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Articles 691 - 720 of 1060
Full-Text Articles in Mental and Social Health
The Effects Of Music Therapy Techniques On Clients In A Substance Abuse Group, Moyosore Fabiyi
The Effects Of Music Therapy Techniques On Clients In A Substance Abuse Group, Moyosore Fabiyi
Masters Theses
The purpose of this study was to examine the effects of music therapy on clients with substance abuse history attending group sessions in a behavioral health facility. Specifically, the mechanism by which lyric analysis or the musical component may lead to positive therapeutic outcomes was examined. In order to assess the effectiveness of music therapy techniques, a comparison was made between conditions of music alone, lyric analysis alone and music with lyric analysis. One may be able to argue that the mechanism by which music therapy affects clients may lay within the music itself and clients listening to that music. …
Exploring Challenges In Conducting E-Mental Health Research Among Asian American Women, Andrew Thomas Reyes, Rose E. Constantino, Rogelio A. Arenas, Judzia N. Bombard, Alvin Ryan Acupan
Exploring Challenges In Conducting E-Mental Health Research Among Asian American Women, Andrew Thomas Reyes, Rose E. Constantino, Rogelio A. Arenas, Judzia N. Bombard, Alvin Ryan Acupan
Nursing Faculty Research
In this discussion paper, we explore the challenges of conducting e-mental health intervention research among Asian American women and propose a model for addressing these barriers. Based on an extensive literature review, we identify two main types of barriers to conducting e-mental health intervention research among Asian American women: recruitment barriers and adherence barriers. Recruitment barriers are further subcategorized into those related to (1) stigmatized cultural beliefs about mental illness and mental health services; (2) lack of awareness about mental health services; and (3) language barrier. As to adherence barriers, the two identified subtypes concern (1) acuity and severity of …
Resilience, Acculturative Stress, And Family Norms Against Disclosure Of Mental Health Problems Among Foreign-Born Filipino American Women, Andrew Thomas Reyes, Reimund Serafica, Chad L. Cross, Rose E. Constantino, Rogelio A. Arenas
Resilience, Acculturative Stress, And Family Norms Against Disclosure Of Mental Health Problems Among Foreign-Born Filipino American Women, Andrew Thomas Reyes, Reimund Serafica, Chad L. Cross, Rose E. Constantino, Rogelio A. Arenas
Nursing Faculty Research
The present study explores the relationships between resilience, acculturative stress, and family norms against disclosure of mental health problems among foreign-born Filipino American women. The sample consisted of 159 foreign-born Filipino American women aged 18 years and above and residing in Las Vegas, Nevada, United States. Participants completed paper-and-pencil questionnaires. Results indicated high levels of resilience and moderate levels of acculturative stress. Findings also showed a significant negative correlation between resilience and acculturative stress, and a significant predictive effect of resilience on acculturative stress. We also found a significant negative relationship between resilience and family norms against disclosure of mental …
Healthcare Providers’ Perceptions Of Pregnant Women, Allison Goderwis
Healthcare Providers’ Perceptions Of Pregnant Women, Allison Goderwis
Theses and Dissertations--Family Sciences
Health care providers’ (N = 421) implicit perceptions of pregnant women based on age, race or ethnicity, marital status, and socioeconomic status are assessed through a true-experiment design. Ordinal and binary regression analyses revealed that respondents felt more pity for an unmarried than married pregnant woman and more anger toward an unemployed pregnant woman without health insurance compared to a pregnant woman who was employed with health insurance. Male, Asian, and Hispanic respondents were less likely to help the pregnant woman, Black and protestant respondents were more likely to express some degree of anger toward the pregnant woman, and …
The Effect Of A Single-Session Group Songwriting Intervention On Grief Processing In Hospice Clinicians, Melissa Deaton
The Effect Of A Single-Session Group Songwriting Intervention On Grief Processing In Hospice Clinicians, Melissa Deaton
Theses and Dissertations--Music
The purpose of this study was to determine the effect of a single-session group music therapy songwriting session on grief processing in hospice clinicians. The study design was quasi-experimental. Participants were cluster randomized into a control group and a treatment group. The researcher led a 50-minute songwriting session focused on sharing and processing experiences of grief-related stress and burnout in hospice work. Grief processing was measured using a self-report survey for n=25. Overall differences between control and treatment groups were not found to be statistically significant. Significant differences were also not found in treatment score differences for type of …
Anxious?: Re-Designing Women’S Jewelry To Help Manage Symptoms Of Anxiety Disorders, Nourbanu Feras Hijazi
Anxious?: Re-Designing Women’S Jewelry To Help Manage Symptoms Of Anxiety Disorders, Nourbanu Feras Hijazi
Theses and Dissertations
Anxiety is a common and often stigmatized condition. Destigmatizing mental disorders can positively impact people’s interaction and communication with others and can prompt conversations in which people share their experiences with mental health, leading to improved societal understanding and perception.
