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Theses/Dissertations

2018

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Full-Text Articles in Health Communication

Cnl As Outcomes Manager: Improving Communication During The Er To Icu Handoff, Amy Ho Dec 2018

Cnl As Outcomes Manager: Improving Communication During The Er To Icu Handoff, Amy Ho

Master's Projects and Capstones

Emergency room (ER) to Intensive care unit (ICU) handoff reports are often ineffective because the lack of an standardized guideline. The aim of the Clinical Nurse Leader (CNL) improvement project was to improve the nurse satisfaction survey scores in the ER and ICU microsystems within a mid-sized community hospital in northern California. Participates included registered nurses, and ER and ICU managers. The failure mode and effect analysis (FMEA), Strength, weaknesses, opportunities, and threats (SWOT) analysis, and the Plan-Do-Study-Act (PDSA) cycle were used for this project. Literature reviews were conducted to identify effective theories, patterns, and tools for handoff reports. Nurse ...


Parental Verbal Mediation For Children's Internet Use, Daeun Grace Lee Dec 2018

Parental Verbal Mediation For Children's Internet Use, Daeun Grace Lee

Graduate Theses, Dissertations, and Capstones

This study explores the different communication strategies parents employ when speaking to their children about their Internet use. The Internet is continuously and rapidly expanding in terms of content range and mobility, and is becoming more and more an integrated and essential part of children across the nation. Thus, parents must be willing and equipped to educate their children about their habits of Internet use through effective mediation strategies. The goal of this study is to understand not only how parents speak to their children about their Internet use, but also how parents currently perceive the significance of these conversations ...


Engagement In Family Screening For Hypertrophic Cardiomyopathy, Michelle G. Glowny Dec 2018

Engagement In Family Screening For Hypertrophic Cardiomyopathy, Michelle G. Glowny

Graduate School of Nursing Dissertations

Background: Despite consensus guidelines, only about half of at-risk relatives in families with Hypertrophic Cardiomyopathy (HCM) undergo clinical screening and even fewer undergo predictive genetic testing, leaving those unscreened at risk for sudden cardiac death. The use of qualitative inquiry to examine family communication and complex factors influencing uptake of screening may inform interventions to increase uptake and prevent sudden cardiac death.

Purpose: The purpose of this study was to describe the engagement of at-risk relatives in family screening for HCM.

Specific Aims: The specific aims were to (1) Describe the experience of communication of genetic risk of HCM in ...


Philosophia Soteria: How Occupational Safety And Health Professionals Influence Decision Makers, Daniel Jay Snyder Dec 2018

Philosophia Soteria: How Occupational Safety And Health Professionals Influence Decision Makers, Daniel Jay Snyder

Theses and Dissertations

The purpose of this study was to identify ideas about how occupational safety and health (OSH) professionals influence decision-makers on matters impacting occupational health and safety management systems. A modified nominal group technique was used that involved 67 participants in ten nominal groups and identified the most important ideas about how OSH professionals can influence workplace safety and health decision making. The research produced themes of communication, scientific, professionalism, leadership, adaptability, and business acumen that resulted in six domains of occupational safety and health professional influence.


No Pass Zone: Preventing Patient Falls, Rheea Fe Bustos Aug 2018

No Pass Zone: Preventing Patient Falls, Rheea Fe Bustos

Master's Projects and Capstones

Problem: According to the Agency for Healthcare Research and Quality (AHRQ), an estimated 700,000 to 1,000,000 inpatient falls occur in the United States every year. Context: In an August 2017 observation of bed alarm activations in patients’ rooms, it was noted that there was no designated staff member to answer alarms. This causes a delayed response time, which can result in patient falls. The root cause involved unclear expectations regarding what staff members are responsible for answering alarms. Interventions: Standard work was created to have the closest available person respond to the patient’s bed alarm. Initial ...


Improving Pediatric Oral-Systemic Health Through Motivational Interviewing: An Interprofessional Training Intervention, Oksana Prodan Aug 2018

Improving Pediatric Oral-Systemic Health Through Motivational Interviewing: An Interprofessional Training Intervention, Oksana Prodan

Doctor of Nursing Practice (DNP) Projects

Introduction: In response to the prevalence of early childhood carries (ECC) in the United States, recommendations were established for pediatric primary care providers to routinely incorporate oral-systemic health promotion services into clinical practice. An interprofessional education project was developed between Advanced Practice Registered Nurses (APRNs) and dentistry students in San Francisco to assist trainees in the effective delivery of oral systemic health promotion services. Improving health promotion communication skills was identified as an area of need for both sets of learners. Therefore, the IPE activity was designed to incorporate Motivational Interviewing (MI) into the training along with pediatric oral health ...


