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- Creators: Arizona State University
- Creators: Barrett, The Honors College
Description
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.
ContributorsLaufer, Annika Noreen (Author) / Chen, Angela (Thesis director) / Fries, Kathleen (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
During the COVID-19 pandemic, increased burdens have been placed on the Arizona healthcare system, and its healthcare providers. Using a survey with a sample of N=308 prescribing providers and nurses in the Arizona healthcare system, the impact of COVID-19 on the wellbeing of healthcare providers was assessed. The survey used measures to evaluate for physical and emotional wellbeing, burnout, stressors associated with COVID-19, and work-life experiences, and found an overall negative impact on the wellbeing of healthcare workers during the COVID-19 pandemic with increased levels of reported stress and tiredness, concern for the health of family and loved ones, concern for the hardships of patients, lack of alignment between organizational priorities and personal values, and low levels of support and appreciation from socially and from leadership at work.
ContributorsJohnson, Emma Carina (Author) / Schuster, Roseanne (Thesis director) / Michalec, Barret (Committee member) / School of Molecular Sciences (Contributor) / School of Human Evolution & Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Same-sex couples establish and maintain relationships for many of the reasons heterosexuals do, even without widespread acceptance. The manner in which couples maintain their relationships constitutes a subject of considerable research, though such research has primarily examined heterosexuals. Yet, two studies have evaluated relational maintenance behaviors for same-sex couples and heterosexuals: Haas and Stafford (1998, 2005). Although these studies found similarities between heterosexual and homosexual relationships, significant differences emerged involving social networks and meta-relational talk. Haas and Stafford attributed these differences to the lack of societal and legal support. The present thesis examined empirically the link between perceived social approval, and relational maintenance behaviors, focusing on differences between cross-sex and same-sex involvements. Dainton and Stafford's (1993) typology of social network compositions, measures of social approval and encouragement based on Felmlee (2001), and Canary and Stafford's (1992) five behavior relational maintenance typology tool with Haas and Stafford's (2005) measures of meta-relational talk were utilized for an online survey. A total of 157 online, geographically diverse surveys were collected from heterosexual and homosexual individuals involved stable, intimate relationships. Unique to this study, results demonstrate significant correlations between overall social approval and the use of relational maintenance behaviors for both heterosexual and same-sex couples. Previous literature has linked lack of social approval with the use of unique maintenance strategies employed by same-sex couples; however, findings from the present study do not support this. Interestingly, increases in overall social approval, not decreases, are positively correlated with the use of meta-relational talk for same-sex couples.
ContributorsMcDonald, Patrick (Author) / Alberts, Jess K. (Thesis advisor) / Canary, Daniel J. (Thesis advisor) / Guerrero, Laura (Committee member) / Trethewey, Angela (Committee member) / Arizona State University (Publisher)
Created2011
Description
ABSTRACT Caregiving studies generally do not focus on the post-caregiving phase of care, or African Americans post-caregivers (AAPCGs). This mixed-methods study guided by the Transitions Theory, explored the experiences of 40 AAPCGs residing in Los Angeles, California and Phoenix, Arizona, whose loved ones died within the last 10 years. Data collection tools included individual interviews, demographic questionnaire, CES-D, Brief Cope, and Social Support. Findings present the specific aims of the study. Aim 1 dealt with the types, patterns and properties of post-caregiving transitions (PCT). Many AAPCGs experienced multiple, simultaneous transitions that continued to impact their lives many years after caregiving ends. Aim 2 dealt with factors that facilitate or inhibit healthy PCT. Facilitators include: Being satisfied with care provided; fulfilling death-bed promises; living out the legacy of the deceased; deep spiritual beliefs in God and support of family, friends and church. Inhibitors include: Experiencing a deep sense of loss, confusion, depression, loneliness, and guilt; physical challenges such as fatigue and exhaustion, breathing problems, dizziness, fainting, cognitive difficulties, pain, headaches, hypertension and insomnia; family conflicts, job or home loss that linger long after PCT. Aim 3 involves process indicators including: connectedness with family, friends, co-workers, church and God; returning to work or school. Coping strategies that helped AAPCGs include: productive ventures, family mementoes, reminiscing, new baby, or visiting cemetery. Appropriate coping led to outcome indicators of mastery such as new environment; making decisions; taking actions; readying oneself for another caregiving role; preparing for one's own life and death; or caring for self. Fluid integrative identities include: Sense of balance, peacefulness and joy, fulfillment, compassion; remembering without pain; or new identity. Implications for practice, policy, education and research include: Care providers and policy makers must ensure that AA caregivers receive adequate EOL and hospice information and support for adequate preparation of loved one's death. Geriatric educators must design and implement curricular programming that includes the post-caregiving phase as a very important phase of caregiving. Researchers should design culturally-congruent assessment tools or improve the checklist developed in this study to appropriately measure PCT; and also develop culturally-relevant interventions to facilitate healthy PCT.
