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A Case Study Examining High-Achieving Black and Latinx Students’ Reasons for Using or Not Using Academic Support Services
Get PDFBlack and Latinx students are completing college at lower rates compared to White and Asian students. Many studies have documented the role of academic support services in helping students successfully complete college. Yet, many of the support services are built into students’ course schedules during freshman year to help transition to college. During the sophomore year, many of those supports are no longer built in, and students must seek them out themselves. Therefore, the purpose of this qualitative case study was to examine the reasons high-achieving Black and Latinx students opt in or opt out of using academic support services and whether their reasons are related to cultural wealth, stereotype threat, and/or the culture of a predominantly White institution (PWI). Interviews were conducted with 14 students and 5 administrators. Students who used the tutoring or writing center found it helpful to pass a course or improve their writing. Other students noted they participated in an academic support program because they wanted to make friends with students of color on campus. The reasons students opted out of using support services included the availability of tutors, seeking help from family and peers, and wanting to figure things out on their own. Some students reported negative racial experiences at the PWI, which impacted their decision to use academic support services. Both students and administrators overwhelmingly indicated the need for an increase in diversity. Administrators believed Black and Latinx students opt out of using services due to not knowing how to access the services, the extent of the services available, and the location of the services—this contradicts what the students said. The administrators had many stereotypes about Black and Latinx, first-generation students accessing cultural wealth instead of the formal support services available at the college, showing that they are not well informed about students of color on campus. Results of this study can inform administrators on the perceptions and experiences of students as well as Black and Latinx College Students and Academic Support Services how academic support services are offered and received so that more students in need of these services feel comfortable accessing them and succeed in completing their college degree
Chronic Kidney Disease Patients\u27 Experiences in the Decision Making Process: The Relationship Between Personal Characteristics and Decisional Self-Efficacy on Decisional Conflict and the Dialysis Decision in Patients who Participated in Shared Decision Making
Get PDFPatients with End Stage Renal Disease (ESRD) experience a complex and stressful decision making when comes to dialysis modality selection. There are pros and cons to both hemodialysis (HD) and peritoneal dialysis (PD). Patients are often uncertain as to which one is the best modality for them. This decisional conflict increases the likelihood of making a decision that is not based on the patient’s values or preferences and may result in undesirable post-decisional consequences. Purpose The purpose of this study was to explore Chronic Kidney Diseases (CKD) patients\u27 experiences regarding their decision making process in selecting a dialysis modality. The study examined individual characteristics and explores the relationship between characteristics such as demographics, decisional self-efficacy, and decisional conflict on perceived participation in shared decision making in a sample of individuals with CKD. Research Objective The objective of this mixed-method study was twofold: (a) to provide a quantitative description of the sample of individuals with CKD who are currently considering any one of the treatment strategies or currently receiving treatment for CKD within the last three months of diagnosis; and (b) to explore relationships between individual characteristics and participation in shared decision making (SDM) as they predict their decisional conflict and satisfaction with the decision made. Method This study employed a mixed-methods approach with an exploratory and a descriptive correlation designed to evaluate constructs of individual characteristics that may impact the decisions of individuals with CKD participating in shared decision making as described by the Ottawa Decisional Support Framework. Sample Study participants were recruited directly from the Kidney Solutions website (kidneysolutions.org). A recruitment flyer was sent out with the researcher’s contact information to Kidney Solutions along with the survey questionnaire using Google Forms. Kidney Solutions then sent out the link directly to all the patients who qualify for the study based on the inclusion criteria via email. No participants were contacted directly by the researcher. Participants were informed that their participation was voluntary, confidential, and that they could opt-out at any time. Procedure Data were collected after obtaining approval from Molloy College IRB. The survey was integrated into a single web-based set of questions using Google Forms. Completing the questionnaire indicated the subject\u27s consent to participate. The online survey included four inclusion criteria questions: (a) 18 years of age and older; (b) individuals who self-identify as having CKD diagnosed by a healthcare provider; (c) individuals currently considering or within the last three months has decided on a treatment option for CKD; (d) individuals who can participate in English and have modest internet skills. Measures Suitable tools were selected after an intense literature review that would be useful in measuring the research concepts in shared decision making, and permission was obtained from the developers of the tool for the study. These instruments capture participants’ self-reported Decisional Self-Efficacy Scale (DSES), decisional conflict (SURE test), shared decision making (9-item Shared Decision Making Questionnaire), and Satisfaction with Decision Instrument. Results Statistical analysis was performed to determine relationships between individual characteristics and concepts in shared decision making using t test, Chi-square, ANOVA and Pearson product-moment correlation coefficient and multiple linear regression. Participants were predominantly White (63.6%), male (54.5%), between 45-64 years old (45.5%), married or partnered (54.5%), college educated (60.0%), with most reporting CKD stage 5 (63.6%). There was a statistically significant difference at the p \u3c .05 level in SDMQ9 scores for Decision making support (t = -2.582, p \u3c .05) and use of a decisional aid in decision making (t = -2.357, p \u3c .05). The study also found a statistically significant association between current treatment option (p = .021) and