My design solution tackles behavioral symptoms of anxiety, specifically two conditions that fall under obsessive-compulsive behavior: Dermatillomania and Trichotillomania. By redesigning women’s jewelry to specialized accessories, my intention is for these objects to help destigmatize these conditions and relieve symptoms of maladaptive behaviors and hurtful impulses. By redirecting these irresistible urges to an external artifact, the objects are designed to …
Sexual Coercion, Drinking To Cope Motives, And Alcohol-Related Consequences Among Self-Identified Bisexual Women, Michelle L. Kelly, Sarah J. Ehlke, Robin J. Lewis, Abby L. Braitman, Wendy Bostwick, Kristin E. Heron, Cathy Lau-Barraco
Sexual Coercion, Drinking To Cope Motives, And Alcohol-Related Consequences Among Self-Identified Bisexual Women, Michelle L. Kelly, Sarah J. Ehlke, Robin J. Lewis, Abby L. Braitman, Wendy Bostwick, Kristin E. Heron, Cathy Lau-Barraco
Psychology Faculty Publications
Background: Given higher sexual victimization and greater alcohol use among bisexual women, a critical public health challenge is to understand within-group variation that may heighten or explain these associations in bisexual women. Objectives: The present study tested a moderated-mediation model in which sexual coercion was hypothesized to be associated with alcohol-related consequences via drinking to cope motives in self-identified bisexual women who reported at least occasional binge drinking. Negative affect was hypothesized to moderate the sexual coercion-drinking to cope motives association. Methods: Participants were a community sample of 107 self-identified bisexual women (age M = 20.97, SD = 2.11) who …
Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez
Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez
Antioch University Dissertations & Theses
The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …
Art As A Mindfulness Practice, Amaris Espinosa
Art As A Mindfulness Practice, Amaris Espinosa
Antioch University Dissertations & Theses
The use of mindfulness-based interventions in health, education, and psychology have dramatically increased in the last two decades. Art, as a reflection of the internal and external processes, is one of the key features of humanity. However, art as a mindfulness-based intervention remains underrepresented and under-researched in the mindfulness literature. This is surprising given the role of art across culture, religion, and philosophy. Art is used to explore concepts of self and self-refection, as well as to train attention and awareness. Art is also used to explore relationships and engage in meaning-making. There is little evidence of why art was …
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Walden Dissertations and Doctoral Studies
Researchers indicate women succumb to relational abuse as seen with maladaptive attachment, identity enmeshment, and implicit maltreatment. Implicit violence and nonviolence, bonding victims to victimizers remains unstudied, although the domestic abuse phenomenon continues. Intimate partner abuse was examined through qualitative inquiry. There is much to learn about female victim perspectives describing attachment bonds, identity conflicts, and implicit maltreatment experiences. Traumatic bonding theory served as the lens through which female participant responses were examined in this study. Research questions were developed to focus on female attachment bond perceptions, views concerning self-esteem, self-identity, or self-reference, and implicit aggression, coercive control, or manipulation …
Facilitating Factors And Positive Reasons African American Men Attend Psychotherapy, Taia Willis
Facilitating Factors And Positive Reasons African American Men Attend Psychotherapy, Taia Willis
Walden Dissertations and Doctoral Studies
Researchers have found that African American men are one of the most marginalized, targeted, and disenfranchised groups of people. In the past, African American men were less likely to attend psychotherapy compared to other ethnicities. Barriers to treatment includes the following: distrust in the mental health system, self-reliant behaviors, religious ideologies, cultural stigmas, and the ideology of what it means to be a man and an African American man in America. This study addressed the lack of qualitative studies on the experiences of African American men who attend psychotherapy by exploring the lived experiences of 10 African American men who …
