Medical Humanities Commons^™

The Climate Is Changing Should Clinical Ethics Change, Too?, Joelle Robertson Preidler, Keisha Ray

Faculty and Staff Publications

No abstract provided.

Acting Religion: Analyzing The Aids Crisis Through A Religious Lens, Anya Thaovan Nguyenkhoa

Voces Novae

No abstract provided.

A Resident, Angelina Hong

HCA Healthcare Journal of Medicine

We are all passengers in this life, with unique trails and destinations but many common intersections along the way. I have always been fascinated by the multidimensional nature of the hospital—a place of hope, love, pain, mourning, reflection all at once, not only for patients, but also for friends, family, and employees. At times, journeys become so layered and intertwined that the lines between these different roles are blurred, seemingly dissolving the classical hierarchy we rely on to differentiate physicians, residents, nurses, patients etc. At the end of the day, we are all people persevering and growing the best we …

Book Review: Maricel Guiao Santos, Rachel Showstack, Glenn A. Martínez, Drew Colcher, Dalia Magaña. (2024). Health Disparities And The Applied Linguist. Routledge, Pp. 148, David Sanchez-Jimenez

Publications and Research

No abstract provided.

Enhancing Learning Through Role-Play In A Low-Fidelity Disaster Simulation, Susan S. Braithwaite, Susan J. Barcinas, Colleen A. Hayes

Innovations in Health Sciences Education Journal

ABSTRACT

Background: This report shares a best practice approach to low-fidelity simulation as a pedagogical method in disaster triage training for undergraduate nursing students.

Methods: This study utilized multi-year quantitative data such as student age, gender, GPA, prior simulation experience, and self-reported confidence in the START Triage application. It also utilized a secondary qualitative analysis of the debriefing process.

Results: Students who participated in a simulation event playing the role of a disaster victim scored significantly higher on subsequent performance as TRIAGE practitioners than students without roleplay experience. Perhaps even more compelling, these learning outcomes were demonstrated 18 months after …

Together We Thrive: A Co-Production Toolkit For People With Ms And Care Providers, E. Chandlee Bryan

Dartmouth College Master’s Theses

Nearly a million people in the U.S. have Multiple Sclerosis (MS), a progressive neurological disease. People with MS (PwMS), are more likely to have a decreased quality of life (QoL) and are at greater risk for unemployment, loneliness, and depression than people without MS. As MS symptoms can include fatigue, balance issues, mobility problems, and changes to bladder and bowel function, managing MS requires patient engagement that includes coordination of care between neurology, primary care, and specialists. This thesis was researched and written by a PwMS who has worked in collaboration with her neurologist, Dr. Andrew D. Smith III, and …

Representation Of Diseases And Health Care In Selected African Gyno-Texts, Rachael K. Aderoju

Electronic Theses and Dissertations

This study explores the interdisciplinary field of literature and medicine through a feminist psychoanalytic lens, focusing on how Nigerian female writers represent illness, healthcare, and medical ethics in post-independence gyno-texts. Traditionally, scholarship in this field has centered on andro-texts (literary works authored by men), leaving a critical gap in the exploration of women’s perspectives. This research addresses that gap by analyzing nine prose works authored by Nigerian women, including texts by Chimamanda Ngozi Adichie, Ayobami Adebayo, Lola Shoneyin, and Samira Haruna Sanusi. These texts are examined for their portrayal of diseases such as infertility, cancer, bipolar disorder, and renal failure, …

Survival Guide For Queer Families In Heteronormative Healthcare: Liberatory Consciousness And The Paradox Of Dependent Healthcare, A Critical Policy Discourse Analysis, Dwenna A. Holden

Electronic Theses and Dissertations

In this study I explored and analyzed how the queer experiences of an anonymous higher education institution in the western United States’ self-identified queer faculty and staff intersected with the discursive framing of the college’s dependent healthcare structure and documents. Within a critical paradigm I designed research around a high-density theoretical approach to weaving various branches of queer theory together with critical theory around policy and law in relation to queer bodies and hostile heteronormative policy environments. I arrived at solutions based in complaint, survival, and transformation. I used critical policy discourse analyses to interrogate the college’s dependent healthcare documents …

Economy Of Motion, Yatin Srinivash Ramesh Babu

be Still

This poem reflects the elegance and necessity of precision in medicine, particularly surgery, where "economy of motion" can mean the difference between life and death. Inspired by observing the intentionality of a surgeon's hands, I aimed to capture the poetry in their discipline—an artistry rooted in restraint.

