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Discrimination & Psychological Health of Minority Nursing Staff amidst COVID-19

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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

Examining the effects of heart rate variability biofeedback training for increased resiliency in collegiate student athletes: A scoping review

DescriptionThe primary objective of this research was to investigate the efficacy of heart rate variability biofeedback (HRVB) training interventions aimed to enhance resiliency across collegiate student athletes. This current work focuses on examining the effects of HRVB training and its effects on resiliency in collegiate student athletes.
ContributorsKilroy, Sarah (Author) / James, Dara (Thesis director) / Kim, Sunny (Committee member) / Koffer, Rachel (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School for the Future of Innovation in Society (Contributor)
Created2023-12
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Resilience-Oriented Education on Secondary Trauma: Impacts on Secondary Traumatic Stress Scores among Psychiatric Registered Nurses

Description
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.
ContributorsOjeme, Anthony (Author) / Chen, Angela (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-28

Pilot Test of a Storytelling Intervention to Decrease Stress in First-generation College Students: A Mixed Methods Study

Description
Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences…

Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences or fictional stories, usually reflecting the behavior patterns and orientation to events present in the culture of the teller. Limited research has explored storytelling interventions to address self-compassion and stress levels in first-generation college students Aims: This pilot study aimed to assess the feasibility and preliminary effects of a storytelling intervention for first-generation college students on perceived stress, resilience, and self-compassion, as determined by pre- and post-intervention. In addition, the incorporation of heart rate variability (HRV) measurements during storytelling quantified the physiological stress levels associated with the intervention and its potential correlation with stress reduction. Of additional interest was to obtain a qualitative characterization of the experiences, stresses, and supportive factors described in the stories told by participants. Methods: FGCS were recruited at Arizona State University. Participants (N=22, M age=21.18 years, SD=3.172) attended a storytelling session for one hour in person. Heart-rate variability assessment was used to measure participant emotions and psychological coherence during in-person storytelling. The outcome measures included the Brief Resilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), Patient Health Questionnaire-4 (PHQ-4), Self-Compassion Scale Short Form (SCS-SF), and HRV coherence was assessed during the intervention. Quantitative analyses were conducted in SPSS Version 27. Using the content of the stories shared in the intervention, qualitative content analyses were conducted with 3 research project members. Results: A total of 36 participants agreed to be contacted and were emailed. Of these 36, 10 declined to participate and 4 were ineligible due to unwillingness to commit to 2 hours over 2 weeks to complete the study, (including an in-person visit to the lab) yielding 22 consented participants (61% recruitment of those screened). All consented individuals completed data collection, attended a storytelling intervention session, and completed the post-intervention data collection (100% retention). 5 major themes emerged from the data: (1) Barriers within Journey; (2) Immigrant and Immigrant Family Experiences; (3) Facilitators within Journey; (4) Reasoning for Attending University. The direction of change for HRV coherence with self-compassion and depression-anxiety was as expected. T-tests were generated for pre- and post- intervention self-reports: T1-T3 BRS SD= 0.79247, t= -0.673; T1-T3 PSS SD= 5.39540, t= -0.514; T1-T3 PHQ for anxiety SD= 1.91429, t= 0.111; T1-T3 PHQ for depression SD= 1.62302, t= 1.708; T1-T3 SCS SD= 0.46319, t= -1.956. Conclusions: Participants described telling and sharing their stories as therapeutic and regenerative. Statistical tests of emotional regulation with HRVB demonstrated minimal change in stress response, with an increase in self-compassion. A storytelling intervention demonstrates a promising coping tool as an avenue for retelling distressing events and increasing self-compassion and resilience.
ContributorsKash, Joya (Author) / Kash, Jillian (Co-author) / Kim, Sunny (Thesis director) / Larkey, Linda (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2024-05

Pilot Test of a Storytelling Intervention to Decrease Stress in First-generation College Students: A Mixed Methods Study

Description
Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences…

Background: First-generation college students (FGCS) often experience more stress compared to continuing-generation students (Holden et al., 2021). This stress can stem from familial and cultural obligations, financial challenges, and the experience of being part of a racial or ethnic minority group. Storytelling is a psychosocial process involving sharing personal experiences or fictional stories, usually reflecting the behavior patterns and orientation to events present in the culture of the teller. Limited research has explored storytelling interventions to address self-compassion and stress levels in first-generation college students Aims: This pilot study aimed to assess the feasibility and preliminary effects of a storytelling intervention for first-generation college students on perceived stress, resilience, and self-compassion, as determined by pre- and post-intervention. In addition, the incorporation of heart rate variability (HRV) measurements during storytelling quantified the physiological stress levels associated with the intervention and its potential correlation with stress reduction. Of additional interest was to obtain a qualitative characterization of the experiences, stresses, and supportive factors described in the stories told by participants. Methods: FGCS were recruited at Arizona State University. Participants (N=22, M age=21.18 years, SD=3.172) attended a storytelling session for one hour in person. Heart-rate variability assessment was used to measure participant emotions and psychological coherence during in-person storytelling. The outcome measures included the Brief Resilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), Patient Health Questionnaire-4 (PHQ-4), Self-Compassion Scale Short Form (SCS-SF), and HRV coherence was assessed during the intervention. Quantitative analyses were conducted in SPSS Version 27. Using the content of the stories shared in the intervention, qualitative content analyses were conducted with 3 research project members. Results: A total of 36 participants agreed to be contacted and were emailed. Of these 36, 10 declined to participate and 4 were ineligible due to unwillingness to commit to 2 hours over 2 weeks to complete the study, (including an in-person visit to the lab) yielding 22 consented participants (61% recruitment of those screened). All consented individuals completed data collection, attended a storytelling intervention session, and completed the post-intervention data collection (100% retention). 5 major themes emerged from the data: (1) Barriers within Journey; (2) Immigrant and Immigrant Family Experiences; (3) Facilitators within Journey; (4) Reasoning for Attending University. The direction of change for HRV coherence with self-compassion and depression-anxiety was as expected. T-tests were generated for pre- and post- intervention self-reports: T1-T3 BRS SD= 0.79247, t= -0.673; T1-T3 PSS SD= 5.39540, t= -0.514; T1-T3 PHQ for anxiety SD= 1.91429, t= 0.111; T1-T3 PHQ for depression SD= 1.62302, t= 1.708; T1-T3 SCS SD= 0.46319, t= -1.956. Conclusions: Participants described telling and sharing their stories as therapeutic and regenerative. Statistical tests of emotional regulation with HRVB demonstrated minimal change in stress response, with an increase in self-compassion. A storytelling intervention demonstrates a promising coping tool as an avenue for retelling distressing events and increasing self-compassion and resilience.
ContributorsKash, Jillian (Author) / Kash, Joya (Co-author) / Larkey, Linda (Thesis director) / Kim, Sunny (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2024-05