Family, Life Course, and Society Commons^™

Medication Reconciliation In Primary Care Setting, Lawrence James-Osondu

Walden Dissertations and Doctoral Studies

Polypharmacy entails the use of multiple drugs taken at the same time to manage the various comorbidities common among elderly patients. Polypharmacy is associated with increased health care spending due to drug duplication, adverse drug events, and medication noncompliance. Medication reconciliation has been shown to reduce the problems seen with polypharmacy. The purpose of this project was to review published evidence to develop a staff education program on medication reconciliation in a primary care setting and determine the efficacy of the program in relation to staff confidence and knowledge levels concerning medication reconciliation. The project was guided by Nola Pender's …

The Lived Experiences Of Counselors Who Work With Female Intimate Partner Violence Victims, Lekesha Levette Thomas-Davis

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a global health concern that affects victims, families, and the communities. Master's level counselors, who work in mental health settings, are in key positions to provide identification and intervention services to female victims of IPV with mental health issues. This study explored the lived experiences of master's level counselors who worked with female victims of IPV to gather a deeper meaning into the values, attitudes, and beliefs that master's level counselors hold in working with female victims of IPV. This study was conducted as a hermeneutic phenomenological study through a feminist poststructuralist lens to guide …

Parents Perceptions Of Social Inclusion Of Adults With Intellectual Disabilities, Jacqueline Green

Walden Dissertations and Doctoral Studies

Researchers have shown that the voices of parents of adults with intellectual disabilities can help build supports in the community. Research regarding the perceptions and lived experiences of these parents regarding social inclusion of adults with intellectual disabilities is limited. Guided by positive psychology, the purpose of this interpretive phenomenological study was to examine parents' lived experiences of social inclusion of adults with intellectual disabilities. Research questions were framed to understand and describe the meaning of how parents experience social inclusion with their adult children with intellectual disabilities. Data were elicited through 6 individual interviews with parents of adults with …

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …

Very Long Engagements: The Persistent Authority Of Bridewealth In A Post-Apartheid South African Community, Michael W. Yarbrough

Publications and Research

This article examines the persistent authority of the customary practice for forming recognized marriages in many South African communities, centered on bridewealth and called “lobola.” Marriage rates have sharply fallen in South Africa, and many South Africans blame this on the difficulty of completing lobola amid intense economic strife. Using in-depth qualitative research from a village in KwaZulu-Natal, where lobola demands are the country’s highest and marriage rates its lowest, I argue that lobola’s authority survives because lay actors, and especially women, have innovated new repertoires of lobola behavior that allow them to pursue emerging needs and desires for marriage …

Introduction: For Better Or For Worse? Relational Landscapes In The Time Of Same-Sex Marriage, Michael W. Yarbrough

Publications and Research

As same-sex marriage has become a legal reality in a rapidly growing list of countries, the time has come to assess what this means for families and relationships on the ground. Many scholars have already begun to examine how marriage is helping some same-sex couples, but in this introduction I call for a broader and more critical research agenda. In particular, I argue that same-sex marriage crystallizes a key tension surrounding families and relationships in many contemporary societies. On the one hand, strict family norms are relaxing in many places, allowing more people to form more diverse types of caring …

Peer Support For Youth And Young Adults Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Caitlin Baird, Mary Beth Welch

School of Social Work Faculty Publications and Presentations

Peer support for youth and young adults who experience serious mental health conditions (SMHCs) is rapidly growing in popularity as an addition to the mental health service array in communities around the United States. Research focusing on various aspects of the youth/young adult peer support role has been accruing in recent years; however, many questions remain regarding how the role is defined and supported, and what sort of outcomes can and should be expected once peer support is implemented as a service. This brief reviews the research literature that bears on these topics, describes how current work at Pathways RTC …

No More Blood, Kerry Abrams

Faculty Scholarship

No abstract provided.