Stasi Brainwashing In The Gdr 1957 - 1990, Jacob H. Solbrig, Jacob Hagen Solbrig
Stasi Brainwashing In The Gdr 1957 - 1990, Jacob H. Solbrig, Jacob Hagen Solbrig
LSU New Orleans Theses and Dissertations
This thesis examines the methods used by the Ministerium für Staatssicherheit (MfS), more commonly known as the Stasi, or East German secret police, for extraction of information from citizens of the German Democratic Republic for the purpose of espionage and covert operations inside East Germany, as it pertains to the deliberate brainwashing of East German citizens. As one of the most efficient intelligence agencies to ever exist, the Stasi’s main purpose was to monitor the population, gather intelligence, and collect or turn informants. They used brainwashing techniques to control the people of the GDR, keeping the populace paralyzed with fear …
Navigating Culture: An Exploration Of Domestic Violence And Abuse Resource Provision To The Harrisonburg Iraqi Refugee Community, Kaitlin Michelle Holland
Navigating Culture: An Exploration Of Domestic Violence And Abuse Resource Provision To The Harrisonburg Iraqi Refugee Community, Kaitlin Michelle Holland
Senior Honors Projects, 2010-2019
There are currently 22.5 million refugees worldwide who have been displaced from their home countries due to war, conflict, or persecution. Of this total, only 1% are recommended for resettlement each year. In recent years, many of these resettled refugees have come from Iraq, fleeing conflict stemming from the Iraq war and ISIS. Upon resettlement, refugees face significant acculturation difficulties that can negatively affect mental health. Additionally, experiencing domestic violence and abuse (DVA) can also negatively affect physical and mental health. I researched how the refugee migration experience and domestic violence and abuse affect mental health as well as what …
Starting Over On Stage, Keydra Manns
Starting Over On Stage, Keydra Manns
Capstones
RTA is a non profit organization based out of New York that uses the arts as a way to rehabilitate inmates. Research shows that this type of rehabilitation strongly impacts an inmates behavior, self esteem and possibly reduces their likelihood to return to prison. This is one man’s story on how practicing theater during his prison sentence changed his life.
https://medium.com/@keydra.manns/starting-over-on-stage-3614e7bc0dd9
An Analysis Of Operant Conditioning And Its Relationship With Video Game Addiction, Daniel Vu
An Analysis Of Operant Conditioning And Its Relationship With Video Game Addiction, Daniel Vu
ART 108: Introduction to Games Studies
A report published by the Entertainment Software Association revealed that in 2015, 155 million Americans play video games with an average of two gamers in each game-playing household (Entertainment Software Association, “Essential Facts about the Computer and Video Game Industry”). With this massive popularity that has sprung alongside video games, the question must be asked: how are video games affecting today's people? With the current way some video games are structured, the video game rewards players for achieving certain accomplishments. For example, competitive video games reward players who achieve victories by giving them a higher ranking or other games display …
Spirituality Among Black Americans: A Hierarchical Classification Of The Family Strengths Model, Genese Clark
Spirituality Among Black Americans: A Hierarchical Classification Of The Family Strengths Model, Genese Clark
College of Education and Human Sciences: Dissertations, Theses, and Student Research
There is a need for disaggregate data pertaining to the perceived strengths of Black American families. This study identified which traits are salient and dominant among African-American families according to the Family Strengths Model. Utilizing this model, a mixed methods study was conducted among Black Americans living in Connecticut who identify with belonging to a family (N=59) to investigate the importance of six family strength domains. Results found the hierarchical rank (from most important to least important) to be commitment, spirituality/ spiritual wellbeing, appreciation and affection, positive communication, time together, and the ability to manage stress and crisis effectively. Additionally, …
