Medical Humanities Commons^™

Tackling Social Stigma: An Ethical Obligation In Healthcare Intervention To Involuntary Childlessness, Persis Naumann

Electronic Theses and Dissertations

The stigma associated with involuntary childlessness has negatively affected health and well-being for several decades. This situation is particularly exacerbated for women within the Tamil socio-cultural context, resulting in feelings of shame, neglect, denial, isolation, and constituting a significant barrier to long-term access to healthcare services. Although advancements have been made in the provision of biomedical care, the psychosocial support remains inadequately addressed. Moreover, there are currently no healthcare interventions that specifically target the stigma associated with this issue, which hinders open communication with healthcare providers, delays necessary treatments, and adversely impacts overall health outcomes. The central thesis of this …

Frontier Healthscapes: Competing Narratives Of Disease, Environment, And Wellbeing In Early Minnesota, Aidan Reynolds

Geography Honors Projects

Across settler societies, health narratives were shaped by evolving tensions between lay and expert knowledge, frameworks of disease causation, and perceptions of the environment as both a source of health and a threat. In the decades following Euro-American settlement (1860-1900), Minnesota became a focal point for these debates, with its landscape fostering complex and competing narratives on health, wellbeing, and disease. This paper explores how public health discourse developed in Minnesota through the perspectives of institutions, the public, and economic interests. Combining environmental history with critical discourse analysis of archival materials, this study examines shifts within the Minnesota State Board …

Exploring Sexual Consent Capacity And Sexual Expression In Older Adults Living With Dementia, Renee J Flores, Carlos A Reyes-Ortiz

Faculty and Staff Publications

No abstract provided.

Evaluating Surge Capacity In The Emergency Department: A Comprehensive Literature Review On Preparedness And Response Frameworks, Tanner J. Riscoe

Capstone Experience: Master of Public Health

Medical surge capacity in emergency departments is influenced by four critical factors: staff, stuff, space, and systems. Understanding these factors and the interplay between them is critical. Emergency departments are increasingly encountering issues with overcrowding, patient boarding, and medical surge events causing interruptions in care and depleting critical resources. Coordination of medical surge is challenging during normal operations but is intensified during times of crisis. This comprehensive literature review seeks to better understand the current state of the literature surrounding surge preparedness and response in emergency departments across the United States, identify gaps in the current literature, and ultimately recommend …

A Comparative Analysis Of Women’S Health In Latin America And The United States: Geographical Context And Preventative Actions, Holly J. Robinson

Honors Program: Senior Projects (Public)

Cervical cancer, breast cancer, sexually transmitted infections (STIs), pregnancy complications, and gender-based violence are dangers faced by women everywhere. However, the severity of these risks can increase significantly due to a country’s geography, government control, and level of development. This thesis expands upon information gained directly from on-site experiences with medical professionals and locals (including doctors, nurses, nutritionists, and patients) in Peru, Ecuador, and Costa Rica, and further research to look at Latin America as a whole, in relation to the United States. Both the US and Latin America exhibit problems with their healthcare systems. The United States is more …

I Am (Me)Dicine: An Analysis On The Influence Of Humanities Courses Within The Construction Of Internal And External Identities Within Pre-Med Students At Uno, Alix Barnes

Theses/Capstones/Creative Projects

The purpose of this project is to investigate how arts and humanities coursework may enhance the development of internal and external identities for premedical students beyond their traditional scientific coursework. A literature review shows positive findings on identity development and the influence of arts and humanities coursework on medical education. This investigation will take place through a mixed-method survey distributed to UNO premedical students and will explore themes of self-reflection, personal and professional growth, and understanding of external perspectives. An optional question prompts respondents to reflect further on their work within arts and humanities courses and their impact on these …

Capturing Care: A Visual Narrative On Caregivers At J.P Lord School, Melisa I. Ontiveros

Theses/Capstones/Creative Projects

This project explores the emotional experiences of caregivers at J.P. Lord School, a unique program within the Omaha Public School district that serves children and young adults with complex special needs. As one of the few schools of its kind in the country, J.P. Lord offers a rare glimpse into the world of caregiving in a highly specialized educational setting (Omaha Public Schools, n.d). Despite the critical role these educators play, there is limited research exploring the emotional experiences of special education teachers—especially those working in medically complex or high-needs environments. This lack of visibility makes it even more important …

Diagnostic Categories And Epistemic Injustice In Clinical Psychology, Thomas Eilers

