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Navigating the Experience of Burnout of Immigrant Music Therapists in the United States
Get PDFThis study explored the experiences of burnout of immigrant music therapists who currently live and work in the United States. The purpose of this study was to examine how immigrant music therapists’ cultural adjustment may influence their experience with burnout and to guide participants articulate their burnout experiences through the use of musical improvisation as a method. Qualitative phenomenological inquiry and Arts-Based Research as a method were used in this study. Musical improvisation and open-ended interviews were conducted with three female participants possessing various years of clinical experience. Music as well as interviews were transcribed and analyzed for themes. Three essential categories emerged: (1) participants’ burnout experiences, (2) themes across immigrant music therapists’ experiences, and (3) characteristics of burnout. Each participant’s experience in musical improvisation was narrated based on the researcher’s reaction, an external music therapist’s reaction, and the participant’s reaction to improvised music. The two themes that emerged across immigrant music therapists’ experiences were communication styles and cultural clashes. Within the category of characteristics of burnout, the following four themes emerged: (1) isolation, (2) frustration, (3) fatigue, and (4) job dissatisfaction. The study indicated that immigrant music therapists’ experience of burnout may not always be caused by acculturative stress, when an individual has developed coping strategies. The qualities of the participants’ emotional expressions through musical medium pertaining to their past burnout moments differed based on an individual’s phase of cultural adjustment. Implications for immigrant music therapists and music therapy educators are discussed
Neonatal Nurses\u27 Perceptions of Providing Palliative Care in the Neonatal Intensive Care Unit
Get PDFAlthough advances in neonatal medicine have greatly improved infant survival rates, there remains a significant number of infants admitted to the neonatal intensive care unit who will not survive. It is estimated that 50% of the 25,000 annual hospital pediatric deaths occur in the neonatal intensive care unit (NICU) (Conway-Oriel & Edlund, 2015). Despite widely supported guidelines endorsing neonatal palliative care (NPC), implementation has been sporadic and inconsistent (Kain & Wilkinson, 2013). Lack of palliative care protocols has been associated with negative impacts on infants, their families, and multidisciplinary team members. NICU nurses are uniquely positioned to influence end-of-life care experiences for infants and their families. Although previous research has explored nurses’ perceptions in specific NICU populations (Kain, 2008, Chen et al., 2013; Forouzi et al., 2017; Wright, Prasun, et al., 2011), the current status of PC in neonatal nursing practice throughout the United States, has not been examined
Pandemic Pricing Policies: Professional Prerogative or Political Plaything
Get PDFPricing a product is considered an important component of the marketing mix that induces consumer behavior. During the 2020 Covid-19 pandemic, price gouging emerged from obscure rarely litigated business law to sensational above the fold headlines. $79.99 hand sanitizer went from a ridiculous pricing decision to an abuse of power and a criminal offense. This paper will begin with an overview of common pricing strategies and then examine the limits placed on pricing in the form of laws which prohibit price gouging. While many of the jurisdictions which make short term increases in the price of certain goods and services illegal, the laws vary as to the definitions and requirements of the necessary elements of a price gouging violation. The political reasons for price gouging laws albeit seemingly obvious, will be examined. The safety and consumer protection arguments will be discussed in the context of almost universal opposition by economists of price gouging regulation. Finally, if price gouging does not protect consumers and if artificial legal parameters of prices actually intrude on healthy appropriate market forces, why do price gouging laws exist in 34 states and in the federal law? What alternatives to price gouging laws would yield a more efficient marketplace and concurrently meet the government’s duty to protect consumers and citizens’ health and safety during a state of emergency
Agents of Change - Continuing a Legacy
Get PDFStudents throughout their academic journeys become agents of change when they experience transformational learning. The students at Molloy College in conjunction with local non-profits have partnered to advance society with their field research. While the mission is fascinating for the assigned non-profit, what is truly amazing is how the capstone course shapes our students to become good citizens in our society. There are overarching rewards for all parties involved whether it be the students, faculty, members of the non-profit, and our community at large. Three consulting teams are created to address the most relatable charges to the assigned non-profit. However, what is truly happening behind the scenes is our students search for truth through their research while positively impacting this organization. If guided successfully, the three consulting teams actually build off of one another’s charges creating causational marketing plans that will assist the Board of this non-profit sustain incremental growth over time. These turnkey recommendations that are presented not only help to build the Foundation where future research could develop, but allows the students to become personally invested in this organization’s future. This promotes community and the building blocks of well-rounded young professionals upon graduation of their chosen degrees
Individual Characteristics and Shared Decision Making for Stroke Prevention in Atrial Fibrillation
Get PDFWith the advent of patient-centered care, individuals with Afib are asked to participate in the shared decision-making (SDM) process. Choosing therapies in thromboembolic risk reduction is complex, involves trade-offs along with considering risks and benefits of therapeutics. Afib affects between 2.7 million and 6.1 million American adults (January et al., 2014), and with the growing elderly population that number is expected to double by 2030 (Colilla et al., 2013). In 2016 Medicare required a SDM process for individuals considering left atrial appendage for stroke prevention. There have been no studies reported examining individual characteristics and participating in SDM in individuals with Afib. The purpose of this study was to explore and investigate relationships between individual characteristics such as demographics, clinical features, decisional self-efficacy (DSE) decisional conflict (DC), and control preference (CP) on perceived participation in SDM in individuals with Afib. This study examined relationships between constructs of decisional needs (e.g., individual characteristics) as described by the Ottawa Decisional Support Framework (O\u27Connor, 2006) and SDM. The sample was drawn from an online Afib support group (StopAfib.org). The survey tools included demographics, Decisional Self-Efficacy (DSE) Scale, SURE test, CPS Scale, FRAIL scale, SDM Q9, and Satisfaction with Decision Instrument. IRB approval was through Molloy College. Greater participation in SDM were reported in participants: 75 years or older (p = .023), men (p = .002), individuals reporting permanent Afib (p = .049), CHA2DS2-VASc score of =/\u3e3 (p = .043), individuals receiving an educational packet or DA (p \u3c .01), greater DSES (p \u3c .01), and individuals with less DC (p \u3c .01). Greater DSE (p \u3c .01) and receiving a decisional aid (p = .029) were the most predictive variables for participating in SDM (p \u3c .01). This study provided insight into clinical characteristics as potential facilitators and barriers in SDM in individuals with Afib. The results of this study have broad implications for providing individualized care through the development of comprehensive needs assessment to facilitate SDM
