Education, Evaluation, And Impact Of A Delegation Learning Session In The Care Pair Model, Tiffany M. Whitney

Doctor of Nursing Practice Projects: College of Nursing

The persistent nurse shortage is forcing the health sector to think about the way care is provided, and teams collaborate. One model, the Care Pair Model (CPM), pairs registered nurses (RNs) with nursing assistants (NAs) to distribute responsibility and provide patient care in a timely manner and with the best quality. Even though the model encourages working together effectively, many nurses still find it difficult to delegate to uncertainty, lack of confidence, or communication barriers. Improving these abilities is essential for fostering trust, ensuring a smooth workflow, and providing for patient and provider needs.

This Doctor of Nursing Practice (DNP) …

Navigating The Nicu Without Words: A Case Study Of A Spanish-Speaking Mother’S Healthcare Experience, Emma Norris

Poster Presentations

Research on NICU experiences largely focuses on majority-language families; non-English-speaking families are understudied (Cleveland, 2008). The Family Integrated Care model promotes parent-infant connection and shared decision-making to improve outcomes (Wreesmann et al., 2020). Language barriers impede parent-provider communication, increasing miscommunication and parental anxiety (Kynoe et al., 2020; Ardal et al., 2011). The purpose of this research is to explore communication experiences and barriers between English-speaking and bilingual NICU nurses and a Spanish-speaking NICU mother.

Digital Orientalism: Examining Eastern Practices In The Wellness Industry, Celia Golden

Departmental Honors & Graduate Capstone Projects

As popularity rises for global and domestic wellness retreats as tourist destinations, their predominantly Western audience invites an American offshoot of Orientalism that commodifies Asian names and practices into “mindfulness.” This paper examines the guest guide of the Miraval Berkshires wellness facility and its treatment of Eastern practices. Findings revealed 55.6% of the specialists at the Miraval Berkshires employ Eastern techniques, and 74.14% of those offerings are restricted to paid and private sessions to create exclusivity. The word “ancient” is disproportionately leveled against Eastern practices in the guest guide to further cement them as relics of the past. Alongside minimalist …

Barriers And Facilitators Of Childhood Immunization: A Mixed Methods Assessment Of Health Care And Community Health Professionals’ Observations, Jenny Dong

Theses/Capstones/Creative Projects

Childhood immunization has led to significant decreases in the burden of infectious disease morbidity and mortality. Despite these contributions, U.S. childhood vaccination rates have been declining in recent years, and updates to the federal immunization schedule have removed recommendations for several childhood vaccinations. Amid such an uncertain public health landscape, understanding how environmental conditions affect childhood immunization behaviors is crucial for ensuring that children receive the vital protections vaccines offer. Thus, the purpose of this study is to examine the barriers and facilitators of childhood immunization observed by Nebraska health care professionals (HCPs). This study utilized an online questionnaire and …

The Trade-Off Between The Fear Of Judgment (Stigma) And The Intention To Engage With Ai-Driven Hiv/Aids Information: Evidence From Bangladesh And Nigeria, Abdullah Mohaimen

Masters Theses

This study explores the relationship between Fear of Judgment (FOJ), understood as perceived stigma, and Intention to Engage (EI) with an AI-driven chatbot providing HIV/AIDS information. Stigma often discourages individuals from seeking information or discussing sensitive health issues, creating barriers to prevention and education. AI chatbots offer a potential solution by enabling anonymous, accessible, and non-judgmental interactions. This study examines whether FOJ reduces users’ willingness to engage with such technology and whether cultural context shapes this relationship. Data were collected from young adults in Bangladesh and Nigeria (N = 56) through an anonymous online survey using a simulated chatbot, Lifeline. …

Understanding Barriers To Breast Cancer Screening Among Rural Women In South Carolina: A Qualitative Study Using The Idea Model, Israt Jahan

All Theses

Breast cancer screening rates remain low among rural women in South Carolina, leading to higher incidences of late-stage cancer diagnosis. This qualitative study used semi-structured interviews to investigate reasons why many women delay or avoid screenings, even when free screening programs such as the Best Chance Network are available in South Carolina. Guided by the IDEA model, the study explored how women interpret cancer risk, how they seek and trust cancer information, how they understand screening explanations, and what barriers affect their ability to take action. Participants described fear of pain, fear of diagnosis, personal relevance, confusion about the screening …

Addressing Medical Mistrust Among Women: Effects Of Narratives Acknowledging Mistrust On Identification, Credibility, And Persuasive Outcomes, Kylie A. Friday

All Theses

This study examines the effectiveness of narratives addressing medical mistrust in addressing medical mistrust and promoting preventive sexual health behaviors among women. Drawing on narrative persuasion frameworks, this research investigates how tailoring to aspects of medical mistrust influences identification, transportation, credibility, emotions, and persuasive outcomes. Particular attention is given to the role of medical mistrust as a key audience characteristic that may influence how individuals engage with and interpret health messages. By considering both emotional and cognitive mechanisms of persuasion, this study advances a more nuanced understanding of how narratives may function differently across audiences with varying levels of trust …

Portrayals Of Miscarriage In Film And Television: A Qualitative Analysis, Geovana Leonetti Saraiva

All Theses

Entertainment media may serve as a primary source through which individuals learn about miscarriage; however, little research has examined how miscarriage is portrayed in film and television. This study addresses this gap by conducting a textual analysis of five films and five television shows using a constructivist grounded theory approach. Guided by the model of stigma communication (MSC), communication privacy management theory (CPM), and social support frameworks, the analysis explores how miscarriage is represented in entertainment media.

