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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

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
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This research examines the communicative processes of resilience in the organizational context of public education. The research utilizes one-on-one interviews to elicit descriptions of resilience and well-being and collect stories of success and overcoming challenges. The study purpose is two-fold: (1) to understand the ways in which organizational members construct

This research examines the communicative processes of resilience in the organizational context of public education. The research utilizes one-on-one interviews to elicit descriptions of resilience and well-being and collect stories of success and overcoming challenges. The study purpose is two-fold: (1) to understand the ways in which organizational members construct and enact resilience individually and collectively through their talk and stories, and (2) to extend the communication theory of resilience through an empirical investigation of resilience in an organizational context. An iterative, thematic analysis of interview data revealed that resilience, as lived, is a socially constructed, collective process. Findings show resilience in this context is (1) socially constructed through past and present experiences informing the ways organizational members perceive challenges and opportunities for action, (2) contextual in that most challenges are perceived positively as a way to contribute to individual and organizational goals and as part of a “bigger purpose” to students, (3) interactional in that it is constructed and enacted collaboratively through social processes, (4) reciprocal in that working through challenges leads to experience, confidence, and building a repertoire of opportunities for action that become a shared experience between educators and is further reciprocated with students, and (5) is enacted through positive and growth mindsets. This study offers theoretical contributions by extending the communication theory of resilience and illuminating intersections to sensemaking, flow, and implicit person theory. I offer five primary practical applications, discuss limitations, and present future directions highlighting community development and strengths-based approaches.
ContributorsKamrath, Jessica K (Author) / Tracy, Sarah J. (Thesis advisor) / Adame, Elissa A. (Committee member) / Cloutier, Scott (Committee member) / Waldron, Vincent R. (Committee member) / Arizona State University (Publisher)
Created2018
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The resilience of infrastructure essential to public health, safety, and well-being remains a priority among Federal agencies and institutions. National policies and guidelines enacted by these entities call for a holistic approach to resilience and effectively acknowledge the complex, multi-organizational, and socio-technical integration of critical infrastructure. However, the concept of

The resilience of infrastructure essential to public health, safety, and well-being remains a priority among Federal agencies and institutions. National policies and guidelines enacted by these entities call for a holistic approach to resilience and effectively acknowledge the complex, multi-organizational, and socio-technical integration of critical infrastructure. However, the concept of holism is seldom discussed in literature. As a result, resilience knowledge among disciplines resides in near isolation, inhibiting opportunities for collaboration and offering partial solutions to complex problems. Furthermore, there is limited knowledge about how human resilience and the capacity to develop and comprehend increasing levels of complexity can influence, or be influenced by, the resilience of complex systems like infrastructure. The above gaps are addressed in this thesis by 1) applying an Integral map as a holistic framework for organizing resilience knowledge across disciplines and applications, 2) examining the relationships between human and technical system resilience capacities via four socio-technical processes: sensing, anticipating, adapting, and learning (SAAL), and 3) identifying an ontological framework for anticipating human resilience and adaptive capacity by applying a developmental perspective to the dynamic relationships between humans interacting with infrastructure. The results of applying an Integral heuristic suggest the importance of factors representing the social interior like organizational values and group intentionality may be under appreciated in the resilience literature from a holistic perspective. The analysis indicates that many of the human and technical resilience capacities reviewed are interconnected, interrelated, and interdependent in relation to the SAAL socio-technical processes. This work contributes a socio-technical perspective that incorporates the affective dimension of human resilience. This work presents an ontological approach to critical infrastructure resilience that draws upon the human resilience, human psychological development, and resilience engineering literatures with an integrated model to guide future research. Human mean-making offers a dimensional perspective of resilient socio-technical systems by identifying how and why the SAAL processes change across stages of development. This research suggest that knowledge of resilient human development can improve technical system resilience by aligning roles and responsibilities with the developmental capacities of individuals and groups responsible for the design, operation and management of critical infrastructures.
ContributorsThomas, John E. (Author) / Seager, Thomas P (Thesis advisor) / Clark, Susan (Committee member) / Cloutier, Scott (Committee member) / Fisher, Erik (Committee member) / Arizona State University (Publisher)
Created2017
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City governments are increasingly interested in the concept of urban resilience. While theoretical debates continue to develop and critique the value of ‘urban resilience,’ a growing number of cities are organizing policies and projects around the concept. Building urban resilience is viewed as a key concern for cities facing, in