Teenagers Who Have Been Diagnosed With Cancer Are Fighting For A Better Future, Rocio Enriquez
Teenagers Who Have Been Diagnosed With Cancer Are Fighting For A Better Future, Rocio Enriquez
Capstone Projects and Master's Theses
Jacob’s Heart Children’s Cancer Support Services is a non-profit organization that “exists to support and improve the quality of life for children with cancer and supports their families in the challenges they face” (“jacobheart.org,” 2017). Kirchhoff (2010) points out, “Young adult survivors of childhood cancer have been reported to be six times more likely than a healthy sibling to report health-related unemployment and almost twice as likely to be unemployed but seeking work.”Together, Jacob’s Heart Children’s Cancer Support Services would like to introduce a service that would help our teens flourish in life, by helping them to develop life coping …
Latino Lgbq Young Adults' Coming-Out Experiences, Monica Munoz
Latino Lgbq Young Adults' Coming-Out Experiences, Monica Munoz
UNLV Theses, Dissertations, Professional Papers, and Capstones
There is limited research on Latino LGBQ individuals and their coming-out experiences. To understand the coming out process of Latino LGBQ individuals, interviews were conducted with 10 Latino LGBQ young adults between the ages of 18 and 30 years old. Using Moustakas (1994) phenomenological approach, six themes derived from the study: (a) The disclosure process impacts family closeness and distance, (b) Latino LGBQ individuals’ family members enter a state of disbelief about their sexual orientation, (c) control of disclosure influences Latino LGBQ young adults’ perception of their coming-out experience, (d) the experience of coming-out for Latino LGBQ individuals is influenced …
Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.
Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.
UNLV Theses, Dissertations, Professional Papers, and Capstones
Ten consensual sex workers who were currently working in Nevada were qualitatively interviewed in an effort to explore their perceptions of the adult industry. Interviews specifically focused on their experience disclosing their profession to others and the potential effects that it has on their personal relationships, and access to effective treatment. The Moustakas method of phenomenological inquiry was used to analyze data from ten participants who self-identified as direct sex workers. Seven essential themes emerged from this analysis: (1) the adult industry provides professional and personal agency, (2) the industry is often transient, (3) disclosure is an impactful and ongoing …
To Heal, Escape: Using Theatre Arts To Promote Holistic Health In The Clinical Setting, John Filegar
To Heal, Escape: Using Theatre Arts To Promote Holistic Health In The Clinical Setting, John Filegar
Senior Honors Theses
The purpose of this thesis is to provide an argument for the implementation of theatre arts therapy in the clinical setting. The effects of traditional art therapies involving visual arts, expressive arts, and music on the holistic health of the patient in the clinical setting have been thoroughly researched and understood. However, the extent of the influence of theatre arts therapy on the holistic health of individuals in the clinical setting lacks sufficient evidence and therefore cannot be compared to the influence of traditional art therapies on the holistic health of individuals in the same setting. Following an overview on …
Caring For Caregivers: Challenges Facing Informal Palliative Caregivers In Western Kenya, Hartlee Johnston
Caring For Caregivers: Challenges Facing Informal Palliative Caregivers In Western Kenya, Hartlee Johnston
Independent Study Project (ISP) Collection