An Interview With Rita Charon, Nathan Carlin

Faculty and Staff Publications

This is an edited transcript of an interview with Rita Charon. Nathan Carlin conducted the interview in her apartment in New York City on October 18, 2024. They discussed a number of topics, including Charon's educational journey, her mentors, the founding of narrative medicine, the status of narrative medicine today as well as its future, the relationship between narrative medicine and literature and medicine, and the ethics of writing about patients.

The Compassionate H.E.A.R.T. Of Relationship-Centered Care, Dustin Willis

Loma Linda University Electronic Theses, Dissertations & Projects

The patient-provider interaction (PPI) represents a critical dimension of healthcare delivery that significantly influences clinical outcomes, yet the nuanced dynamics of compassionate care remain operationally elusive. This dissertation presents the Compassionate H.E.A.R.T. (Helping Ease, Alleviate, & Relieve Therapeutically) framework—a novel theoretical model for understanding and enhancing relationship-centered care—and examines its validity, reliability, and therapeutic impact.

Through four interconnected studies, this research explores the multifaceted nature of compassionate care. First, a comprehensive literature review excavates the landscape of patient-provider interactions, highlighting terminological inconsistencies, incomplete theoretical frameworks, and methodological challenges in measuring these ethereal qualities. Second, the Compassionate H.E.A.R.T. model is introduced, …

Resonance, Jess D. Skyleson

Masters Theses

Resonance is a digital media installation intended to facilitate a deeper understanding of inter-connection within and between ourselves and others, and to depict how our voices live both within and beyond us. The exhibit is divided into two intertwining halves:

Externally, the piece involves creative communication between people, art mediums, and life experiences. This aspect includes the contributions of thirty patients, doctors, and caregivers who responded to one another’s artwork in a series of workshops led by the artist. Starting with the creative writing of patients, this was provided to a group of unrelated medical providers, who responded with visual …

Health Care In Women’S Carceral Spaces, Kate Gouveia Pereira

Culture, Society, and Praxis

Canada has had a long history of mistreating incarcerated women in their jails. The carceral system was built to fit around the needs of men, neglecting to consider the various health issues that only women face. For many years. federally imprisoned women were held in one deteriorated prison, the Prison for Women (P4W), and were held in abhorrent conditions and experienced many acts of violence. Despite the opening of five more prisons and funding for various programs for women, incarcerated women continue to experience violence and health crises, leaving imprisoned women extremely vulnerable to mental and physical distress. In particular, …

Adhd Diagnosis And Treatment Within Ethnic Minority Groups, Dianthe Hoang

Undergraduate Honors Theses

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that is commonly diagnosed in childhood, and the National Survey of Children’s Health reported that ADHD had a prevalence of around 6.1 million children aged 2-17 years old (NSCH, 2016). This review discusses the cultural and socioeconomic barriers that contribute to the underdiagnosis and treatment in members of ethnic minority communities. Black, Hispanic, Native American, and Asian adults received less mental health care compared to White Americans. Previous findings indicated that cultural factors, such as misinterpretation of symptoms from families and teachers and cultural perceptions of mental health, contributed to disparities …

Food Insecurity In Adolescent Athletes, Andrew Donaldson, Shannon Margherio, Jay Roberson, Kevin Latz

Research Days

Background: The prevalence of food insecurity among children in the United States is estimated at 21%. Food insecurity during childhood leads to worse school performance, more emotional and behavioral health concerns, and increased suicide attempts. Further, food insecurity has been noted to have multiple deleterious effects on the collegiate student athlete, including lower GPA, disordered eating, and substance use.

Hypothesis: Food insecurity is prevalent in the adolescent athlete population and exists across demographics.