Findings indicate that the analyzed content frequently includes stigma-related cues—such as marks, labels, responsibility, and peril—that may contribute to the formation and reinforcement …

Towards Dementia-Inclusive Digital Text-Based Health Information: A Multi-Method Investigation Of Cognitive And Affective Accessibility, Margi Engineer

All Dissertations

This dissertation examines the accessibility, readability, emotional tone, and trustworthiness of digital, text‑based dementia information and investigates how older adults with and without dementia cognitively and affectively engage with such content. It further explores the potential of generative AI to improve dementia information delivery through the development of a domain‑specific retrieval‑augmented generation (RAG) large language model (LLM) chatbot designed to deliver accessible, stigma‑free information. The dissertation comprises four studies using complementary quantitative and qualitative methods. Study I conducts a large‑scale content analysis of 300 medical articles, 35 websites, and 50 blogs, applying readability metrics, LIWC‑based linguistic and sentiment analysis, and …

Rural Community Perspectives On Hurricane Helene In Western North Carolina, Jennifer A. Horney, Lilly Moreau, Search Wnc

Journal of Appalachian Health

Introduction: After making landfall on the Florida Gulf Coast in September 2024, Hurricane Helene impacted Western North Carolina (WNC) with historic flooding, landslides, and hurricane-force winds. More than 100 deaths in the region were attributed to the storm’s direct impacts.

Purpose: The purpose of this study was to assess community perspectives of long-term recovery in Mitchell and Yancey Counties, two rural WNC counties severely impacted by Hurricane Helene.

Methods: A 14-question interview guide was developed based on prior disaster research and the community engagement work of Sustaining Essential and Rural Community Healthcare (SEARCH). Questions covered post-Helene experiences related to access …

Creative Engagement For Community Through The Life-Span, D. Nicole English, Pelgy Vaz

SACAD: Scholarly Activities

Creative Engagement for Community Through the Life-Span

Creative Engagement includes crafts, cultural practices, expressive arts, and activities that bring people together. Having access to such activities enables people to develop healthy habits, social interactions, and build community that can sustain one throughout the lifespan. On-going research indicates that Creative Engagement Activities, and the Communities of Practice that build around them, benefit people throughout the life-span, but become particularly important to older adults, by building resilience and social connections, in the face of inevitable life losses.

https://youtu.be/r3JS5YP-MnM

Digital Touchpoints: Investigating Contact Page Accessibility And Visual Authenticity Within Medical Tourism Health Websites, Alicia Mason, Elizabeth Spencer, Kristen Livingston, Treyton Meyers, Sakshi Bhati, Himika Akram

Faculty Submissions

This study examines two critical digital touchpoints on medical tourism provider (MTP) websites: (1) the accessibility of contact pages which often function as entry points for inquiries, scheduling, and pre-travel coordination, and (2) the authenticity of visual imagery used to shape expectations about care environments, personnel, and technological capacity. A sample of 105 MTPs across all six World Health Organization regions were analyzed using quantitative web accessibility testing and qualitative visual analysis. Results indicate pervasive accessibility errors on contact-page touchpoints and extensive reliance on inauthentic imagery to depict patients, providers, and medical technologies. Together, these practices may distort user expectations …

Advancing The Understanding Of Palliative Care In Singapore: Knowledge, Attitudes, Receptiveness, And The Moderating Role Of Media Information-Seeking Preferences, Su Lin Yeo, Angel Lee, Raymond Han Lip Ng, May O. Lwin, Yumin Lin

Research Collection Lee Kong Chian School Of Business

Introduction: Despite the growing demand for palliative care, this specialized medical care remains severely underutilized, with almost 50% of countries worldwide lacking access. Given that misperceptions and stigma continue to hinder progress in healthcare policy, this study aims to examine the relationships between palliative care knowledge, attitudes, and receptiveness to better understand how public health communication can enhance awareness and understanding of the topic in Singapore. Applying the adapted knowledge-attitude-practice (KAP) model, it further extends theory by examining the moderating role of media information-seeking between knowledge and receptiveness.Methods: Mixed-mode surveys involving 1,226 participants (926 online and 300 in-person respondents), representing …

Bridging Cultures: Developing A Culturally Responsive Educational Website For Pediatric Service Providers, Aimun Aziz, Wendy Tremaine

Spring 2026 OTD Capstone Symposium

The increasing cultural diversity of the pediatric population in the United States highlights the need for culturally responsive, family-centered care. However, many providers report limited training and practical resources to support the integration of cultural humility into clinical practice. This capstone project aimed to develop and evaluate an evidence-based educational website to support pediatric service providers in delivering culturally responsive care.

