporting the safety and efficacy of orally feeding infants who require noninvasive respiratory support (NIRS). This dissertation investigates clinical practices surrounding orally feeding infants on NIRS. Manuscript 1 systematically reviews parameters impacting study of this practice. Findings emphasize the dearth of objective data surrounding this practice, and that additional research must be conducted before safety and efficacy outcomes of this practice can be established. Manuscript 2 retrospectively uses electronic health record data to describe which infant populations are orally fed during NIRS use, amount of NIRS used during infant oral feeding, changes in practice …

Language Beliefs And Practices Of Caregivers In The Deep South, Maria Maldonado

LSU Master's Theses

The 30 million word gap refers to the disparity in early language exposure between low socioeconomic status (SES) children and their higher SES peers; a gap that is thought to negatively impact children’s language development and future academic success. Although many early intervention approaches have proven effective in promoting language development among low SES children, they often fall short in terms of cultural responsiveness, which in turn affects caregiver buy-in. Culturally and linguistically diverse children disproportionately live in poverty, as such there is a need for research to inform more responsive interventions that take a strengths- based approach and build …

Preoperative Warming To Improve Patient Outcomes: Implementation Of A Warming Protocol, Tiara Switzer-Houston

Student Scholarly Projects

Practice Problem: Inadvertent perioperative hypothermia (IPH) is noted to be the most common surgical complication. IPH is associated with a variety of complications which are known to impact the well-being of the patient, family, and healthcare system.

PICOT: The PICOT question that guided this scholarly project was scheduled for total hip and knee arthroplasty surgical procedures under general or neuraxial anesthesia greater than 60 minutes (P), how effective is the implementation of an evidence-based pre-surgical warming protocol including forced-air warming (FAW) (I) compared to current practices (C) in improving normothermia readings within 15 minutes of arriving to the PACU, …

Physical Activity Barriers And Facilitators In African American Women: A Social Ecological Models Perspective, Leah Ann Carter

LSU Doctoral Dissertations

African American (AA) women experience poor health outcomes that can be addressed by increasing PA engagement. Understanding how PA barriers and facilitators occur at multiple levels of influence may help tailor PA interventions for AA women. Although prior work has established barriers to PA that are unique to African American women, few studies identify the sociocultural norms associated with these impediments. Little is known about the cultural implications of barriers such as haircare maintenance, and public policy.

The primary aim of this dissertation was to capture AA women’s voice about PA barriers and facilitators using the social ecological model framework. …

Implementation Of The Dynamic Appraisal Of Situational Aggression (Dasa) Tool On Inpatient Mental Health Unit, Maira Rodriguez

Student Scholarly Projects

Practice Problem: Inpatient mental health units are vulnerable to aggression and violence, which may lead to physical injuries. It is essential to implement proactive measures to prevent violence before it escalates.

PICOT: In an adult inpatient mental health unit (P), does the use of the Dynamic Appraisal of Situational Aggression (DASA) (I), compared to no screening for aggression (C) decrease restraints and seclusion, provide early detection and awareness of aggressive behaviors (O) within ten weeks.

Evidence: The DASA assessment tool has been tested in various settings, such as forensic and general adult mental health units. It has also been found …

Individual Risk Factors Associated With Cesarean Section Surgical Site Infections Among African American Women In California, Paula St Hill

Walden Dissertations and Doctoral Studies

No abstract provided.