Theses/Capstones/Creative Projects

This study investigated how clinical psychologists reasoned about and used diagnostic categories in practice. Diagnostic categories are limited and sometimes reductive systems of understanding people. They can also bring with them epistemic injustice, a type of wrong done to someone specifically in their capacity as a knower. In this case the concern is that a mental health diagnosis is a serious attack on a person’s credibility, wherein their experience is seen as less legitimate insofar as it is caused by an illness. Four semi-structured interviews were conducted with clinical psychologists. Psychologists generally described using diagnosis as one of many tools …

On Death And Disease: How Physicians’ Perspectives Compare Across Specialties Through Written Work, Stephanie Anne C. Alkonga

Honors Capstones

Narrative medicine is a tool that the medical field is increasingly utilizing to cultivate patient-centered and culturally competent doctors and to reflect on lived experiences through texts that focus on psychosocial best practices. This study aims to examine the language used in physician-written works that address how physicians in different medical specialties treat the aging and the terminally ill, and how they view the deceased. Qualitative data guided by thematic questions will primarily be used in the analysis and comparison of these texts’ tone, rhetoric, diction, and similar literary devices to uncover if certain patterns arise across such specialties. Findings …

Digital Activism In Kenya: Moving From The Digital Center To The Digital Periphery Of Long Covid Experience, Emily Mendenhall, Lucy Kamau, Nora Kenworthy, Edna Bosire

Brain and Mind Institute

Digital activism around Long covid has reverberated around the globe, as patients, researchers, and clinicians worked together to understand the chronic condition. However, Long Covid networks, much like other social networks, have hierarchies and barriers that can impede equitable access. In this article, we examine how the global digital center and periphery shape how people with Long covid connect to networks to learn about their illness symptoms, diagnoses, treatments, and experiences. We introduce case narratives of two Kenyan women—one elite Nairobian who was connected to the digital center and another middle class woman who connected with her through a peripheral …

Beyond Opioids: The Role Of Polysubstance Exposure In Neonatal Abstinence Syndrome Treatment And Hospitalization, Caelyn Harrison

Undergraduate Honors Theses

This thesis explores the impact of prenatal polysubstance exposure, specifically focusing on the need for pharmacological treatment for Neonatal Abstinence Syndrome (NAS) and the duration of their hospital stay. A retrospective analysis of 462 infants, including 121 exposed to polysubstances during pregnancy, showed significant associations between polysubstance exposure and adverse neonatal outcomes. Infants with prenatal polysubstance exposure were more likely to require pharmacological treatment for NAS (52.8%) compared to non-exposed infants (38.7%), as determined by chi-square analysis (χ²(1, N = 462) = 7.36, p = .007). Additionally, infants exposed to polysubstances experienced longer hospital stays on average (M = 14.88 …

Addiction In The Prison System: Recidivism And Alternatives, Daniel R. Bowers

Undergraduate Honors Theses

The United States criminal justice system has the highest number of incarcerated individuals in the world, with nearly 2 million people currently being behind bars, and around 7.5 million arrests per year according to the most recent available statistics. A key factor in this is addiction, specifically substance use disorders. Between 58% to 68% of adults arrested are addicted to one or more substances, with 68% of drug involved individuals being rearrested within three years of being released. This recidivism rate is incredibly high, and when combined with current prison and jail overcrowding, has created massive problems for the United …

Dr. Doctor: A Look At Life In Medicine, Alexandra Hausmann

Honors Program: Senior Projects (Public)

The life of a medical professional is not easy. The road to get there and the lifestyle when practicing is mentally draining and results in many physicians experiencing burnout. This project and paper explore the stigma surrounding mental health in medicine, examining how fear of professional repercussions prevents many physicians from getting help. Through research and interviews with medical professionals of various specialties, this project looks at the different mental health struggles that each specialty faces. Additionally due to increased social media, medicine continues to evolve at a fast rate. Looking forward, medical professionals will have to deal with increased …

Strategies For Reducing Racial Disparities In Maternal Health Outcomes: An Examination Of The Role Of Doulas, Samavi Rafique

Honors Program: Senior Projects (Public)

Comparatively high rates of maternal morbidity and mortality remain a significant concern in the United States, particularly for Black women, who face a risk of maternal mortality that is four times higher than that of white women. Realizing the historical context of this burden requires tracing American obstetric and gynecological medicine to its 19th-century roots, where the medical experimentation of enslaved Black women occurred largely unopposed by the voices of those in power. The legacy of this is embodied in the modern maternal health crisis, marked by stark racial disparities in maternal health outcomes. As non-clinically trained professionals whose supportive …