Methods: Voluntary surveys were distributed to parents at all sports medicine clinics at our institution. Demographic data was collected including athlete age, race, school and school district, …

Social Vulnerability And Health-Related Social Need Disparities Amongst Young Adults With Breast Cancer, Steven Manobianco, Md, Julia Palecki, Md, Alexis Bennett, Md, Fatoumata Diaby, Ms, Rebecca Cammy, Lcsw, Emmanuel Worede-Kal, Scott Keith, Phd, Maysa Abu-Khalaf, Md, Mba, Maria Hafez, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

- Breast cancer is the most common non-cutaneous malignancy affecting women in the United States, with a lifetime incidence of nearly 13%

- The incidence of female breast cancer is rising, especially for young women (age < 45)

- While only 5-10% of breast cancers in the general population are related to highly penetrant pathogenic germline mutations, pathogenic mutations in BRCA1, BRCA2, CHEK2, PALB2, BARD1, and ATM occur at higher frequency in women diagnosed age < 50 years

• Mutations in BRCA1, BRCA2, and TP53 account for nearly 50% of breast cancers diagnosed before age 30

- Women < 40 years old breast cancer have worse disease-related survival, especially from to early-stage disease

Project Proposal: The Impact Of The Septa Zero Fare Program On Healthcare Access Among Philadelphia's Refugee And Migrant Population, Emily Hashem, Bs, Paranshu Shah, Mitchell Kaminski, Md, Mba

Health Equity and Quality Improvement (HEQI) Summit

Background

Since the 1960s, private, state sponsored, and charitable programs have attempted to increase transportation programs to improve healthcare access. Among these are the Centers for Medicare and Medicaid Services' Non-Emergency Medical Transportation (NEMT) program, Pennsylvania’s Medical Assistance Transportation Program (MATP) benefiting Medicaid recipients, Southeastern Pennsylvania Transit Association’s (SEPTA) SEPTA Access (formerly known as CCT connect) for disabled and elderly people, and ModivCare, a social services corporation that offers non-emergency medical transportation for qualifying people with low incomes. The importance of these programs is emphasized by the body of evidence surrounding healthcare metrics and transportation access. A Robert Wood Johnson …

Medical Assistance In Dying In A Profit-Driven Health System: Ethical And Equity Challenges In The U.S. Vs. Canada, Joseph A. Zwillenberg, Eric M. Teichner, Jacob Schwell, Cameron Haghshenas, Joseph F. Majdan, Md, Facp, Fcpp

Health Equity and Quality Improvement (HEQI) Summit

Introduction

Medical Assistance in Dying (MAID), legalized in Canada in 2016, now accounts for 4.1% of all deaths nationwide and 6.6% in Quebec as of 2022(1). In Canada’s single-payer system, MAID is integrated as a publicly funded medical service. In contrast, the U.S.’s fragmented, market-driven system is defined by profit maximization, inequitable access, and insurer- driven decision-making. While MAID aims to promote autonomy and compassion, introducing it into the American context raises profound ethical concerns, particularly regarding nonmaleficence and systemic coercion. This poster evaluates the unique risks MAID poses within the U.S. healthcare system, particularly for vulnerable populations.

Interactions Between The Deaf Community And Healthcare, Sarah E. Mcfadden

Honors Theses

Background.

This study investigates the issues regarding interactions between the Deaf community and healthcare, focusing on communication barriers, negative experiences, and inaccessibility to health information. Despite the Americans with Disabilities Act (ADA) guidelines requiring healthcare offices to provide interpreters, many health care professionals (HCPs) do not comply for various reasons. The alternatives to an interpreter create gaps in conditions, treatment plans, or post-appointment care.

Methods.

This study involved a review of existing literature and interviews with Deaf individuals and HCPs, including a physician, nurse practitioner, dentist, and registered nurse. The interviewed HCPs work in various settings.

Results. …

Achieving Health Equity For Minorities, Marginalized And Vulnerable Populations: The Ethical Challenge For Improving Addiction Health Services And Policies In The Health Care System, Jasia A. Baig

Electronic Theses and Dissertations

During the past few decades, health disparities and substance misuse have transformed into unprecedented healthcare crises facing contemporary society. Although enormous contributions through policies and interventions have been made to promote health equity, substantial health inequalities and disparities persist, particularly in addiction health services and policies at multiple healthcare system levels for the marginalized, minoritized, and vulnerable populations.

The thesis of this dissertation asserts that a biopsychosocial ‘systems’ thinking towards treating addictive disorders along with systematic interventions and coordinated improvements specifically focused on minorities, marginalized and vulnerable populations at research, clinical, public health and global levels will significantly reduce health …