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …

Exploring Disaster Preparedness For The Aging Population, Gladysmarie W.R. Harris

Walden Dissertations and Doctoral Studies

Older adults are encountering harsh recovery after disasters, and compounding this problem is the lack of research on older adults' perceptions on disaster preparedness as aging affects the ability to react to emergency situations. To partially address that gap, the purpose of this general qualitative research study was to use Rotter's spectrum of locus of control theory to examine the level of preparation regarding disaster preparation of older adults who were living independently in single-family homes in a state affected by Hurricane Sandy. Data were collected through a qualitative survey distributed to adults aged 65 to 80-years (N=88) and publicly …

Adults Aged 65+ And The Societal Pressure To Exercise, Susan Murphy

Walden Dissertations and Doctoral Studies

Globally, by 2050, the older adult population will be larger than other age segments of the population. Government programs and health care guidelines are being put in place to help encourage exercise. However, there is little information on how the societal pressure presented in these government programs makes people feel, especially those over the age of 65. The purpose of the present study was to understand what the societal pressure to exercise means to adults over the age of 65 using a qualitative, phenomenological approach and employing in-depth interviews using the health belief model as the guiding framework. The interview …

Social Inclusion Outcomes For An Organization's Adolescent Parent Intervention, Anayra Ivette Tua

Walden Dissertations and Doctoral Studies

The study institution is a non-profit organization with a model developed from the continuous implementation of needs assessments of the families of adolescent parents in Puerto Rico, with the purpose of increasing their social inclusion potential. Addressing social exclusion and stigmatization of adolescent parents is vital because it generates a dual benefit for social interactions and growth. The social inclusion concept used and further elaborated for adolescent mothers is described by researchers as the level of access to engaging with institutions and societal relationships. This program evaluation was developed to understand the outcomes and effectiveness of the organization's social inclusion …

Examining The Role Of Behavioral Inhibition In Harsh Parenting Preferences: An Analog Study, Kelsey T. Ellis

Psychology Theses & Dissertations

Understanding the cognitive processes involved in harsh parenting behavior would have broad implications for parenting interventions and training programs. Few studies have addressed how parental stressors, specifically infant crying, can influence individuals’ self-regulatory cognitive capacities and ultimately their preference for harsh parenting strategies. Furthermore, little research has explored the link between these cognitive processes and harsh parenting preferences; thus, little work has been done to establish a true causal relationship. This study examined the role of behavioral inhibition in harsh parenting preferences when individuals were exposed to an infant crying noise.

Participants (n = 129) were undergraduate students (Mage = …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …

The Imprint Of Childhood Abuse On Trauma-Related Shame In Adulthood, Joan A. Reid

Dignity: A Journal of Analysis of Exploitation and Violence

Research has consistently linked residual trauma-related shame among child sexual abuse (CSA) survivors to sexual revictimization, health risk behaviors, and poorer response to mental health treatment. However, questions remain regarding the imprint of childhood maltreatment on trauma-related shame including which CSA characteristics or types of childhood maltreatment contribute to residual shame in adulthood. Using data drawn from a prospective study of 174 primarily African American women with histories of CSA and a matched comparison group, this study explores whether specific characteristics of CSA (familial CSA, CSA with penetration, force used by CSA perpetrator), repeat sexual victimization in adolescence, childhood physical …

Museum Of Modern-Day Slavery: A Photo Essay, Micah Gamboa

Dignity: A Journal of Analysis of Exploitation and Violence

A photo essay from the Museum of Modern-Day Slavery in Houston, Texas, with photographs of rooms, entrances, and storage spaces in brothels following raids, including artifacts of the trade found at the scenes are documented. Photographs include brothels, bars, and strip clubs where Korean women and Mexican women were exploited. Photographs from the Mexican-American border document the violence the victims are subjected to during their journey.