decisional conflict as measured by the SURE test. There was a statistically significant positive correlation between decisional self-efficacy (as measured by the DSES) and shared decision making (as measured by the 9-item Shared Decision Making Questionnaire) observed (r = .390, n = 55, p \u3c .01). There was a significant relationship between participation in shared decision making and decisional conflict (r = -0.362, p \u3c .01). The results indicated a negative correlation, which means as SDM increases, less decisional conflict is reported by the participants. There was a significant relationship between decisional self-efficacy and decisional conflict (r = -0.489, p \u3c .001). The results indicated a negative correlation, which means as Decisional Self-Efficacy increases, less decisional conflict is reported by the participants. There was also a positive correlation between shared decision making and satisfaction with the decision, r = .701, n = 55, p \u3c .01. There was also a positive correlation between decisional self-efficacy and satisfaction with decision, r = .624, n = 55, p \u3c .01. Prediction for satisfaction with decision (SWD) is significant using a multiple linear regression model by combining decisional self-efficacy (DSES) and SDM, with n = 55, R = 0.797, R square 0.636, Adjusted R square = 0.622, F = 45.408. Prediction for decisional conflict (SURE) was significant using a multiple linear regression model by combining DSES and SDM, with n = 55, R = 0.523, R square 0.273, Adjusted R square = 0.245, F = 9.781. In this model, decisional self-efficacy predicts decisional conflict more than shared decision making. Shared decision making had a non-significant impact on the dependent variable decisional conflict alone, but it adds to the prediction when combined with decisional self-efficacy. Qualitative findings supported several quantitative findings, adding depth to understanding participants’ views. Conclusions The findings contribute to understanding the importance of increasing patient involvement in determining treatment when more than one treatment option exists based on the goals of care. Providers must approach their patients’ critical decision points in their illness trajectory with an openness of sharing in the plan of care. There is a significant need to move away from a “one-size-fits-all” approach to dialysis and provide more individualized care that incorporates patient goals and preferences while still maintaining best practices for quality and safety
Mixed Method- How Do Medical-Surgical Nurses Provide Compassionate Care to Patients in the Face of Adversity?
Get PDFCompassion is a quality that is the very essence of nursing. Nurses, as professionals, seek to alleviate suffering. It is through providing compassionate, connected care that nurses can relieve their patients’ suffering. In the midst of adversity such as taking care of ill and dying patients, especially in the Covid-19 pandemic, nurses have been challenged with providing compassionate care despite the increased toll that this may have on them. There is evidence that exposure to these events can cause compassion fatigue and burnout. When these signs of compassion fatigue or compassion burnout are not addressed, nurses have decreased job satisfaction and are at risk of leaving the profession altogether. Despite this dichotomy in the research, compassionate care is still being delivered to patients regardless of the population that they care for or adverse events that they face. The research shows that compassionate care has been provided during adversity that focused on dying patients, traumas, critically ill, and emergency room patients, but there was limited research on compassionate care delivered to medical-surgical patients. The purpose of this mixed-method study was to understand the process of how medicalsurgical nurses provide compassionate care despite the adversity they face. The explanatory sequential design was used as the mixed method, in which there were two phases. A quantitative instrument was used as a self-assessment of compassion competence that an intensity-purposeful sample of medical-surgical nurses from the Academy of Medical Surgical Nurses completed. The quantitative findings suggest that regardless of working nights, the increased number of patients, higher percentage of direct patient care, and working mandatory overtime, the medicalsurgical nurses still assessed themselves with high compassion competence. To further explore and encourage reflection on compassionate care, a smaller sample of medical-surgical nurses who completed the Compassion Competence Scale were interviewed to describe their process of providing compassionate care despite the adversity they faced. Three categories were explored: adversity, why medical-surgical nurses provide compassionate care, and how medical-surgical nurses provide compassionate care. From these categories, an overarching category of altruism was identified. Quantitative and qualitative methods were used to triangulate results. Findings from the quantitative analyses were concurrent with the findings from the qualitative analyses. With the exception of one item from the Compassion Competence Scale, the instrument items upheld the prominent categories discovered in the qualitative data. Applying the grounded theory of altruism and supporting data from this mixed-method study provides nurses and nurse leaders valuable information to encourage the retention of nurses, reminding them of the importance of compassionate care in their practice and the badge of honor that nurses wear every day
Great South Bay, Long Island, New York Summer Water Quality Monitoring Program
Get PDFThe Center for Environmental Research and Coastal Oceans Monitoring (CERCOM) visits 11 locations in the Great South Bay from Memorial Day – Labor Day to monitor dissolved oxygen (DO), pH, salinity, clarity and temperature. Students are trained to assist in CERCOM’s water quality data collection by research assistant Mr. Kyle Maurelli. This monitoring program has been conducted for the past 17 years. These parameters are critical in determining long term water quality conditions in Long Island estuarie
Urinary Incontinence in the Pre-Menopausal Woman and Impact on Quality of Life
Get PDFBackground
Urinary incontinence (UI) is a medical condition that plagues millions of women worldwide, negatively affecting their quality of life. UI is the involuntary release of urine or what women refer to as having “accidents.” Women suffering from UI often feel embarrassed and become socially isolated. The majority of studies in the literature focus on UI in postmenopausal women. However, very few studies explore the lived experience of living with UI as a premenopausal woman, who are at a time in their lives when they are involved in their careers, having intimate relationships with their partners, and are raising their children.
