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The Lived Experience of Nurses Caring for People Experiencing Homelessness: A Descriptive Phenomenological Study
Get PDFBackground:
Marginalized patient populations, such as people experiencing homelessness, receive a lower quality of care linked to stereotyping and biases (Alspach, 2018). Populations receiving substandard healthcare are often subconsciously identified by attributes such as age, race, mental health, housing, and social status (Padilla-Moledo et al., 2016). These stigmatized attributes can be the underpinning of bias. The health status of people experiencing homelessness is generally poorer than housed populations, with evidence demonstrating the difficulties they encounter when attempting access to healthcare (Klop et al., 2018).
Purpose:
The purpose of this phenomenological study was to explore and gain a more in-depth understanding of the lived experience of nurses caring for people experiencing homelessness. This researcher intends to expand knowledge of this phenomenon and advance nursing knowledge in caring for this and other marginalized patient populations.
Method:
A qualitative phenomenological method using descriptive phenomenology was chosen to research the lived experience of nurses caring for people experiencing homelessness. This approach supports qualitative data analysis as it is concerned with authentically and objectively describing the participant’s own meaning of the phenomenon (Colaizzi, 2002). Findings: Data analysis revealed the emergence of five essential themes: anticipatory fear, ineffective nurse-patient relationship, reflective disgust, conflicted understanding, and intolerance.
Conclusion:
The meaning of the nurses’ lived experience caring for people experiencing homelessness showed that despite challenges, participants felt compassion, caring, and concern. Including the study findings on this phenomenon in nursing curricula at all levels will expand nursing knowledge in providing care to people experiencing homelessness and other marginalized patient populations. Expanding nursing knowledge may provide nurses with additional tools to connect, advocate, and better understand and meet this population\u27s medical, social, and individual needs
The Supervisors are Carrying the Bag: The Nurses\u27 Emergency Council, Settlement Houses, and the 1918 Influenza Pandemic in New York City
Get PDFThis article examines the combined efforts of the Nurses’ Emergency Council (NEC), settlement houses, and the Department of Health during the 1918 Influenza Pandemic in New York City. To coordinate public health nursing, the NEC united the settlements and municipal agencies into an umbrella organization that was chaired by Lillian Wald of the Henry Street Settlement. Together, the NEC and the Health Department recruited a corps of nurses to treat influenza patients, primarily in their homes. Historical accounts of the 1918 Pandemic often emphasize the incompetence of American cities in dealing with influenza’s spread. New York’s Health Commissioner Royal Copeland, for example, is portrayed as a political hack without the adequate knowledge to successfully manage an epidemic. However, if we shift our focus from Copeland to a micro-history of the NEC, what emerges is a city with the institutional experience well suited to respond to a health emergency. The NEC rose to the challenge of coordinating a vast network of visiting nurses that helped keep New York’s death rate among the lowest on the East Coast
A Small Festschrift in a Big World (Chapter 1)
Get PDFIn this chapter, we provide our personal contexts for Balancing Care and Excellence in Higher Education: A Festschrift in Honor of Jeffrey Cornett. In so doing, we address the place of care and excellence in the 2020’s in our lives through a critical lens, and we examine the ways that these have led to this book. We also place this book in broader contexts to analyze the ways that care has been distorted and weaponized. Further, we examine how care is operationalized in higher education. Through all of this, we argue that each of us bears responsibility for reclaiming care. Finally, we explain why care is n ot enough – we connect care to excellence as we lay out our vision for this book
Edward Boccia: A Crossroads of Italian-American History and Art
No full textThe Second Wave of immigration to America circa 1900 included many Italians from the agricultural south of Italy. Artist, poet, and professor Edward Boccia was an Italian-American artist born in 1921 to such immigrants. The artist’s cultural and religious upbringing would inform a lifetime of making. Despite growing up in Newark, New Jersey, and away from the immigration epicenter of the country, his experience was not a far cry from those residing in New York City. There were, of course, the cultural gaps between him and his parents, which is experienced by any child of immigrants regardless of geographical location and culture. Boccia’s life is an example of the impact of historical norms associated with first-generation Italian-Americans of the 20th century and a fascinating story of one artist’s path through art. Research has focused on this aspect of the artist’s development as reflected in his visual art production.