Digital Commons Annual Summary 2019
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 Role of Verbal Skills in Analytical Music Therapy, the Bonny Method of Guided Imagery and Music, and Nordoff-Robbins Music Therapy
Get PDFThe purpose of this study was to explore the role of verbal skills as an intervention in music therapy practice in three models of music therapy: (a) analytical music therapy (AMT), (b) the Bonny method of guided imagery and music (BMGIM), and (c) Nordoff-Robbins music therapy (NRMT). Data were collected from three interviews that included each professional’s use of verbal skills in their respective model of music therapy. Data were analyzed using thematic analysis. Five themes emerged: (1) definitions of verbal intervention/verbal skills, (2) population dependent, (3) use of lyrics, (4) music as therapy vs music in therapy, (5) musical-verbal intervention relationship. Although future research in the area of verbal intervention definition and usage is needed, this study provided a foundation to encourage further research on verbal interventions in addition to music interventions to best serve the needs of clients in music therapy
A Culturally Situated Perspective of Music Therapy in Hungary
Get PDFLittle to no research has been done on the history, development and current practice of a specific country’s approach to music therapy. This study examines the development of music therapy in Hungary with regards to cultural influences, which the researcher has a unique understanding of as a first-generation Hungarian-American. Three Hungarian music therapists were invited to participate in qualitative interviews in Hungarian. After transcribing and translating the interviews, the data were analyzed using inductive thematic analysis in order to locate themes, patterns and viewpoints. Five themes and one sub-theme emerged. These themes included: a) process of becoming a music therapist, with a sub-theme of (a1) music therapy as a secondary profession, (b) cultural influence on the application of music therapy methods, (c) lack of recognition and autonomy for Hungarian music therapists, (d) cultural understanding of therapy and (e) future outlook. Findings indicate that Hungary’s development of music therapy reflect a unique integration of foreign theoretical orientation with native music traditions. By gaining knowledge of how music therapy is practiced in different countries, the profession as a whole may benefit from learning about international cultural humility, sensitivity and histor
IoT Based Virtual Reality Game for Physio-therapeutic Patients
Get PDFBiofeedback therapy trains the patient to control voluntarily the involuntary process of their body. This non-invasive and non-drug treatment is also used as a means to rehabilitate the physical impairments that may follow a stroke, a traumatic brain injury or even in neurological aspects within occupational therapy. The idea behind this study is based on using immersive gaming as a tool for physical rehabilitation that combines the idea of biofeedback and physical computing to get a patient emotionally involved in a game that requires them to do the exercises in order to interact with the game. This game is aimed towards addressing the basic treatment for ‘Frozen Shoulder’. In this work, the physical motions are captured by the wearable ultrasonic sensor attached temporarily to the various limbs of the patient. The data received from the sensors are then sent to the game via serial wireless communication. There are two main aspects to this study: motion capturing and game design. The current status of the application is a single ultrasonic detector. The experimental result shows that physio-therapeutic patients are benefited through the IoT based virtual reality game
The Legal Limitations on College Admission Standards: When Does the Pursuit of Diversity become Illegal Discrimination?
Get PDFThe value of diversity in the workplace, classroom, and c-suite is universally proclaimed as a given by scholars, experts and even the courts. In the abstract this presumption may be true, but in application the concept of inclusively having a diverse workplace or a diverse elite college student body is problematic. Fraught with incongruent denotations and insurmountable applications, achieving a critical mass of historically underrepresented employees or students resulting in a diverse workplace or student body is elusive if not unattainable. In Students for Fair Admissions, Inc. (SFFA) v President and Fellows of Harvard College (Harvard University), the United States District Court, and eventually the United States Supreme Court will weigh in on the value, definition, and legally permissible process to achieve diversity in creating a college class. The holistic admissions process employed by Harvard has been cited by previous courts as an example of the appropriate balance of being race conscious and color blind to achieve the optimal learning environment for colleges to prepare students to productively excel in a diverse society. This paper will summarize the history of the federal court system’s attempt to reconcile society’s simultaneous desire to create diversity and avoid discrimination based on those same classifications necessary to consider in order to achieve said goal. From the Bakke v University of California at Davis decision to prohibit quotas, but allowed race to be considered as one of many factors to achieve diversity to the Gratz and Grutter cases against the University of Michigan and University of Michigan Law School which were decided based on the weight race was awarded as a deciding factor in admission. Fisher v University of Texas( I and II) affirmed the Equal Protection Clause standard to be applied to test the state’s use of race conscious albeit holistic standards in their admission’s selection process. The current lawsuit against Harvard alleging discrimination based on race in their holistic admissions process will be examined from the viewpoint of how to define and achieve the appropriate level of diversity within the environment of a changing United States Supreme Court. If the Harvard case, as many believe, makes its way to the high court, what will be the consequences of eliminating race as a permissible variable in college admissions processes