Filtering by
- Creators: Barrett, The Honors College
In a healthcare system already struggling with burnout among its professionals, the COVID-19 pandemic presented a barrage of personal and occupational strife to US healthcare workers. Structural and everyday discrimination contributed to the health inequities of people of color in the US, exacerbated by COVID-19-related racism and xenophobia. There is little research regarding the effects of COVID-19 and related and/or concurring discrimination upon minority nursing staff, despite their importance in supporting the diverse American patient population with culturally competent, tireless care amid the pandemic. This cross-sectional survey study aimed to examine 1) the relationships between discrimination, social support, resilience, and quality of life among minority nursing staff in the US during COVID-19, and 2) the differences of discrimination, social support resilience, and quality of life among minority nursing staff between different racial/ethnic groups during COVID-19. The sample (n = 514) included Black/African American (n = 161, 31.4%), Latinx/Hispanic (n = 131, 25.5%), Asian (n = 87, 17%), Native American/Alaskan Native (n = 69, 13.5%), and Pacific Islander (n = 65, 12.7%) nursing staff from 47 US states. The multiple regression results showed that witnessing discrimination was associated with a lower quality of life score, while higher social support and resilience scores were associated with higher quality of life scores across all racial groups. Furthermore, while participants from all racial groups witnessed and experienced discrimination, Hispanic/Latinx nursing staff experienced discrimination most commonly, alongside having lowest quality of life and highest resilience scores. Native American/Alaskan Native nursing staff had similarly high discrimination and low quality of life, although low resilience scores. Our findings suggest that minority nursing staff who have higher COVID-19 morbidity and mortality rates (Hispanic/Latinx, Native American/Alaskan Native) were left more vulnerable to negative effects from discrimination. Hispanic/Latinx nursing staff reported a relatively higher resilience score than all other groups, potentially attributed to the positive effects of biculturality in the workplace, however, the low average quality of life score suggests a simultaneous erosion of well-being. Compared to all other groups, Native American and Alaskan Native nursing staff’s low resilience and quality of life scores suggest a potential compounding effect of historical trauma affecting their well-being, especially in contrast to Hispanic/Latinx nursing staff. This study has broader implications for research on the lasting effects of COVID-19 on minority healthcare workers’ and communities’ well-being, especially regarding Hispanic/Latinx and Native American/Alaskan Native nursing staff.
Method: Two hundred twenty three 2nd graders with typical development, dyslexia, developmental language disorder (DLD), or dyslexia/DLD completed three central executive tasks from the Comprehensive Assessment Battery for Children–Working Memory (Gray, Alt, Hogan, Green, & Cowan, n.d.). Parents of the children completed the ADHD Rating Scale-IV: Home Version for their child. None of the participants had been diagnosed with ADD/ADHD
Results: When diagnostic group performance was compared we found significant differences on each central executive task. When ADHD group performance was compared we found a significant between-group performance only on the n-back visual task with the high-risk group scoring lower than the other two groups. ADHD rating scores predicted a significant amount of variance for each central executive task, but percentages were small (3%-6%).
Discussion: Working memory is known to be related to attention control. Stronger attentional control is associated with a higher working memory performance. Our study showed that children most at risk for ADD/ADHD based on parent ratings scored lowest on the visuospatial task, likely because rehearsal of visuospatial information is not possible so relies more heavily on attention. This study is a step toward considering how attention affects working memory performance so that both can be considered when designing instruction and interventions.