Lack Of Dream-Capital Among Korean Youths: Rationally Chosen Or Culturally Forbidden?, Seokho Kim, Hongjung Kim, Sangkyu Lee, Eunji Kim, Ohjae Gowen

Research Collection School of Social Sciences

This paper attempts to provide empirical evidence in understanding the ways that contemporary youth pursue their dreams in Korea. This paper examines the rational aspect of "dreaming" or "non-dreaming" by employing two concepts: dream-capital and penetration. In this paper, dream-capital is conceptualized as a seed that facilitates the accumulation of other capitals. It is the total capacity to dream and is composed of four dimensions: imagination, hope, optimism and resilience. Penetration is defined as the "cognitive judgment about the (un)realizability of dream." It refers to the discrepancy that exists between judgment about the capacity, condition and qualification required to fulfill …

Whether Or Not 'It Gets Better'…Coping With Parental Heterosexist Rejection, Cara Herbitter

Graduate Masters Theses

Lesbian, gay, and bisexual (LGB) people face the burden of additional stressors as a result of their experiences of stigma and discrimination regarding their sexual minority status. Parental rejection of LGB people in the context of heterosexism serves as a powerful minority stressor associated with poorer mental health (e.g., Bouris et al., 2010; Ryan, Huebner, Diaz, & Sanchez, 2009). Few contemporary theories exist to describe the experience of parental rejection. In addition, the extant empirical research has focused primarily on youth experiences among White and urban LGB samples, signaling the need for research across the lifespan investigating more diverse samples. …

Topical, Trista Hurley-Waxali

The Transdisciplinary STEAM+ Journal

This is a piece to start the discussion of how the lightening of pigmentation through melanin manipulation evolved from the demands of cover art photography.

Restorative Schooling: The Healing Power Of Counternarrative, Veronica Benavides

Occasional Paper Series

Deficit-based thinking and subtractive schooling on negatively impact children from minoritized communities. This paper considers the unique role of families as leaders in the restorative schooling process, and offers educators research-based guidance on creating culturally responsive learning environments.

When Your Spouse Is Addicted: How To Avoid Enabling And Get To Reality, Jason B. Whiting

Faculty Publications

Addiction manifests in a variety of ways, from the most severe heroin junkie, to the compulsive spender. It can include drug or alcohol dependence, compulsive pornography use, gambling, obsessive eating, lying, toxic relationships, or even Netflix. When does a habit become an addiction? Any behavior can begin as pleasure or escape, but in the case of addiction, the actions become demands. Addictions are secretive habits the person has unsuccessfully tried to stop, and that have disrupted work and home. An addiction takes an outsized role in the addict’s life and affects those they love.

Guns And Sorcery: Raiding, Trading, And Kanaima Among The Makushi, James Andrew Whitaker

Tipití: Journal of the Society for the Anthropology of Lowland South America

Raiding, trading, and sorcery are historically-interrelated phenomena among the Makushi Amerindians in Guyana. Colonial documents reveal that the Makushi were heavily targeted during the eighteenth and early nineteenth centuries by Luso-Brazilian and Amerindian slavers. The form of such slaving frequently fluctuated between raiding and trading and formed a nexus around which practices of sorcery came to be centred. A connexion between the historical positions of the Makushi as victims of slaving and practitioners of kanaima sorcery has been identified by Neil Whitehead, who hypothesized that kanaima practices gained socially-sanctioned applications as the introduction of guns led to transformations in traditional …

Persuasive Kinship: Human–Plant Relations In Southwest Amazonia, Fabiana Maizza

Tipití: Journal of the Society for the Anthropology of Lowland South America

Based on my ethnographic research with the Jarawara people, an indigenous society in the Southwest Amazonia, the article explores the idea of thinking kinship as persuasion. Among the Jarawara, children can have more than one father, which is well known in Americanist literature, but there would exist as well an original practice what we could call "multi-maternity". I also observe that the Jarawara can have diverse parental relations - some of their children are human, while others are plants. This occurs in a system of raising (nayana) in which children and plants are raised by a father and/or a mother …