A program development framework was used, incorporating family needs assessments, pre- and post-intervention surveys of pediatric therapy staff, and thematic analysis of key factors related to communication, trust, and provider preparedness. Community field visits with diverse populations informed the …

Eyes Wide Shut: Sex Trafficking In The Black Community, Stephany Powell

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Use Of A Structured Rounding Model To Improve Interprofessional Communication And Collaboration Among Mds And Rns In A Medicine Unit – An Evidence-Based Practice Project, Jackie Raygoza,

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose/Aims

This DNP project aims to improve communication and collaboration between physicians (MDs) and registered nurses (RNs) on medical units by implementing a structured three-step communication-rounding model integrated into the daily workflow and leveraging existing communication tools. As patients’ conditions become more complex and healthcare demands increase, it is crucial to foster an environment where communication among providers and staff is clear, transparent, respectful, and collaborative. By leveraging information technology and evidence-based strategies, the project seeks to strengthen interprofessional collaboration and improve patient satisfaction and the quality of care. The project includes educational sessions for both MDs and RNs to …

Exploring The Influence Of Environmental Motivations On Consumer Attitudes And Purchase Intentions Toward Upcycled Foods, Peng Lu, Jennifer Waldeck, Keith Weber, Hualu Zhou

Communication Faculty Articles and Research

Food loss and waste (FLW) present pressing environmental and economic challenges. Upcycling technologies provide a sustainable pathway by transforming food by-products into value-added products; however, consumer acceptance remains a critical barrier. Guided by Self-Determination Theory (SDT), this study investigates how environmental motivations influence consumers’ attitudes and purchase intentions toward milk enriched with upcycled peanut skins. Data were collected from a nationally representative sample of 1488 U.S. adults. Structural equation modeling (SEM) was employed to test hypothesized relationships among motivational constructs, and cluster analysis was used to identify consumer segments based on motivational profiles. The results show that intrinsic motivation and …

Knowledge Of Lifespan And Healthspan And Interest In Healthy Longevity Medicine Among The General Population In Singapore: The Singapore Healthy Longevity (Helo) Survey, Jonas John Posko Amalaraj, Belinda Wang, Anna Szucs, Louis Island, Laureen Yi-Ting Wang, Liz J. Horberg, Paul A. O'Keefe, Sonny Rosenthal, Yap-Seng Chong, Johannes J. Meij, Andrea B. Maier

Research Collection College of Integrative Studies

Given the growing global interest in Healthy Longevity Medicine (HLM), the field lacks understanding about public knowledge and interest, which are crucial for any public health intervention relying on HLM. This study presents findings from the Healthy Longevity (HELO) survey conducted in Singapore, assessing public knowledge regarding lifespan (number of years a person is alive), healthspan (number of years a person spends in good health), and interest in HLM. This nationwide cross-sectional survey, conducted between June and August 2024, involved 3034 participants. Main domains including questions on demographics, living arrangements, medical information, health behaviours, income and financial status were tested …

From Waste To Sustainability: Exploring Consumer Purchase Intentions Of Milk Enriched With Upcycled Peanut Skins, Peng Lu, Fan Xu, Jennifer Waldeck, Keith Weber, Hualu Zhou

Communication Faculty Articles and Research

Highlights

• National survey investigated consumer acceptance of milk enriched with upcycled peanut skins.
• Developed a conceptual model based on Technology Acceptance Model.
• Identified that consumer attitudes and emotions are essential in the purchase intentions of upcycled foods.
• Identified social influence as a determinator of consumers' attitudes and purchase intentions.
• Inform and advance research, practice, and policy that promotes upcycled food products.

Improving Stakeholder Communications Practices: A Quantitative Study On The Relational Communication Between Clinical Research Coordinators And Research, Oreofeoluwa F. Adeniji

Harrisburg University Dissertations and Theses

Communication plays an essential part in the responsibilities of the clinical research coordinator’s position. Challenges in communicating with stakeholders during clinical trials can disrupt the study timeline, its outcomes, and the success of the trial. Clinical research coordinators often experience these challenges when interacting with internal stakeholders, such as principal investigators, and external stakeholders, including sponsors. This quantitative correlational study will examine whether clinical research coordinators can utilize project management communication practices to improve their stakeholder interactions. Data from 32 clinical research coordinators will be collected using SurveyMonkey and analyzed. The study results will fill gaps in the literature on …