Exploring The Clinical Utility Of Mobile Applications For Promoting Affect Regulation Among Clients With Behavioral Health Problems, Caroline Fenkel Jun 2018

Exploring The Clinical Utility Of Mobile Applications For Promoting Affect Regulation Among Clients With Behavioral Health Problems, Caroline Fenkel

Doctorate in Social Work (DSW) Dissertations

Nearly 25 percent of adults in the United States are diagnosed with a behavioral health condition, most commonly depression, anxiety disorders and substance use disorders. Each of these diagnoses is associated with significant disruptions in affect regulation which encompasses the capacity to up and down regulate emotions. Best practice treatment for these conditions includes psychotropic medications combined with individual or group-based psychotherapeutic modalities which regardless of the therapist’s theoretical orientation attempt to promote affect regulation through skill transfer and strategies for observing one’s ability to regulate emotions. Similarly, attention to regulatory capacity is central to many emerging self-help ...


A Narrative And Performative Methodology For Understanding Adolescent Cancer Stories, Patrick Mcelearney Jun 2018

A Narrative And Performative Methodology For Understanding Adolescent Cancer Stories, Patrick Mcelearney

LSU Doctoral Dissertations

The field of health communication places considerable attention on coping with cancer, typically using social scientific approaches to investigate uncertainty, information, and/or social networks. Social scientific models of coping with adolescent cancer often measure how behaviors seek to manage cancer’s uncontrollability and/or uncertainty; however, how adolescents cope with cancer has been unclear. Short-term studies show adolescents typically and atypically cope. Long-term studies show a significant portion of survivors exhibit post-traumatic stress. The narrative and performative turns expose the role narratives and performatives play in shaping human subjects as meaning makers rather than merely information sharers. A narrative ...


Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller May 2018

Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller

Master's Theses

This research explores solutions for individualizing and improving care for pediatric patients with Autism Spectrum Disorder in the Perioperative Setting of an Outpatient Surgery Center. Specifically, it seeks to determine if providing parent and staff resources on Autism Spectrum Disorder is significantly helpful in increasing confidence in the staff by the parents and the staff themselves. Participants included thirty-five surveyed families who had pediatric patients visiting perioperative services and staff who work on the unit. Methods used include information dissemination with the use of printable and online evidence-based resources, an in-person education event for staff, and a pilot study of ...


The Rhetoric Of The Opioid Crisis And Addiction To Prescription Pain Medicine, Rachel Kaplan May 2018

The Rhetoric Of The Opioid Crisis And Addiction To Prescription Pain Medicine, Rachel Kaplan

Electronic Theses and Dissertations

In this historical moment, the United States is amidst an opioid crisis killing the young and the old; at least seventy-eight people die every day from an opioid-related overdose (Enomoto in Murthy III). Changing mindsets of the doctors who prescribe opioids is just as important as asking the patients who are prescribed them to demand an alternative medication. The different parties involved in the crisis all have a different agenda and their rhetorical bias is explored throughout this project. The pharmaceutical companies have launched aggressive marketing campaigns expressing the benefits of opioids and encouraged physicians to prescribe, the CDC has ...


Effects Of Mental Health Campaigns, Susan Schott May 2018

Effects Of Mental Health Campaigns, Susan Schott

Senior Honors Projects, 2010-current

This project examines the effects of a mental health campaign on college students. This is important to research because universities and colleges alike need to understand the effects that campaigns about mental health on campus can have on students. I researched this by conducting an online experimental study on a sample of 511 students at a university in the Mid-Atlantic region. Qualtrics randomly assigned the participants into two groups, where one group viewed an experimental campaign and the other a control ad. The participants were measured using a post- test questionnaire which tested their self-perceptions of anxiety and level of ...


Between Beeps: An Autoethnographic Study On Type 1 Diabetes, Intersectionality And The Body In Chaos, Cristal Llave May 2018

Between Beeps: An Autoethnographic Study On Type 1 Diabetes, Intersectionality And The Body In Chaos, Cristal Llave

Masters Theses

This autoethnographic study examines Type 1 Diabetes through the lens of intersectionality framework, power and discipline, and the chaotic story of the body. As an Adult Type 1 Diabetic at diagnosis, I explore the tensions between my already established identities as an Asian American woman in academia attempting to incorporate and accept another identity, an identity of illness. This study utilizes sensory discourses and aesthetic arrangement of ten illness narratives to delve into my experience, placing the points of tension between my identities in conversation with my body’s silenced story of chaos as it undergoes acts of power and ...


