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Within the pediatric hospitalization experience, fear and anxiety are two emotions commonly felt by children of all ages. Hospitalized children can greatly benefit from interventions designed to help them cope with these emotions throughout their medical experiences. This study draws on each of our clinical experiences as volunteers at Phoenix

Within the pediatric hospitalization experience, fear and anxiety are two emotions commonly felt by children of all ages. Hospitalized children can greatly benefit from interventions designed to help them cope with these emotions throughout their medical experiences. This study draws on each of our clinical experiences as volunteers at Phoenix Children’s Hospital, and uses a qualitative analysis of three semi-structured interviews with currently employed Child Life Specialists to understand and analyze the use of medical play, a form of play intervention with a medical theme or medical equipment. We explore the goals and benefits of medical play for hospitalized pediatric patients, the process of using medical play as an intervention, including the activity design process, the assessments and adjustments made throughout the child’s hospitalization, and the considerations and limitations to implementing medical play activities. Ultimately, we found that the element of fun that defines play can be channeled into medical play activities implemented by skilled Child Life Specialists, who are experts in their field, in clinical settings to promote several different and beneficial goals, including pediatric patient coping.

ContributorsGarciapena, Danae (Co-author) / Aguiar, Lara (Co-author) / Loebenberg, Abby (Thesis director) / Swanson, Jodi (Committee member) / College of Health Solutions (Contributor) / School of Mathematical and Natural Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description

Within the pediatric hospitalization experience, fear and anxiety are two emotions commonly felt by children of all ages. Hospitalized children can greatly benefit from interventions designed to help them cope with these emotions throughout their medical experiences. This study draws on each of our clinical experiences as volunteers at Phoenix

Within the pediatric hospitalization experience, fear and anxiety are two emotions commonly felt by children of all ages. Hospitalized children can greatly benefit from interventions designed to help them cope with these emotions throughout their medical experiences. This study draws on each of our clinical experiences as volunteers at Phoenix Children’s Hospital, and uses a qualitative analysis of three semi-structured interviews with currently employed Child Life Specialists to understand and analyze the use of medical play, a form of play intervention with a medical theme or medical equipment. We explore the goals and benefits of medical play for hospitalized pediatric patients, the process of using medical play as an intervention, including the activity design process, the assessments and adjustments made throughout the child’s hospitalization, and the considerations and limitations to implementing medical play activities. Ultimately, we found that the element of fun that defines play can be channeled into medical play activities implemented by skilled Child Life Specialists, who are experts in their field, in clinical settings to promote several different and beneficial goals, including pediatric patient coping.

ContributorsAguiar, Lara (Co-author) / Garciapeña, Danae (Co-author) / Loebenberg, Abby (Thesis director) / Swanson, Jodi (Committee member) / School of Life Sciences (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Midlife is a unique period of development during which individuals are simultaneously engaging in multiple roles. Despite this, there is a surprisingly small amount of research on this period of the life course. In order to examine sources of adversity during this period, we analyzed interviews with individuals in midlife

Midlife is a unique period of development during which individuals are simultaneously engaging in multiple roles. Despite this, there is a surprisingly small amount of research on this period of the life course. In order to examine sources of adversity during this period, we analyzed interviews with individuals in midlife about their greatest challenge. The most common themes for types of adversity included relationships, health, and work, reflecting the unique combination of roles in midlife.

ContributorsMattern, Cameron Michele (Author) / Infurna, Frank (Thesis director) / Corbin, William (Committee member) / Grimm, Kevin (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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The following paper explores the various effects of stress on the endocrine system. Many understand that being stressed can jeopardize maintaining adequate health, but what specifically happens when humans are stressed? Why does stress affect human health? This paper delves into background information, previous research, and the depths to which

The following paper explores the various effects of stress on the endocrine system. Many understand that being stressed can jeopardize maintaining adequate health, but what specifically happens when humans are stressed? Why does stress affect human health? This paper delves into background information, previous research, and the depths to which stress negatively affects the body. The effects stress has on the endocrine system, specifically on the hypothalamic-pituitary-thyroid axis (HPT) and hypothalamic-pituitary-adrenal axis (HPA), is discussed, and additionally, at home de-stressing methods are researched. The study included a set of participants at Arizona State University. The method took place over the course of 2 weeks: one normal week, and the other with the implementation of a de-stressing method. The normal week involved the participants living their daily lives with the addition of a stress-measuring survey, while the second week involved implementing a de-stressing method and stress-measuring survey. The purpose of this study was to discover if there was a correlation between performing these relaxation activities and decreasing stress levels in ASU students. The results found that students reported they felt more relaxed and calm after the activities. Overall, this thesis provides information and first hand research on the effects of stress and stress-reducing activities and discusses the importance of maintaining lower stress levels throughout everyday life.