ContributorsUme, Ebere Peace (Author) / Evans, Bronwynne C. (Thesis advisor) / Coon, David W. (Thesis advisor) / Keller, Colleen S (Committee member) / Arizona State University (Publisher)
Created2013
Description
Researchers have found inconsistent effects (negative or positive) of social relationships on self-control capacity. The variation of findings may depend on the aspects of social relationships. In this study, rather than examining overall social relationships and self-control, characteristics in social relationships were clearly defined, including social support, social connection and social conflict, to determine their specific effects on self-control. An online survey study was conducted, and 292 college students filled out the survey. For data analysis, path analysis was utilized to examined the direct effect and indirect effect from social relationships to self-control. Results showed social connection and social conflict may indirectly associate with self-control through stress, but social support does not. It may suggest, in traditional stress buffering model, it is the social connection in social support that really reduce the stress. Concerning the direct effects, social support and social connection were significantly associated with self-control directly, but social conflict does not. This result may support the Social Baseline Theory that positive social relationships have direct regulating effects. Results are good for guidance of experimental manipulation of social relationships in study of social influences of self-control.
ContributorsGuan, Xin (Author) / Burleson, Mary (Thesis advisor) / Roberts, Nicole (Committee member) / Schweitzer, Nicholas (Committee member) / Arizona State University (Publisher)
Created2012
Description
ABSTRACT The major hypothesis tested in this research is that the psychological well-being and life satisfaction of elderly adult individuals can be predicted from religiosity (organizational and non-organizational religious beliefs and behaviors). The sample consisted of 142 adults between the ages of 65-90, with the majority in the 65-70 age group (48%) (SD = 1.176). The entire sample resides in the state of Arizona, in both urban and rural communities. Participants were administered a questionnaire which requested demographic information, and three instruments: the Duke University Religion Index (the DUREL), and the Affect Balance Scale and the Life Satisfaction Index - Z (LSIZ). Correlational and Multiple regression analyses were used to examine the relation between these adults' psychological well-being, life satisfaction and their religiosity. Independent t-tests were also used to examine possible sex, ethnic and religiosity effects on psychological well-being and life satisfaction. Findings revealed that psychological well-being and life satisfaction are higher when religiosity is higher, regardless of sex or ethnicity. These findings are consistent with those of previous research in this field.
ContributorsMoreno-Weinert, Inez (Author) / Moore, Elsie (Thesis advisor) / Nakagawa, Kathryn (Committee member) / Ladd, Becky (Committee member) / Cohen, Adam (Committee member) / Arizona State University (Publisher)
Created2012
Description
Social learning theory has enjoyed decades of supportive research and has been applied to a wide range of criminal and deviant behavior. Still eluding criminological theorists, however, is a meaningful understanding of the causal processes underlying social learning. This lack of knowledge is due in part to a relative reluctance to examine value transmission as a process in the contexts of mentorship, role modeling, and social learning. With this empirical gap in mind, the present study seeks to isolate and classify meaningful themes in mentorship through loosely structured interviews with young men on the periphery of the criminal processing system. The purposive sample is drawn from youth in a Southwestern state, living in a state-funded, privately run group home for children of unfit, incarcerated, or deported/undocumented parents. The youth included in the study have recently passed the age of eighteen, and have elected to stay in the group home on a voluntary basis pending the completion of a High School diploma. Further, both the subjects and the researcher participate in a program which imparts mentorship through art projects, free expression, and ongoing, semi-structured exposure to prosocial adults. This study therefore provides a unique opportunity to explore qualitatively social learning concepts through the eyes of troubled youth, and to generate new lines of theory to facilitate the empirical testing of social learning as a process. Implications for future research are discussed.