Reactions To Fda E-Cigarette Regulation : How Vape Shops In Different Socioeconomic Areas Of Kentucky Use Facebook., Brooke A. Moody May 2018

Reactions To Fda E-Cigarette Regulation : How Vape Shops In Different Socioeconomic Areas Of Kentucky Use Facebook., Brooke A. Moody

College of Arts & Sciences Senior Honors Theses

In May 2016 the FDA deemed e-cigarettes a tobacco product. The “deeming rule” gave regulation to e-cigarettes where none had existed prior. Some of the regulations included: prohibiting the sale of e-cigarettes to minors, prohibiting giving away free e-cigarette products, requiring FDA-approved warning labels on e-cigarette packaging, and requiring pre-market authorization of all new e-cigarette products. The consequences of these regulations primarily affected e-cigarette manufacturers and vape shops, where most e-cigarette sales take place. In July 2017 the FDA announced an extended timeline for some e-cigarette regulations, citing the reason as having limited research on if, and how, e-cigarettes can ...


Exploring Organizational And Professional Commitment, Servant Leadership, Occupational Stress, And Humor Perspectives: How Nurses Manage, Brian Steven Perna May 2018

Exploring Organizational And Professional Commitment, Servant Leadership, Occupational Stress, And Humor Perspectives: How Nurses Manage, Brian Steven Perna

Dissertations

The primary research objective of this study was to explore how nurses’ communication influences organizational commitment, professional commitment, servant leadership, occupational stress, and humor use. These concepts were approached qualitatively to obtain deep and rich information about communication influences on nurses’ work lives.

A total of 34 nurse participants from network sampling and snowball sampling techniques were interviewed for this study, most from a medium-sized southeastern hospital. Specifically, semi-structured interviews were conducted where participants were asked to provide perspectives regarding communication events of organizational commitment, professional commitment, servant leadership, occupational stress, and humor use. These perspectives were analyzed using Strauss ...


The Language Barrier In Healthcare: Quality Of Care And Health Literacy, Jacob Warren Garrett May 2018

The Language Barrier In Healthcare: Quality Of Care And Health Literacy, Jacob Warren Garrett

Honors Theses

As the number of Spanish speaking immigrants coming to the United States increases, there will also be an increase in the number of LEP patients will seek medical care. In Hattiesburg, Mississippi alone there are over 7,000 people listed as Hispanic/Latino (2010 Census, U.S.gov). This research examines the experiences of LEP patients in the Hattiesburg area and focuses on three main areas: (1) if a language barrier exists for these patients when they seek care (2) if the quality of care of these patients is affected by the inability of the patient and provider to orally ...


Feeding Behaviors And The Child With Posterior Tongue-Tie : Comparison To Norms., Mckenzie Sexton May 2018

Feeding Behaviors And The Child With Posterior Tongue-Tie : Comparison To Norms., Mckenzie Sexton

Electronic Theses and Dissertations

The tongue is an important muscle used in speech, mastication, swallowing, and breastfeeding. It plays an important role in facial development, dentition, and periodontal status. Posterior ankyloglossia, also known as posterior tongue-tie (PTT), is characterized by a tether beneath the lingual mucosa. Upon visual inspection, the frenulum is non-prominent but with the use of a grooved director it may appear abnormally prominent, short, thick, or cord-like. Palpation of the frenulum may reveal tightness. There is a lack of empirical data about PTT and the impact on feeding beyond early infancy. PTT is not well recognized and can be missed resulting ...


Where Trying To Conceive Becomes A Community Effort: A Digital Ethnography Of Online Infertility Forums, Megan Burns Apr 2018

Where Trying To Conceive Becomes A Community Effort: A Digital Ethnography Of Online Infertility Forums, Megan Burns

Sociology Honors Papers

Online forums for women using in vitro fertilization (IVF), or similar assisted reproductive technologies (ARTs), provide a useful setting to further evaluate and understand women’s expectations of motherhood, the relationship infertile women have with physicians and biomedicine, and their interactions on the forums. Some critics of ARTs consider them a tool of oppression in a pronatalist state. The pressure and desire to become a biological mother leads the women with access to these technologies to use them regardless. Through digital ethnographic research on four online ART forums, this research examines the intersection of altruism and self-interest in the ways ...


The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer Apr 2018

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design ...


Egg Awareness, Hailee J. French Mar 2018

Egg Awareness, Hailee J. French

Agricultural Education and Communication

In 2008, Proposition 2 passed, forcing all egg producers in California to provide more room inside of cages to their laying hens. The Humane Society of the United States [HSUS] initiated this battle and won but, less than a decade later decided that still wasn’t enough room for the birds. HSUS is now pushing to have a new measure on the ballot in November 2018 forcing all egg producers in California to produce their eggs cage free.

