Health Communication Commons^™

The (In)Visible Woman: A Performative Autoethnographic Exploration Of Queer Femme-Ininity And Queer Isolation, Bri Ozalas

Masters Theses, 2020-current

This thesis is a performative autoethnographic exploration of my experiences existing betwixt-and-between the intersection of queer femme-ininity and isolation. Through a creative, affective rendition of my experiences, I detail and connect the nuances of queerness, femme-ininity, and queer isolation to provide a closer look at understanding queer identity with an absence of connection to the queer community. First, I provide an overview of the main theoretical and methodological approaches, and main concepts I utilize throughout my project. I then provide the intricacies of queer theory, queer intersectionality, and affect theory to provide theoretical explanations of my approach to queer isolation. …

Health Care Access For Children In Latinx Immigrant Families In The Greater Philadelphia Area, Sophia King

Politics Honors Papers

This work examines the gap that exists in access to health care in the Greater Philadelphia Region for children of Latinx immigrant families in comparison to other children in the nation. It provides a critical analysis of the gap in access to coverage, noting that this exists despite wide support for a human right to health. This study draws on existing scholarly research as well as interviews with staff at two health clinics and one community outreach center that are located in Greater Philadelphia. It demonstrates that Latinx immigrant families are less likely to have health insurance and get primary …

Menstruation Regulation: A Feminist Critique Of Menstrual Product Brands On Instagram, Max Faust

Undergraduate Honors Theses

Much research about advertisements for menstrual products reveals the ways in which such advertising perpetuates shame and reinforces unrealistic ideals of femininity and womanhood. This study aims to examine the content of Instagram posts by four different menstrual product brands in hopes of understanding how these functions may or may not be carried out by social media posts by these brands as well. Building on the body of research about menstrual shame and advertising, I specifically ask: How do the Instagram pages for four menstrual product brands dissuade individuality; how do they prescribe femininity; and how do these functions differ …

A Needs Assessment For The Utilization Of Child Life Specialist Bereavement Support Services In An Emergency Veterinary Hospital Setting, Jared R. Negin-Fryers

Graduate Theses/Dissertations

Studies indicate that there is an affective attachment bond, and related emotional involvement that exists between the companion animal and their human owners. Patient companion-animal death within the veterinary hospital, is a daily occurrence, with death rates per patient being significantly higher than in human health care. This comparatively higher death rate is due to the commonplace utilization of professionally sanctioned euthanasia to relieve animal pain and suffering. Companion animal death, may elicit grief reactions that are identical to what is experienced upon the death of a family member. A void currently exists in family centered veterinary care in terms …

Online And Offline Identity Gaps: Cross-Contextual Predictors And Psychological Outcome, Ningyang Wang

Master's Theses

Using Communication Theory of Identity as a framework, this study compared an individual’s online and offline personal-enacted identity gap and examined the effect of each personal-enacted identity gap on individuals’ psychological well-being, as well as tested four cross-contextual predictors for online and offline personal-enacted identity gaps.

Survey data were collected from 214 participants on Amazon M-Turk. A sequence of hypotheses was tested. A questionnaire used for measuring individuals’ online personal-enacted identity gap was generated.

The result suggested individuals experience larger personal-enacted identity gap offline, which significantly negative predict individuals’ psychological well-being, whereas online personal-enacted identity gap positively predicts psychological well-being. …

Barriers To Health: Understanding The Barriers Faced By Community Intervention Projects, Vera Landrum

Master's Theses

Health disparities affect significant portions of the population and are most often experienced by marginalized communities (Wilkin, 2013). Health disparities are also impacted by geographical location, and hunger often affects rural areas (Dutta, Anaele, & Jones, 2013; Rural Health Information Hub, 2017). This study aims to understand how nonprofit organizations focused on addressing food insecurity disseminate information to members of the local community and how the input of community members impacted the overall food insecurity campaign. This study was conducted by interviewing five nonprofit directors and conducting three focus groups with clients of the. aforementioned organizations. The author found that …

Mental Health And You, Sierra Salvatierra

Capstone Projects and Master's Theses

The Latinx community at the Epicenter in Salinas dealt with mental health illnesses, as well as were brought up with machismo attitudes. This population has a strong stigma against getting help with their mental health. Being faced with immigration, poverty, discrimination and inadequite conversations about health, drives a spike in anxiety levels. Consequences of not dealing with mental health illnesses include unresolved emotions are generational trauma, self harm, substance abuse, and unhealthy relationships. The project created to get in front of this problem was a dialogue series of conversation starters for people who want to open up. The purpose of …