Chronic illnesses like cancer, HIV, and other non-communicable disease are increasing globally, especially in developing countries, necessitating development of palliative care and symptom management systems. In Kenya, the burden of care for chronically ill patients often falls to unpaid, informal caregivers like family members or friends. Thirty-five current or past informal caregivers from Kisumu, Kenya were interviewed about their experience, challenges they faced, and interventions they felt would be helpful. Major challenges identified included lack of finances for treatment and other living expenses; inadequate, unaffordable, or interrupted medical care; emotional stress exacerbated by juggling many responsibilities, pressure to emotionally support …
When The Books Hit Back: Perceived Stress In University Students, Henry Stoddard
When The Books Hit Back: Perceived Stress In University Students, Henry Stoddard
Independent Study Project (ISP) Collection
University students are a particularly high-risk population for mental illness due to high-stress levels. The university students of KwaZulu Natal, South Africa are no exception to that trend. This study surveyed and interviewed university students, and interviewed various mental health professionals from the Durban region of South Africa. The data was analyzed and used to better understand the current status of South African university students’ perceived stress, as well as the causes of their stress levels. Results showed no significant differences among demographic groups and perceived stress levels, but further research is needed to draw more reliable conclusions. In the …
The Shifting Roles Of Dai Maas: An Intersection Of Healthcare And Female Empowerment In Rural Udaipur, Julie Morel
The Shifting Roles Of Dai Maas: An Intersection Of Healthcare And Female Empowerment In Rural Udaipur, Julie Morel
Independent Study Project (ISP) Collection
Traditional Birth Attendants (TBAs), known as dais in an Indian context, have historically served as women’s primary caregivers throughout their pregnancies and during childbirth in rural regions where access to formal healthcare institutions is nearly impossible. With a heavy reliance on traditional knowledge passed down through generations, dais have aided with home deliveries for millennia. Approximately 15 years ago, however, groups such as WHO, UNICEF, World Bank, and the UN began addressing India’s high maternal mortality rate (MMR), thereby instigating the discouragement of home deliveries in favor of the encouragement of institutional deliveries. Infrastructural changes were established to improve accessibility …
Stress Exposure And Physical, Mental, And Behavioral Health Among American Indian Adults With Type 2 Diabetes, Melissa L. Walls, Kelley J. Sittner, Benjamin D. Aronson, Angie K. Forsberg, Les B. Whitbeck, Mustafa Al'absi
Stress Exposure And Physical, Mental, And Behavioral Health Among American Indian Adults With Type 2 Diabetes, Melissa L. Walls, Kelley J. Sittner, Benjamin D. Aronson, Angie K. Forsberg, Les B. Whitbeck, Mustafa Al'absi
Pharmacy Faculty Scholarship
American Indian (AI) communities experience disproportionate exposure to stressors and health inequities including type 2 diabetes. Yet, we know little about the role of psychosocial stressors for AI diabetes-related health outcomes. We investigated associations between a range of stressors and psychological, behavioral, and physical health for AIs with diabetes. This community-based participatory research with 5 AI tribes includes 192 AI adult type 2 diabetes patients recruited from clinical records at tribal clinics. Data are from computer-assisted interviews and medical charts. We found consistent bivariate relationships between chronic to discrete stressors and mental and behavioral health outcomes; several remained even after …
Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons, Amanda Fallin-Bennett, Nadra E. Lisha, Pamela M. Ling
Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons, Amanda Fallin-Bennett, Nadra E. Lisha, Pamela M. Ling
Nursing Faculty Publications
Introduction—Lesbian, gay, and bisexual (LGB) individuals smoke at rates 1.5–2 times higher than the general population, but less is known about LGB consumption of other tobacco products (OTPs) and gender differences. OTP use among young adult LGB bar patrons and the relationship among past quit attempts, intention to quit, and binge drinking with OTP use was examined.