This project will survey the California Polytechnic State University, San Luis Obispo campus to gauge the campus’s understanding of egg production ...


Spark: The Key To Their Success, Brittany L. Bromberg Mar 2018

Spark: The Key To Their Success, Brittany L. Bromberg

Communication Studies

This study looks at what motivates students to chose a particular yoga studio in the San Luis Obispo area. The four flows of organizational communication were applied to discover what allows yoga studios to be successful. The study will uncover the research question: Using the four flows of organizational communication, why do students attend Spark Yoga over other studios in the San Luis Obispo area? Surveys and interviews were conducted to collect data in order to answer the research question. Overall, the findings showed that students attend Spark yoga over other studios in the area due to strong word of ...


To Be The Golden Girl: Disordered Eating Within Figure Skating, Giulia Christine Thomas Mar 2018

To Be The Golden Girl: Disordered Eating Within Figure Skating, Giulia Christine Thomas

Communication Studies

No abstract provided.


A Foucauldian Genealogical Analysis Of Healthy Eating Education Materials In Ontario 1942-2015, Janet N. Loughheed Feb 2018

A Foucauldian Genealogical Analysis Of Healthy Eating Education Materials In Ontario 1942-2015, Janet N. Loughheed

Electronic Thesis and Dissertation Repository

This study examines the introduction of the Official Food Rules in 1942 and the formation of subsequent dietary self-analysis practices in Ontario curriculum and textbooks. Examination of the influences of nutrition science, Ontario education policy and politics, and Canadian health policies are combined with Foucauldian critical discourse analysis of selected classroom materials. The Grade 4 dietary self-analysis, based on the various forms of the food guide, from 1946, 1974 and 2011 are analysed and compared. Themes of truth, power and identity within this regime of truth are examined. The ordering of food in the Food Rules was a discursive event ...


Characterizing The Information Needs Of Rural Healthcare Practitioners With Language Agnostic Automated Text Analysis, Melissa Resnick Jan 2018

Characterizing The Information Needs Of Rural Healthcare Practitioners With Language Agnostic Automated Text Analysis, Melissa Resnick

UT SBMI Dissertations (Open Access)

Objectives – Previous research has characterized urban healthcare providers' information needs, using various qualitative methods. However, little is known about the needs of rural primary care practitioners in Brazil. Communication exchanged during tele-consultations presents a unique data source for the study of these information needs. In this study, I characterize rural healthcare providers' information needs expressed electronically, using automated methods.

Methods – I applied automated methods to categorize messages obtained from the telehealth system from two regions in Brazil. A subset of these messages, annotated with top-level categories in the DeCS terminology (the regional equivalent of MeSH), was used to train text ...


Quitting Together: Formative Research To Develop A Social Marketing Plan For Smoking Cessation Among Women In A Residential Treatment Facility For Substance Abuse Recovery, August D. Anderson Jan 2018

Quitting Together: Formative Research To Develop A Social Marketing Plan For Smoking Cessation Among Women In A Residential Treatment Facility For Substance Abuse Recovery, August D. Anderson

Theses and Dissertations--Communication

Both smoking addiction and illicit substance abuse are prevalent issues in the United States today. Furthermore, these are issues that have significant impact on women’s health and mental state. Despite research that shows that smoking cessation coupled with substance abuse recovery can decrease likelihood of relapse post-recovery, few substance abuse recovery facilities today offer smoking cessation programming options. To address the issue of smoking addiction on top of substance abuse recovery, formative research was conducted through this study to determine the underlying causes of smoking habits coupled with recovery efforts and the attitudes. Through focus group sessions with women ...


Acceptability Study And Pilot Rct Of A Guide To Understanding Reproductive Health For Ladeez (Gurhl) Code: An Hiv Risk Reduction App Intervention For Black And Latina Young Women In New York City, Sonia K. Gonzalez Gladstein Jan 2018

Acceptability Study And Pilot Rct Of A Guide To Understanding Reproductive Health For Ladeez (Gurhl) Code: An Hiv Risk Reduction App Intervention For Black And Latina Young Women In New York City, Sonia K. Gonzalez Gladstein

Dissertations and Theses

Background: Young Black and Latina women suffer from higher sexually transmitted disease (STD) incidences than White women, increasing their susceptibility to contracting human immunodeficiency virus (HIV). The adoption and widespread usage of mobile devices has contributed to the public’s ability to access available information at all hours, including information on sexual and reproductive health (SRH). Despite a growing body of mobile health literature, there is limited understanding of how mobile-based sexual and reproductive health interventions for use by young adult Black and Latina women could improve sexual health knowledge and connection to clinical care.