ContributorsGebara, Nayla F (Co-author) / Weissmann, Megan (Co-author) / Don, Rachael (Thesis director) / Irving, Andrea (Committee member) / Kizer, Elizabeth (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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The aim of this review is to explore the effects of mindfulness-based interventions on Registered Nurse's rate of burnout and stress. Particularly focusing on the mitigation and decrease of burnout. Burnout is a multifaceted, complex issue that has become engrained in the culture of nursing and a widespread epidemic. Burnout

The aim of this review is to explore the effects of mindfulness-based interventions on Registered Nurse's rate of burnout and stress. Particularly focusing on the mitigation and decrease of burnout. Burnout is a multifaceted, complex issue that has become engrained in the culture of nursing and a widespread epidemic. Burnout has detrimental effects for the quality of life of the nurse, patient outcomes, interprofessional collaboration, and nursing practice. A systematic literature review incorporating qualitative data and analyzing the quantitative data was conducted. Studies on the effects of mindfulness-based interventions for nurses relating to burnout published between January 2008 and May 2018 were identified through a systematic search in electronic databases: CINHAL, Cochrane, Embase, Medline, PsycInfo, and PubMed. Gray literature was searched through Scopus and clinical trials were explored through clincialtrials.gov. Data analysis was based on 8 data points that were extracted from the research. A total of 17 articles were selected for inclusion in the systematic literature review. There were several different types of studies including single group intervention study, randomized control trial interventions studies, mixed model, quasi-experimental studies with controls, and a non-randomized controlled comparison. All relied on self-reporting scales and questionnaire for quantitative pre-post intervention changes. Overall, the 10 of the 17 studies found that there was a statistically significant decrease in burnout rates and an increase in mindfulness post intervention. Several other factors improved in a number of studies such as quality of life, decreased stress, increased sense of personal accomplishment, and decreased emotional exhaustion. There were also indications of an improvement in the individual's holistic well-being (e.g. inner state of calmness, awareness and enthusiasm) relating to improved mindfulness levels in 12 of the studies. Based on the results of this systematic review, mindfulness may be considered a potentially effective intervention for decreasing nurse burnout and mitigating future burnout. This intervention could be useful in a number of contexts including on-site and off-site programs with institutional support. Future research should explore longitudinal outcomes of mindfulness practice, symptom focused outcome measures, and multi-modal studies.
ContributorsGeurtz, Heidi Frances (Author) / Larkey, Linda (Thesis director) / Costello, Jennifer (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
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Self-regulation in the form of coping with emotions is something that most people have effectively adapted to by adulthood. This is an organically learned process that begins in early childhood through play, parenting, education, and peer interactions. This study examines whether six children aged 4-5 (M age= 4.72, SD= 0.372,

Self-regulation in the form of coping with emotions is something that most people have effectively adapted to by adulthood. This is an organically learned process that begins in early childhood through play, parenting, education, and peer interactions. This study examines whether six children aged 4-5 (M age= 4.72, SD= 0.372, 50% female, 100% Caucasian) are able to understand basic emotions and how to cope with them through one of two protocols. The conditions were either directive instruction or embodied cognition, and children were evaluated with a pre and post-test measure. Findings did not indicate any significant effect of the conditions on memorizing coping mechanisms, nor did it indicate that there was a significant improvement in emotion understanding following the sessions. These findings were limited by the sample size and participant interest.
ContributorsLittell, Naila Sabre (Co-author) / Frutiger, Kiana (Co-author) / Fey, Richard (Thesis director) / Kupfer, Anne (Committee member) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
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How adolescents cope with stress impacts all aspects of their lives and is particularly important during the transition to college, a time were adolescents are at risk for negative physical and mental health outcomes. What has not yet been studied is how coping impacts the type of romantic relationship adolescents