Methods—A cross-sectional survey of young adults (aged 18–26) in bars/nightclubs in seven U.S. cities between 2012 and 2014 (N=8,010; 1,101 LGB participants) was analyzed in 2016. Logistic regressions examined current use of five OTPs (cigarillos, electronic cigarettes, hookah, chewing tobacco, and …
Substance Use Disorders, Violence, Mental Health, And Hiv: Differentiating A Syndemic Factor By Gender And Sexuality, Kiyomi Tsuyuki, Eileen V. Pitpitan, Maria A. Levi-Minzi, Lianne A. Urada, Steven P. Kurtz, Jamila K. Stockman, Hilary L. Surratt
Substance Use Disorders, Violence, Mental Health, And Hiv: Differentiating A Syndemic Factor By Gender And Sexuality, Kiyomi Tsuyuki, Eileen V. Pitpitan, Maria A. Levi-Minzi, Lianne A. Urada, Steven P. Kurtz, Jamila K. Stockman, Hilary L. Surratt
Center for Health Services Research Faculty Publications
This paper measures syndemic substance use disorder, violence, and mental health and compares the syndemic among HIV-infected heterosexual men, heterosexual women, and men who have sex with men (MSM). Data were from a sample of high needs substance-using, HIV-infected people in South Florida between 2010 and 2012 (n = 481). We used confirmatory factor analysis to measure a syndemic latent variable and applied measurement invariance models to identify group differences in the data structure of syndemic co-morbidities among heterosexual men, heterosexual women, and MSM. We found that variables used to measure the syndemic fit each sub-group, supporting that substance use …
A Self-Study Exploration Of The Experience Of Quilting: Implications For Art Therapy, Chelsey Lynette Fawthrop
A Self-Study Exploration Of The Experience Of Quilting: Implications For Art Therapy, Chelsey Lynette Fawthrop
EVMS School of Health Professions Master's Level Capstones, Projects and Papers
The field of art therapy lacks adequate research to support the use of quilting and fiber art processes and materials. This self-study utilized the experience of quilting to investigate the processes, materials, and my experience of engaging in various forms and techniques of quilting during a 12-week period. Sketches and written reflections of the quilted squares were recorded weekly. Qualitative data including a completed quilt made up of six quilted squares and corresponding responses were analyzed to extract patterns and themes from my overall experience. The quilting process combined with the reflection process were examined to identify implications for quilting …
A Mixed-Methods Study Of Sexual Assault In Lesbian, Gay, And Bisexual Adults In The U.S., Sasha Nichole Canan
A Mixed-Methods Study Of Sexual Assault In Lesbian, Gay, And Bisexual Adults In The U.S., Sasha Nichole Canan
Graduate Theses and Dissertations
Background. Previous research finds that (1) lesbian and bisexual (LB) women as well as gay and bisexual (GB) men have higher rates of rape victimization compared to their heterosexual (H) peers and (2) perceived familial support reduces the impact of some of rape’s negative health outcomes in heterosexual victims. However, specific contextual factors regarding rape and assessment of familial support for LGB victims are severely lacking. Also, measurements of sexual assault victimization have yet to be validated in this population.
Methodology. The current study used a mixed-methods design that included two phases of data collection. Phase 1 was a national …
At The Center Of Things: How An Academic Library Built A Bridge Between Art And Science On Campus, Michelle Catalano, Catherine Essinger, Suzanne Ferimer, Stephanie Lewin-Lane, Porcia Vaughn
At The Center Of Things: How An Academic Library Built A Bridge Between Art And Science On Campus, Michelle Catalano, Catherine Essinger, Suzanne Ferimer, Stephanie Lewin-Lane, Porcia Vaughn
Collaborative Librarianship
The University of Houston Libraries sponsored an interdisciplinary event for students, faculty, and the public, titled the Artists’ Health and Wellness Colloquium and Resource Fair. Aspiring and working artists were instructed in how to maintain good health and to avoid overstressing their bodies as they practice their art. Scholars presented both historical and trending perspectives on the intersection of art and health science. The event was held in order to facilitate learning in two key research areas and to demonstrate the library's ability to bridge disparate disciplines and forge new partnerships with multiple academic units simultaneously. This article presents planning …
Mental Illness Stigma, Socially Acceptable Treatment, And Barriers To Health, Frances Renee Gellert
Mental Illness Stigma, Socially Acceptable Treatment, And Barriers To Health, Frances Renee Gellert
Independent Study Project (ISP) Collection
This paper discusses the topic of mental illness stigma and treatment in Uganda as explored through internship in the Social Work Department at Butabika National Referral Mental Hospital. The objectives of this project were to complete a meaningful internship while exploring causes of mental illness in Uganda, contradictions between traditional and modern approaches to treatment, and the affect of stigma on mental well-being. The internship included a total of 120 hours at Butabika Hospital. Individual research using documentary and literature review methods accompanied the internship. Butabika Hospital did not consent to the completion of formal research at, so any conclusions …