ContributorsCesar, Gabriel T Gilberto (Author) / Pratt, Travis C. (Thesis advisor) / Wright, Kevin A. (Committee member) / Ready, Justin T. (Committee member) / Arizona State University (Publisher)
Created2012
Description
Introduction: Several faith-based or faith-placed programs have focused on the physical dimension of wellness in efforts to improve health by increasing physical activity and improving diet behaviors. However, these programs were not designed to intervene on the mental dimension of wellness which is critical for stress reduction and health behavior change. Purpose: To evaluate the feasibility of a spirituality-based stress reduction and health behavior change intervention using the Spiritual Framework of Coping (SFC) model. Methods: This study was a quasi-experimental one group pretest posttest design. The study was a total of eight weeks conducted at a non-denominational Christian church. Participants were recruited from the church through announcements and flyers. The Optimal Health program met once a week for 1.5 hours with weekly phone calls during an additional four week follow-up period. Feasibility was assessed by the acceptability, demand, implementation, practicality, integration, and limited efficacy of the program. Analysis: Frequencies for demographics were assessed. Statistical analyses of feasibility objectives were assessed by frequencies and distribution of responses to feasibility evaluations. Limited efficacy of pretest and posttest measures were conducted using paired t-test (p <.05). Results: The Optimal Health Program was positively accepted by participants. The demand for the program was shown with average attendance of 78.7%. The program was successfully implemented as shown by meeting session objectives and 88% homework completion. The program was both practical for the intended participants and was successfully integrated within the existing environment. Limited efficacy changes within the program were mostly non-significant. Conclusion: This study tested the feasibility of implementing the Optimal Health program that specifically targeted the structural components of the Spiritual Framework of Coping Model identified to create meaning making and enhance well-being. This program may ultimately be used to help individuals improve and balance the spiritual, mental, and physical dimensions of wellness. However, length of study and limited efficacy measures will need to be reevaluated for program success.
ContributorsWalker, Jenelle R (Author) / Swan, Pamela (Thesis advisor) / Ainsworth, Barbara (Committee member) / Chisum, Jack (Committee member) / Fleury, Julie (Committee member) / Hooker, Steven (Committee member) / Arizona State University (Publisher)
Created2012
Description
With an excessive amount of resources in the United States healthcare system being spent on the treatment of diseases that are largely preventable through lifestyle change, the need for successful physical activity interventions is apparent. Unfortunately an individual's physical activity and health goals are often not supported by the social context of their daily lives. This single-case design study, Walking Intervention through Text messaging for CoHabiting individuals (WalkIT CoHab), looks at the efficacy of a text based adaptive physical activity intervention to promote walking over a three month period and the effects of social support in intervention performance in three pairs of cohabiting pairs of individuals (n=6). Mean step increase from baseline to intervention ranged from 1300 to 3000 steps per day for all individuals, an average 45.87% increase in physical activity. Goal attainment during the intervention ranged from 43.96% to 71.43%, meaning all participants exceeded the 40% success rate predicted by 60th percentile goals. Social support scores for study partners, unlike social support scores for family and friends, were often in the high social support range and had a moderate increase from pre to post visits for most participants. Although there was variation amongst participants, there was a high correlation in physical activity trends and successful goal attainment in each pair of participants. Less ambitious percentile goals and more personalized motivational text messages might be beneficial to some participants. An extended intervention, something the majority of participants expressed interest in, would further support the efficacy of this behavioral intervention and allow for possible long term benefits of social support in the intervention to be investigated.
ContributorsFernandez, Jacqueline Alyssa (Author) / Adams, Marc (Thesis director) / Angadi, Siddhartha (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2015-05
Description
We live in a world of inequality. Some thrive and live luxurious lives while others are deprived of the most basic necessities. With such extreme differences the question is raised, what is our moral obligation to help others? I will examine two theories, Peter Singer's utilitarian theory and Michael Slote's care ethical approach, both of which outline humankind's moral obligation to help others. I will argue that Slote's approach to tackling this complex question is superior to Singer's approach, because it is more palatable and embraces human nature. I will then suggest a strategy to synthesize the two concepts, resulting in global and personal moral elevation.
ContributorsMoore, Ashley Nicole (Author) / Brake, Elizabeth (Thesis director) / Botham, Thad (Committee member) / Barrett, The Honors College (Contributor) / WPC Graduate Programs (Contributor) / W. P. Carey School of Business (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Accountancy (Contributor)
Created2015-05