City governments are increasingly interested in the concept of urban resilience. While theoretical debates continue to develop and critique the value of ‘urban resilience,’ a growing number of cities are organizing policies and projects around the concept. Building urban resilience is viewed as a key concern for cities facing, in particular, climatic threats –although other urban challenges and equity concerns are increasingly prioritized. Support from city leadership and large funding opportunities, such as the Rockefeller Foundation’s 100 Resilient Cities program, have encouraged some leading cities to create and manage city-wide resilience strategies. Yet pioneering cities have few guideposts to institutionalize resilience. This research evolved out of conversations with city officials in Portland, OR who were interested to learn how other cities were organizing resilience work. We explore how urban resilience is being structured and coordinated in 19 North American cities, focusing on emerging definitions, organizational structures, internal and external coordination efforts, and practitioners’ insights. We situate our findings on emerging governance approaches and lessons learned within the current urban resilience literature on governance by reviewing 40 academic papers and identifying 6 recurrent factors for effective governance. Additionally, we conducted 19 semi-structured interviews with North American resilience practitioners to describe emerging organization trends and share lessons from practice. Based off our interviews, we propose 5 key findings for structuring resilience work in cities effectively. These include: establishing a clear, contextual definition and scope, bringing communities into the process, championing the agreed-upon vision, balancing a centralized and dispersed approach, and recognizing tradeoffs in organizational placement. This research provides practitioners with insights to help facilitate resilience work within their cities and contributed to the scholarly debate on moving resilience theory toward implementation.

ContributorsFastiggi, Mary (Author) / Meerow, Sara (Contributor, Contributor) / Cloutier, Scott (Contributor, Contributor) / Miller, Thaddeus R. (Contributor)
Created2019-04-25
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Secondary traumatic stress (STS) is the natural, consequent behaviors and emotions that result from the individual’s knowledge about traumatizing events experienced by another. Psychiatric registered nurses (RN), due to the nature of their jobs, are frequently exposed to significant amount of secondary trauma during nurse-patient interactions. Secondary traumatic stress impacts

Secondary traumatic stress (STS) is the natural, consequent behaviors and emotions that result from the individual’s knowledge about traumatizing events experienced by another. Psychiatric registered nurses (RN), due to the nature of their jobs, are frequently exposed to significant amount of secondary trauma during nurse-patient interactions. Secondary traumatic stress impacts the physical and emotional health of the nurse, compromises patient outcomes and organizational success. Evidence acknowledges the significant extent of secondary traumatic stress among nurses and is insistent on the necessity for effective interventions to mitigate the impacts of secondary trauma on healthcare professionals. A review of literature suggests that knowledge is a protective factor against secondary traumatic stress, and that nurse resilience also moderates the effects of secondary trauma and other work related stressors. These findings have led to the initiation of an evidence-based project that seeks to assess the efficacy of a resilience-oriented educational intervention in decreasing secondary traumatic stress scores and improving resilience among hospital-based psychiatric registered nurses. This project was guided by the Theory of Cognitive Appraisal and Rosswurm and Larabee’s model for evidence-based practice. Results from this project, despite being non-statistically significant, showed a decrease in STS scores from time-point zero (T0) to time-point one (T1) and increased resilience scores from time-point one (T1) to time-point two (T2), and from time-point zero (T0) to time-point two (T2). This project highlighted a deficit in knowledge of concepts of ST, STS and resilience among psychiatry RNs and inspired an open discussion on STS and other types of work-related stress among psychiatry RNs.
Created2021-04-28
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Producing, transforming, distributing, and consuming food requires a multitude of actors, from the microbes in the soil to the truck drivers, from the salesperson to the bacterial life that supports digestion. Yet, the global food system – far from being neutral – unequally provides and extracts resources around the globe

Producing, transforming, distributing, and consuming food requires a multitude of actors, from the microbes in the soil to the truck drivers, from the salesperson to the bacterial life that supports digestion. Yet, the global food system – far from being neutral – unequally provides and extracts resources around the globe to serve and protect the needs of some, while excluding and/or oppressing others and producing trauma in the process. Drawing on feminist scholarship and permaculture research – two fields that discuss the importance of care but only rarely work together – and using social science methods, I explore how to integrate care into food systems, and what are the outcomes of such an integration. I first bring together the voices of 35 everyday experts from Cuba, France, and the United States (Arizona) and perspectives from ethics of care, creation care, indigenous scholars, and permaculture specialists, and I use grounded theory to develop a definition of care in food systems context, and a conceptual map of care that identifies motives for caring, caring practices and their results. I then discuss how caring practices enhance food systems’ adaptive capacity and resilience. Next, I study the relationship between a subset of the identified caring practices – what is recognized as “Earth care” – and their effect on well-being in general, and Food Well-Being more specifically, using three case studies from Arizona based on: (1) interviews of school teachers, (2) interviews of sustainable farmers, (3) a survey with 96 gardeners. There, I also discuss how policies and cultural transformations can better support the integration of Earth care practices in food systems. Then, I examine how urban food autonomy movements are grassroots examples of integration of care in food systems, and how through their care practices – Earth care, “People care” and “Fair share” – they can serve as a catalyst for social change and contribute to the achievement of the United Nations Sustainable Development Goals. Lastly, I conclude with recommendations to strengthen a culture of care in food systems, as well as limitations to my research, and future research directions.
ContributorsGiraud, Esteve Gaelle (Author) / Aggarwal, Rimjhim (Thesis advisor) / Cloutier, Scott (Thesis advisor) / Samuelson, Hava (Committee member) / Chhetri, Netra (Committee member) / Arizona State University (Publisher)
Created2022