Canela Shamanism: Shamans’ Accounts, “Journeying,” And Delimitation Of Shamanic Terms, William H. Crocker

Tipití: Journal of the Society for the Anthropology of Lowland South America

In this article I recount the stories of various shamans I have worked with throughout many decades of fieldwork among the Ramkokamekra-Canela (Eastern Timbira) of central Maranhão state, Brazil. Along with their narratives, I provide ethnographic context in order to address the following questions: (1) Who is a shaman? (2) What is shamanism? Is shamanism better understood (3) as a process or a method that is carried out to achieve certain ends, or is it better understood (4) as a particular set of beliefs associated with particular cultures? Additionally, (5) are altered or shamanic states of consciousness found in Canela …

Prodigal Father, Robert John Exley Jr

Capstones

Prodigal Father tells the story of one man’s journey from teenage drug addiction to joining one of the most violent white supremacist gangs in the country and now, nearly 20 years after turning his life around, he is dealing with the aftermath of a lifetime of bad decisions.

Bobby Exley, a former Nazi Low, spent most of his adult life in prison or on parole battling a 20-year heroin addiction. His wife, Rhonda, stuck by his side throughout his many incarcerations while raising their eight children. The Prodigal Father, told through the eyes of namesake son, filmmaker, Robert Exley Jr., …

Dynamics Of Household Role Performance And The Culture Of Child Health Production In Igbo-Ora, Southwestern Nigeria, Kabiru K. Salami, Ayodele S. Jegede, Frederick O. Oshiname

Journal of Social, Behavioral, and Health Sciences

Studies about production of health for children have mainly concentrated on the behavior of one or two key household members compared to the dynamics in households involving three or more members. Health production refers to the process of directing available knowledge, skills, and resources towards ensuring, maintaining, and sustaining the health of the members. This cross-sectional design study explored how the dynamics of household structure and members’ roles influence the process of health production in a rural Nigerian community. An interviewer-moderated questionnaire was administered through a panel survey approach in 576 households. Twelve in-depth interviews and eight group discussion sessions …

Parental Autonomy Granting And School Functioning Among Chinese Adolescents: The Moderating Role Of Adolescents’ Cultural Values, Cixin Wang, Kieu Anh Do, Leiping Bao, Yan Ruth Xia, Chaorong Wu

Department of Child, Youth, and Family Studies: Faculty Publications

School adjustment and achievement are important indicators of adolescents’ wellbeing; however, few studies have examined the risk and protective factors predicting students’ school adjustment and achievement at the individual, familial, and cultural level. The present study examined the influences of individual and familial factors and cultural values on Chinese adolescents’ school functioning (e.g., school adjustment and grades). It also tested whether cultural values moderated the relationship between parenting and adolescents’ school functioning. Self-report data were collected from a stratified random sample of 2,864 adolescents (51.5% female, mean age = 15.52 years, grade 6th–12th) from 55 classrooms, in 13 schools in …

A Way Of Reflecting On Identity: The Five Stories Of The Conflicting Relationships In Nepal, Tomoki Yamanaka

Capstone Collection

Conflict studies show that the components of identity are interrelated to sources and dynamics of conflict in intricate ways. This study self-reflectively explores a way of reflecting on identity from the links between conflict and identity through a qualitative study of the five stories of the conflicting relationships in Nepal. By analyzing the stories collected through in-depth interviews with Nepali peace workers, an element of power in group differences was noted. This illustrated the challenge of having the voices of those being marginalized heard amongst conflicting issues around them. Those that were interviewed also struggled with the challenge of having …

A Reader's Guide To Intergenerational Ministry And Faith Formation, Dudley Chancey, Ron Bruner

Discernment: Theology and the Practice of Ministry

The concept of intergenerational ministry and faith formation has gained an increasing number of proponents over the last thirty years. Because of the burgeoning literature produced in this field, we have assembled an annotated bibliography intended to give practitioners and church members an overview of the printed work that addresses this important approach to ministry and spiritual formation.