How adolescents cope with stress impacts all aspects of their lives and is particularly important during the transition to college, a time were adolescents are at risk for negative physical and mental health outcomes. What has not yet been studied is how coping impacts the type of romantic relationship adolescents engage in. Data from a longitudinal study, which featured baseline measures as well as twice weekly diary assessments, was used to assess how coping style, commitment level, partner conflict, and sexual risk at baseline was associated with number of romantic partners and relationship duration over the transition to college. There was no significant association between coping and number of romantic partners or relationship duration. Increased partner conflict was associated with lower relationship duration, while higher levels of commitment were associated with higher relationship durations. Adolescents' sexual risk score was negatively correlated with number of romantic partners. Limitations as well as directions for future research are discussed.
ContributorsManning, Jonathan Michael (Author) / Thao Ha, Phuong (Thesis director) / Doane, Leah (Committee member) / Department of English (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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As the complexity and severity of hospitalized patients increase, nurses working in an acute care setting will experience patient deaths. From novice to expert, nurses may utilize a range of coping strategies. When the patient is a pediatric patient, the coping strategies become critical. The purpose of this study is

As the complexity and severity of hospitalized patients increase, nurses working in an acute care setting will experience patient deaths. From novice to expert, nurses may utilize a range of coping strategies. When the patient is a pediatric patient, the coping strategies become critical. The purpose of this study is to explore the coping strategies used by novice and expert nurses when a pediatric patient dies. The second objective is to compare the coping strategies used by novice and expert nurses. The final objective is to determine if nurses feel nursing school and employee training prepared them for the death of a pediatric patient. Research has shown that nurses use many different coping strategies when faced with a patient's death (Abdullah, 2015; Kellogg, Baker, & McCune, 2014; Plante & Cry, 2011). Expert nurses who have years of experience should have more options for coping strategies than novice nurses, yet there is little evidence to support this. This qualitative descriptive study used structured in-depth interviews to explore the coping strategies of pediatric nurses when experiencing a patient's death. Using thematic analysis, transcripts of the interviews were coded such that themes emerged. Themes for novice nurses were compared to expert nurses. These themes were also placed into concepts that encompassed many similar themes. The findings help determine that there is a difference in the coping mechanisms used by novice and expert nurses, and there is a need for more education on coping strategies after the death of a pediatric patient.
Created2017-05
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Sexual assault affects hundreds of thousands of individuals every year. College students are especially at risk as women ages 18-24 are 3 times more likely to be a victim of sexual assault than other females (Campus Sexual Violence, n.d.). Because victims of sexual assault can experience negative sequelae for weeks,

Sexual assault affects hundreds of thousands of individuals every year. College students are especially at risk as women ages 18-24 are 3 times more likely to be a victim of sexual assault than other females (Campus Sexual Violence, n.d.). Because victims of sexual assault can experience negative sequelae for weeks, months, and even years after the incident occurs, it is critical to provide them with easily accessible help and guidance. For my thesis project, I investigated how sexual assault influences these victims' lives as well as what help is readily accessible to them. After researching sexual assault in college students and reading through many websites, articles, and journals, I researched the types of information provided to sexual assault victims through the websites of national sexual violence organizations. I then coded the websites of Arizona colleges and universities (N = 10) for the topics covered in their sites. Because several of these colleges had inadequate material on their websites, I developed a website that would provide additional information to sexual assault survivors. The idea of Free Bird is to establish a safe space for victims of sexual assault to find information that will allow them to heal along their journey. I learned a lot while completing this project, and I hope that the creation of this website will allow others to become more educated on the topic and realize what a problem sexual assault is in our society today.
ContributorsMcbride, Madison (Author) / Davis, Kelly (Thesis director) / Murphy, Ana Orrantia (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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The following study was designed to better understand the perceived stress levels and common coping strategies of nursing students attending Arizona State University during the COVID-19 pandemic. Lazarus and Folkman’s (1984) transactional theory of stress and coping suggests that stress is a product of the transaction between an individual and

The following study was designed to better understand the perceived stress levels and common coping strategies of nursing students attending Arizona State University during the COVID-19 pandemic. Lazarus and Folkman’s (1984) transactional theory of stress and coping suggests that stress is a product of the transaction between an individual and their complex environment. During the COVID-19 pandemic nursing students were forced to close and utilize online learning methods to ensure the safety of students, faculty, and staff. The current study identifies the perceived stress levels and common coping strategies of undergraduate nursing students at Arizona State University. A survey was sent to the identified population which asked participants to rate their stress level of attending nursing school during COVID-19 on a scale from one to ten. In addition, the Carver’s COPE inventory was utilized to determine common coping strategies among the nursing student population. The results of this study indicate that the closure of universities, and utilization of online learning methods increased stress levels of nursing students attending Arizona State University during COVID-19. In addition, nursing students most common coping strategies were identified as the use of planning, a problem-focused coping strategy, reinterpretation and growth, and active coping.

ContributorsBillera, Ava (Author) / Savaglio, Lauren (Thesis director) / Sebren, Ann (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05