- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Maternal and Perinatal Health Interventions
- Sleep and related disorders
- Grief, Bereavement, and Mental Health
- Palliative Care and End-of-Life Issues
- Sleep and Wakefulness Research
- Child Nutrition and Feeding Issues
- Intergenerational Family Dynamics and Caregiving
- Health disparities and outcomes
- Surgical Simulation and Training
- Migration, Aging, and Tourism Studies
- Elder Abuse and Neglect
- Homelessness and Social Issues
- Child Therapy and Development
- Breastfeeding Practices and Influences
- Neurotransmitter Receptor Influence on Behavior
- Memory and Neural Mechanisms
- Interprofessional Education and Collaboration
- Healthcare innovation and challenges
- Gender Diversity and Inequality
- Health and Well-being Studies
- Youth Substance Use and School Attendance
- Maternal Mental Health During Pregnancy and Postpartum
- Anatomy and Medical Technology
Arcadia University
2017-2024
National Maternity Hospital
2014-2023
Pennsylvania State University
2003-2009
Virginia Commonwealth University Medical Center
1992
Old Dominion University
1989
Twenty-four older adults with persistent psychophysiological insomnia were randomly assigned to an immediate or a delayed cognitive-behavioral intervention in waiting-list control group design. Cognitive-behavior therapy consisted of 8-week aimed at changing maladaptive sleep habits and altering dysfunctional beliefs attitudes about sleeplessness. Treatment was effective reducing latency, wake after onset, early morning awakening, increasing efficiency. The magnitude changes obtained on...
This study evaluated the acceptance of psychological and pharmacological therapies among chronic insomniacs noncomplaining good sleepers. After reading a brief written description two treatment methods commonly used for persistent insomnia (i.e. cognitive-behavior therapy pharmacotherapy), subjects rated in counter-balanced order several dimensions these modalities. The results showed that intervention was as more acceptable suitable than one both their significant others. Behavior also...
Purpose: This study examines the moderating effect of staff stability on relationship between management practices used to empower nurse aides and resident outcomes in a multistate sample nursing homes. An adaptation Kanter's theory structural power organizations guided framework for model this study. Design Methods: Management aide measures were taken from survey directors (n = 156) day-shift charge nurses 430) stratified random facilities Maine, Mississippi, New York, Ohio 156). Facility...
The COVID-19 pandemic created challenges for U. S. nursing home administrators (NHA) and staff. This study explored organizational psychological factors associated with NHA stress, dissatisfaction, turnover intent (TI) during the third year of pandemic. Results from a nationwide, cross-sectional survey 1139 NHAs were merged Centers Medicare Medicaid Services deficiency, staffing, complaint, other operations data. A hierarchical, generalized estimating equations model ordered logit link found...
Evaluation in healthcare services has become a priority, globally1. The Government of Ireland highlighted the importance stakeholder engagement to identify needs women design and delivery high-quality health services, driven by necessity rather than financial ability2. Birth Satisfaction Scale-Revised (BSS-R), an internationally validated tool, recommended for measuring childbirth satisfaction International Consortium Health Outcomes Measurement (ICHOM)3; however, it yet be considered Irish...
The purpose of this paper is to describe how the work associated with psychosocial and physical caregiving structured within nursing facilities. Arguing from a contingency perspective, our central hypothesis that because technology underlying care less variable more interpretable process-outcome relationships processes are better understood than for care, in domain will be comparatively mechanistically even though both domains performed by same paraprofessional nurse aide staff. Data...
Better Jobs Care was a five-state direct care workforce demonstration designed to change policy and management practices that influence recruitment retention of workers, problems continue challenge providers.One the projects, North Carolina Partner Team, developed unified approach in which skilled nursing, home care, assisted living providers could be rewarded for meeting standards workplace excellence. This case study documents complex adaptive system agents processes coalesced result...
Background Clinical training should be efficient, intellectually rigorous, and integrated into practice. This interactive workshop was developed to support student midwives in bereavement care. Aims To improve midwives' confidence providing care parents after pregnancy loss perinatal death. Methods Two focus groups were held, where students' (n=12) discussed their experiences of attending the workshop, barriers facilitators gaining confidence, any further education needs. Findings All...
Abstract Background and Objectives The coronavirus disease 2019 pandemic negatively affected nursing home administrators (NHAs). This study explores licensed employed NHA’s perceptions about what work stress events would drive their turnover intentions (TI) in year 3 of the pandemic. Research Design Methods As part a larger survey-based research project collecting numerical textual data, this conducted content analysis with qualitative data. Narrative data from 3,859 discrete responses 1,139...
Abstract Conditioned responses to amphetamine treatment at three doses were investigated with the “conditioned emotional response” paradigm, in which an auditory‐visual stimulus was presented 3 min before i.p. drug injection rats lever pressing for food pellets. this preinjection indicated by changes from baseline response rate during each of eight conditioning sessions and after water injections (again preceded A‐V stimulus) on a final extinction‐test day. In experiment 1, reinforcement...
Objective: This article describes and evaluates a successful partnership between large health care organization housing for seniors. The program provides on-site, primary visits by physician nurse in addition to intensive social services residents an affordable senior apartment building located Pennsylvania. Per Donabedian’s “Structure–Process–Outcome” model, the demonstrated positive outcomes its participants via prescribed structure. To provide guidance replication similar settings, we...