*NOTE: Audrey\u27s research will contribute to the book on Edward Boccia by Rosa JH Berland to be published by Hirmer Verlag Munich
Harnessing the power of anti-Inflammatory additives: A journey towards modulating microglial responses
No full textOral presentation
Harnessing the power of anti-Inflammatory additives: A journey towards modulating microglial responses.
Microglia are specialized immune cells in the central nervous system, including the brain. They are essential for maintaining brain health through various functions and are associated with positive outcomes after stroke, and neurogenerative diseases. We embarked on a pilot study to identify whether chamomile, Vitamin B12, Vitamin C, Turmeric, Chai tea, resveratrol, ginger, cinnamon, gliadin, and cranberry extract that could have an anti-inflammatory effect on cultured murine microglial cells. BV2 microglial cells were cultured under normal conditions (5% CO2, 32 C) exposed to each additive for 48hrs, harvested, RNA was extracted, and converted to cDNA, and QPCR was used to identify changes in gene expression compared to a negative control. We used Pathway Commons to identify a list of 6 inflammatory genes to study (MPO, IL1A, PTGS1, PTGES, IL4, and IL10). Cranberry extract, resveratrol, chamomile, and Vitamin B were the top additives that showed reduced expression of inflammatory genes, and increased expression of anti-inflammatory genes. Results from our study can inform which additives to take as preventative measures to reduce neural inflammation
The Relationship Between Being a Collegiate Student-Athlete and Mental Health
No full textRecent studies have shown that mental health issues are a concern for many college students, particularly student-athletes. Prevalence rates are higher, and student-athletes are less likely to seek out treatment. This literature review studied how collegiate student-athletes are also at a higher risk for substance abuse, disordered eating, and burnout. Stigma and a lack of funding and resources are some of the contributors to the barrier between athletes and treatment. Continued research is needed on this important topic and how some of these issues can be addressed
The Effects of Code Switching Dialects for Black and Brown Professionals
No full textCode-switching is changing between two or more languages in the same conversation to assimilate into the dominant culture (Ginsberg, 2018). African American Vernacular has the stigma of being “broken English” (Allen Stewart, 2022), while Standardized American English is known to be preferred when speaking English since it\u27s more “proper”. Some minorities use code-switching to their advantage to help them climb the social ladder in their environments which helps prevent work stress (Clark , 2023). The purpose of my study is to focus on Black and Brown professionals, especially Speech Language Pathologists, and see how code-switching has affected them in their professional workspace. Participants will be ages 18 to 30 years who will listen to speech samples varying from multiple people who speak AAVE and SAE. Participants will have to determine if the speech sample is a professional language that could be used in an SLP workplace
The Experience of Home-Based Music Therapists Working with Individuals with Intellectual and Developmental Disabilities: A Thematic Analysis
Get PDFAccording to the Administration for Community Living (ACL), an estimated 7.38 million people in the United States live with an intellectual and/or developmental disability (2021). Many individuals with intellectual and developmental disabilities (I/DDs) reside in community-based settings, such as private residences, family members’ homes, or group homes (ACL, 2021). However, little research exists exploring home-based music therapy (HBMT) for people with I/DD, especially from the clinician’s perspective. Thus, this study examines the experiences of home-based music therapists working with individuals with I/DD to provide a foundational overview. Three music therapists working in home-based settings participated in semi-structured guided interviews, which were then analyzed using inductive thematic analysis (Braun & Clark, 2006). Results indicate four themes representing the experiences of home-based music therapists working with individuals with I/DD, including: 1) the pragmatics of successful HBMT practice, 2) the home as a unique therapeutic setting, 3) the therapeutic process of the home-based music therapist, and 4) the personal experience of being a home-based music therapist. Findings suggest the need for comprehensive academic and clinical training specifically addressing HBMT. The development of formal standards of clinical HBMT practice could also increase the recognition of HBMT within the profession and unify current home-based clinicians who pose a greater risk for professional isolation
The Effects of Covid-19 on Substance Use Among College Students
Get PDFRecent studies have shown mixed results on whether substance use has increased in college students over the course of the Coronavirus pandemic. This study surveyed 115 undergraduate students at a largely commuter college in the suburban northeast. The data suggested that mental health issues increased since before the pandemic, while alcohol use has largely stayed the same over the course of the pandemic. Continued research in diverse college settings is needed on this important topic
Learning Services Student Advisory Group
No full textA flier advertising a meeting of the Learning Services Student Advisory committeehttps://digitalcommons.molloy.edu/jet_disp/1024/thumbnail.jp