Crna To Cvicu Rn: Implementation Of A Standardized Patient Handoff Checklist For Post-Surgical Heart Patients, Ashley Mcgrath

Doctor of Nursing Practice Projects

Patient handoffs occur when the information and responsibility of the patient is transferred from one health professional to another. Ineffective communication during the critical postoperative phase of the transfer of care (TOC) has been associated with extended hospital stays, increased healthcare costs and patient dissatisfaction. In 2007, the Joint Commission National Patient Safety Goals proclaimed the importance of a standardized handoff process for effective handoffs. The purpose of this quality improvement doctoral project was to assess if the utilization of a standardized TOC checklist from the operating room to the cardiac intensive care unit (CVICU) for post-heart patients improved communication …

A Feasibility Study On The Implementation Of A Web-Based Intuitive Eating Program In A University Setting, Jaime Gnau

Graduate Theses/Dissertations

This research reports on the feasibility of implementing a web-based intuitive eating (IE) program to employees through a university employee wellness department at Missouri State University (MSU). Barriers and facilitators to program participation were also identified and discussed.

Background: Ten IE principles present an evidence-based strategy for reducing incidence of weight cycling and improving one’s relationship with food and self, and reducing health risks associated with chronic dieting and weight regain. Offering web-based programming reduces barriers to program enrollment but is also associated with high rates of attrition.

Methods: The program was developed utilizing the PRECEED-PROCEDE model with application of …

Adapting The Asset Exercise For Humanitarian Contexts, Women's Refugee Commission, Population Council

Poverty, Gender, and Youth

As a guiding program theory, asset-building centers on the idea that skills, knowledge, relationships, and concrete resources can all constitute assets, or “stores of value,” that girls can, in turn, mobilize to make healthy choices, seek support, navigate institutions, and access entitlements. This approach is inherently multisectoral, rooted in a commitment to prioritize understanding of and respond to the diversity of girls’ needs, capacities, and experiences. The Asset Exercise operationalizes the concept of “asset-building” into concrete terms. The exercise consists of a deck of 100 “asset cards,” and eight “age cards.” Asset cards reflect both intrinsic qualities, concrete knowledge, and …

Implementing Inter-Professional Patient-Family Centered Plan Of Care Meetings On An Inpatient Hospital Unit, Nicolas Hernandez, Alice Fornari, Sage Rose, Leanne Tortez

Patient Experience Journal

Inpatient plan of care meetings support efforts to encourage collaborative practice and patient-family centered care and result in an effective strategy to enhance communication and patient satisfaction. Clinical team members participated in patient/family centered plan of care meetings at a community hospital in a selected inpatient unit with full time hospitalist physicians. Quantitative data were gathered pre/post implementation from the external Hospital Consumer Assessment of Health Care Providers (HCAHPS) survey. HCAHPS data were collected independently, specifically for questions related to communication between patients, family members/guardians and the medical team and also the effects of care transition. There was a slow …

A Health/Media Literacy Intervention Improves Adults’ Interpretations Of Sugar-Sweetened Beverage Advertising, Yvonnes Chen, Kathleen J. Porter, Wen You, Paul Estabrooks, Jamie M. Zoellner

Journal of Media Literacy Education

Although excessive sugar-sweetened beverages (SSB) intake is linked to numerous adverse health consequences, media literacy interventions rarely address the influences of food and beverage marketing with a specific focus on adults. This randomized controlled trial study investigated (1) whether media literacy education modifies adults’ perceptions of SSB advertising and (2) whether changes are moderated by health literacy. Results from the multilevel mixed-effects regression analyses with the intention-to-treat last-observation-carried-forward method showed that compared to MoveMore (a matched-contact comparison condition), SIPsmartER (an intervention condition) participants significantly enhanced their skillsets across media literacy domains (i.e., authors/audiences, messages/meanings, representation/reality) between baseline and …

"I Don’T Even Deserve A Chance": An Ethnographic Study Of Adverse Childhood Experiences Among Male Perpetrators Of Intimate Partner Violence, Natalie Hoskins, Adrianne Kunkel

The Qualitative Report

Perpetrators of intimate partner violence (IPV) are more likely to have been exposed to adverse childhood experiences (ACES) than the general population (e.g., Whitfield, Anda, Dube, & Felitti, 2003). Despite this association, occurrence of ACES does not necessarily lead to the development of patterned abusive behavior (Godbout et al., 2017). To understand the link between ACES and IPV perpetration, Godbout et al. (2017) suggest that research must consider a complex array of intra- and interpersonal experiences. For this project, we used ethnographic methods, including participant observation at a local batterer intervention program (BIP) and semi-structured interviews with 15 male IPV …