Methods: This pilot randomized controlled ...


Behavioral Style Indicators Of Communication And Professionalism In A Family Medicine Residency, Jillian Marie Atherton Jan 2018

Behavioral Style Indicators Of Communication And Professionalism In A Family Medicine Residency, Jillian Marie Atherton

Online Theses and Dissertations

This study examined DiSC behavioral style profiles and their indications of Communication and Professionalism for family medicine residents. DiSC profile reports, and ACGME Milestone Project Communication and Professionalism competency scores were used as predictive variables for the purpose of this study. Data were collected from the University of Kentucky Department of Family & Community Medicine residency program. The analysis of the results revealed that the "I" DiSC profile type scored the lowest Professionalism and Communication milestone scores among all four profile types. Further, "C" DiSC profile types scored the highest among all four profile types in Communication milestone scores; and "S" DiSC profile types scored the highest among all four profile types in Professionalism milestone scores. Recommendations for curricula policy and implications for future research are provided.


Communicating Colorectal Cancer Risk To Average Risk Adults: Examining The Impact On Risk Perceptions And Health Behavior Intentions, Carrie A. Miller Jan 2018

Communicating Colorectal Cancer Risk To Average Risk Adults: Examining The Impact On Risk Perceptions And Health Behavior Intentions, Carrie A. Miller

Theses and Dissertations

Background. CRC risk can be reduced though lifestyle modification and regular screenings. Providing CRC risk feedback that promotes preventive behaviors to those at average risk has the potential to significantly reduce CRC morbidity and mortality.

Purpose. The purpose of this dissertation was to examine the impact of CRC risk assessment feedback among adults aged 50-75 with no personal or family history of the disease. The specific aims were to: (1a) test personalized (vs. generic) risk assessment feedback on individuals’ risk perceptions and intentions to engage in three risk-reducing behaviors (e.g., physical activity, diet, and screening); (1b) determine if the ...


Orthodontists’ And Patients’ Preferences In Website Design In The Selection Of An Orthodontic Practice: A Comparative Study, Taylor R. Brown Jan 2018

Orthodontists’ And Patients’ Preferences In Website Design In The Selection Of An Orthodontic Practice: A Comparative Study, Taylor R. Brown

Theses and Dissertations

Objective: To determine which website characteristics are preferred by orthodontists, adult patients, and parents of patients.

Materials and Methods: 1,000 active members of the American Association of Orthodontists and 750 active orthodontic patients/parents were sampled. Participants rated the importance of website characteristics, indicated presence of those characteristics on the current website, and ranked sample website images. Preferences were compared between orthodontist and the patient/parent group using t-tests and sample websites were compared using ANOVA models and Tukey’s adjusted post-hoc tests. Significance level was set at 0.05.

Results: 11 of the 16 website features showed significant ...


Self-Disclosure, Gender, And Patient Satisfaction In The Doctor-Patient Relationship, Khadiza Tul Jannat Jan 2018

Self-Disclosure, Gender, And Patient Satisfaction In The Doctor-Patient Relationship, Khadiza Tul Jannat

All Theses, Dissertations, and Other Capstone Projects

It has been well established that the doctor-patient relationship is integral for providing quality health care and sustaining patient satisfaction. Additionally, research has indicated that doctors' self-disclosure is considered as an essential interpersonal component of relational development. In terms of the doctor-patient interaction, previous research has produced numerous studies investigating the relationship between doctors' communication behaviors and patient satisfaction. Scholars have also explored how communication styles are associated with doctors' gender, and patient satisfaction. However, there is still a gap in the existing research concerning the connections between doctors' self-disclosure, gender, and patient satisfaction in doctor-patient interactions. My qualitative study ...


A Study On Infertility Disclosure And Social Support: Communication Variance Between Familial Dyads, Emily Vanwiel Jan 2018

A Study On Infertility Disclosure And Social Support: Communication Variance Between Familial Dyads, Emily Vanwiel

Honors Theses at the University of Iowa

The present study examines whether avoiding disclosure of infertility to in-laws causes an increase in fertility related distress, as well as communication rules about said disclosure between partners. There are many current studies about disclosure and social support for women with infertility as well as studies about communication with in-laws but not much research combining these theoretical frameworks. Further research about communication rules and fertility related stress in the event of disclosure to in-laws could improve therapeutic care and guidance for infertile women. It could also improve therapy for couples by examining the strain in relationships caused by communication with ...