Purpose
The purpose of this phenomenological qualitative study was to uncover the lived experiences of premenopausal women living with UI and how it impacted their quality of life. The participants shared their stories and were able to shed light on this seriously overlooked and underestimated problem. The knowledge gained from the findings of this research study may help inform the generation of knowledge for both the patient and the provider, nursing practice, and academia.
Methods and Participants
A qualitative hermeneutic design was used in this study to discover the essence of living life with UI on the quality of life of premenopausal women. Telephone interviews were conducted with 13 premenopausal women from May to July 2021.
Results
Five essential themes emerged from the study: (1) Fictitious Dialogue, (2) Strategic Planning, (3) A Walk in My Shoes, (4) Sailing on a Sea of Emotions, and (5) Barricades and Barriers to Care. Excerpts from the recorded transcripts were used to elucidate and illustrate the meanings that the experience of living with UI had for these women.
Major Findings
This study yielded a deeper understanding of the lived experiences of premenopausal women living with UI and permitted greater insight as to how this phenomenon impacted their quality of life. Their stories closely paralleled findings in the literature but also illuminated quality of life issues unique to this subset of women. Impacts of UI on body image, work, anxiety and depression, and intimacy were all uncovered. Barriers to care have been uncovered in prior studies, but this study reinforced how prevalent a problem this is to treating women expeditiously. Important rich data collected from this study provide an impetus for future research to further explore this phenomenon
A Case Study of ParentSchool Relationships: How Spanish-Speaking Latino Parents of Elementary Multilingual Learners Perceive Parental Involvement in Schools
Get PDFThis study examined how Spanish-speaking Latino parents of multilingual learners (MLs) perceived their participation in the school community and their role in the educational process of their children. It explored several factors that can influence the involvement of Spanish-speaking parents in their children\u27s education. Social capital, cultural capital, and social learning theories guided this study to provide a deeper understanding of the parental involvement of Spanishspeaking Latino parents in schools. Ten participating parents shared their experiences and described their view of parental involvement in their children’s school. This study concluded that Spanish-speaking Latino parents displayed characteristics of highly involved parents, defying previous conceptions of Latino parents\u27 lack of caring and involvement. Implications for policy and practices at the district and school building levels include providing teachers and educational leaders with professional development focused on cultural awareness and culturally responsive practices, developing language resources to assist families navigate the U.S. educational system, implementing parent workshops to serve as opportunities to promote parent awareness of the school’s expectations for involvement and engagement with the curriculum, as well as designating district and school budgets for the purchase of translation devices and services to attend to the language needs of the population they serve. Recommendations are offered for future research to expand the understanding of Spanish-speaking Latino parents’ involvement in their children’s educatio
Daily Meteorological Report
Get PDFMeteorological data is collected daily at CERCOM and is submitted to the National Weather Service (NWS), in Upton NY at the Brookhaven National Laboratories. Air Temperature, wind speed and direction, pH of precipitation, rain gauge, barometer pressure, cloud cover and estimated altitude by type, are data sets compiled and submitted to the NWS daily. CERCOM’s Co-Op site is the only continuous operating facility on Great South Bay
The Evolution of Strategies in Academia to Address Health Equity and Social Justice
Get PDFAs a response to the 2020 global reaction to social injustice, the School of Nursing and Health Sciences (SON&HS) created a task force whose purpose was to develop an actionable Health Equity Statement that will serve as a framework and guide of our teaching learning processes in the area of diversity, equity, and inclusion. This statement articulates the SON & HS resolute stance against racism and all other forms of inequity and unjust treatment; its dedication to understanding, identifying, and actively advocating for changes in the deeply rooted structural inequalities in our healthcare system and society; and its endeavor to create solidarity across the global community in achieving diversity, equity, and inclusive excellence. This work has led to the development of a standing committee focusing on health equity. We have begun to implement actionable changes that will enhance the practices of our faculty and guide students to achieve ethical leadership
Digital Commons Annual Summary 2021
Get PDFThe DigitalCommons@Molloy Annual summary typically includes: readership totals, usage metrics such as downloads and metadata hits, and top performing items and profiles. Other areas that can be included are any new series or features, refresh or updates to the site design, and any future project plans
The New (Yorkers) Gardeners Almanac:
Get PDFThe New Yorkers Gardeners Alamac is a book filled with knowledge on how to plant a garden, recipes, and stories centering on black and indigenous voices