Teaching And Researching With A Mental Health Diagnosis: Practices And Perspectives On Academic Ableism, Ann Green, Alyssa _, Lucia Dura, Patrick Harris, Leah Heilig, Bailey Kirby, Jay Mcclintick, Emily Pfender, Rebecca Carrasco

Rhetoric of Health & Medicine

Abstract: Nine people with mental health diagnoses wrote a dialogue to discuss how we navigate our conditions and ask for accommodations within an academic setting. We cogitate on the challenges of obtaining a diagnosis, how and when we disclose, the affordances and challenges of our symptoms, seeking accommodations, and advocating for ourselves. We consider how current scholarship and other perspectives are changing the conversation about mental health in the academy. We conclude that while the 2008 revisions to the Americans with Disabilities Act have addressed necessary accommodations, that those with mental health conditions are still seeking access.

"Woman Problems": Superior-Subordinate Communication Of Endometriosis, Mary Madison Lyons

Masters Theses & Specialist Projects

The purpose of this study is to understand how working women with endometriosis communicate with their superiors about their chronic health condition. An interpretative approach was taken through the use of semi-structured interviews. Data were analyzed by using a constant-comparison method of thematic coding, resulting in three themes that answered the research questions. The findings revealed that working women communicate about endometriosis with their superiors via a dialectical tension of openness and closedness. Women perceived the outcomes of disclosure positively and negatively, but the anticipated outcomes were highly prevalent. Relational closeness between superior and subordinate was a key factor in …

Pilot Project: Developing A Standardized Evidence-Based Education Process For Nurses To Enhance New Medication Eduction Of Hospitalized Patients With Heart Failure, Michele Ann Crotteau

Doctor of Nursing Practice Projects

Problem Description: Research has shown that health information is difficult for the average adult to understand while clear communication helps patients feel involved and increases adherence to treatment. The Joint Commission recommends Health Literacy (HL) assessment and the use of the Teach Back Method (TBM). Medication errors that occur between the RN and elderly patient are preventable when the RN communicates effectively about the patient’s medications. A paucity of research exists evaluating TBM for nurse-patient communications. This Quality Improvement (QI) Pilot Project (PP) took place over 3-months, aimed to improve new medication education to elderly patients with Heart Failure (HF). …

Medical Trust In Pediatric Care In The United States, Talia Feldscher

Independent Study Project (ISP) Collection

Trust is a critical aspect of the patient-provider dynamic, but in the U.S., its importance is overlooked in many medical settings, especially among those from low socio-economic groups. As the disparities in American healthcare are being recognized on a larger scale, it is necessary to further uncover why this is the case, and how to begin to remedy this disparity. This study presents an original qualitative data set of perspectives from four current health/mental health practitioners, based on their experiences with their pediatric patients, and how the concept of trust is critical to their service provision. Supported by literature, this …

An Overview Of Supply-Chain Logistics In International Humanitarian Aid: Finding Challenges And Solutions, Arjun Ganga

Independent Study Project (ISP) Collection

Humanitarian supply chain logistics concern the flow of goods and services in public health delivery. Such supply chains operate in both general development contexts and in acute crisis situations. In this paper, I give an overview of supply chains and then explore some of the challenges and potential solutions in delivering goods and services effectively and efficiently. Specifically, I analyze procurement, maintaining quality goods, incentivizing countries to act, collaboration, verification, possible losses in the supply chain, and ensuring appropriate use of product. I conclude that although humanitarian supply chains pose unique challenges, there is surprising efficiency in the system. This …

Participation In An Interprofessional Simulation Event: Impact On Student Learning, Holly Arguelles

Honors Projects

Interprofessional education (IPE) is growing tremendously within numerous health care programs and continues to impact both healthcare professionals and patients. The significance of having IPE simulation events is to provide students with the ability to gain knowledge, awareness, and understanding of other disciplines. Focus groups following an IPE simulation event will allow for a better understanding of how these events potentially impact student learning, future learning outcomes, and knowledge of other professions. The purpose of this study was to determine the impact of participation in an IPE simulation event on students' perceptions. To examine this impact, a student focus group …

Evidence Review And Analysis Of Provider Behavior Change Opportunities, Emily Zimmerman, Vivien Caetano, Rachel Banay, Jana Smith

Reproductive Health

This paper reviews the evidence on the promise of behavioral economics to improve health outcomes through service provider interventions in five critical health areas. This analysis utilizes the limited existing evidence to suggest where and how behavioral economics interventions may be most effective and where further research may contribute most.