Nurse-Physicians: From Nursing School To Practicing Physician, Tobias Fraedrich

Honors Scholar Theses

Nurse-physicians are healthcare professionals who have obtained both a nursing degree and a medical degree, transitioning from Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) to a licensed physician, including Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), or Naturopathic Doctor (ND). Research on this phenomenon conducted to date is limited to a single study. Some nonresearch sources indicate a small presence of this topic online. Yin’s (2018) descriptive, multiple-case study approach was employed to investigate the phenomenon using oral history interviews and a survey of the online platform YouTube as data sources. For the intention of pursuing this …

Entre La Reforma Y La Realidad: Salud Y Derechos Humanos En Costa Rica, Cuba Y Uruguay, Alyssa M. Nielsen

Honors Program: Senior Projects (Public)

Latinoamérica tiene varios sistemas para el cuidado de la salud y el acceso es uno de la lista de los derechos humanos. Esta región es la más desigual del mundo y se han logrado grandes avances, pero no se han distribuido equitativamente. Los sistemas de Cuba, Costa Rica y Uruguay son bien desarrollados, pero funcionan diferente. Costa Rica y Uruguay tienen opciones públicas y privadas y tienen maneras como la Mutualista en Uruguay y la Caja en Costa Rica para cubrir las visitas y servicios necesarios. Cuba es el sistema más controversial y tiene gran influencia de Castro, de donde …

Beyond The Label: Understanding And Addressing Occupational Stigma In Psychiatry, Mahesh Vasudevan, Madeeha Sheriff

Rowan-Virtua Research Day

Introduction:Stigma is a social classification that devalues individuals or groups, and occupational stigma targets entire professions. Psychiatry is particularly affected, often viewed by the public and medical community as lacking scientific rigor and prestige. This negative perception has far-reaching consequences.

Methods:A narrative literature review was conducted to explore the scope, sources, and impact of occupational stigma toward psychiatrists. Peer-reviewed articles and professional resources published between 2002 and 2023 were selected based on relevance to psychiatric stigma, education, and public perception. Databases searched included PubMed, Google Scholar, and professional association websites using keywords such as “psychiatry stigma” and “psychiatrist …

Patient Perspectives On The Role Of Healthcare Providers In Addressing Food Insecurity In A Nj Primary Care Setting, Anna Flts, Lisa Huang, Aarsa Moosavi, Jha Stuti, Philip B Collins

Rowan-Virtua Research Day

Background:

Food insecurity is a critical social determinant of health, yet is rarely discussed with patients in primary care settings. The objective of this project is to explore patient perspectives on the physician role in addressing food insecurity as well as to identify factors associated with food insecurity among patients in family medicine clinics.

Methods:

A cross-sectional survey was distributed to patients (n=250) across two academic family medicine clinics in South New Jersey between May 2023 and December 2024. Demographics, self-reported health status, and comfort with discussing food insecurity were collected. Additionally, food insecurity status was determined based on the …

Pathways Beyond Performance: How Curriculum Style Impacts Emotional Intelligence And Interpersonal Communication In Medical Students, Dan Yacubovich, Jonathan Tadros, Jennifer Fischer, Dana Zambito

Rowan-Virtua Research Day

Background: Medical schools employ various curricula to foster medical knowledge and professional competencies. Emotional intelligence (EQ)—the capacity to manage emotions and interpersonal relationships—is essential in clinical care. While research links EQ to academic and communication skills in nursing and international medical students, limited data exist for U.S. medical students, particularly regarding curriculum type.

Objective: This study evaluates whether different curricula—Problem-Based Learning (PBL) and Synergistic-Guided Learning (SGL)—are associated with differences in EQ and interpersonal communication skills (ICS) at Rowan-Virtua SOM.

Methods: EQ was measured using the MySkills Profile (EIQ16). ICS scores were derived from standardized patient encounters in the pre-clinical years. …

Carbon Footprint Of Inhaled Anesthetics – Do The Risks Outweigh The Benefits?, Liam Kerrick, Joseph Moschella

Rowan-Virtua Research Day

Global warming presents many challenges to the healthcare system. Not only does the increasing global temperature have detrimental health effects itself, but the healthcare sector is also a huge contributor to global warming. One big contributor to global warming is the use of inhaled anesthetics, which possess global warming potentials up to 2,000 times greater than carbon dioxide. Recent proposals, such as a prospective ban of desflurane in 2026 by the European Commission, demonstrate the need to reevaluate many of the common practices within anesthesiology. This review looks to investigate the environmental impact, cost, and clinical efficacy of various anesthetic …