The turnover rate of clinicians working in community outpatient mental health centers is alarming. The significant turnover at a community mental health organization prompted a study of burnout, compassion fatigue, and vicarious trauma. An action research (AR) study was conducted using Price and Mueller's (1981) causal model of turnover theory and…

Anchor institutions play a vital role in their local communities and economies and have increasingly been expected to become active civic participants in improving health and well-being in their surrounding neighborhoods. This multicase study was conducted to understand how an urban, faith-based university's on-campus health care clinics engage…

This research explored evaluation capacity building (ECB) needs and strategies, as well as facilitators and barriers experienced by program staff and independent evaluators working with community-based health organizations (CBHOs) in India. It suggests a significant shift from donor-led to CBHO-led evaluation practice in the community health…

The American Occupational Therapy Association's (AOTA) Vision 2025 is a call to action for the occupational therapy profession to maximize the health, well-being, and quality of life of all people, populations, and communities through effective solutions that facilitate participation in everyday living (American Occupational Therapy Association,…

Interprofessional educators increasingly recognize the importance of establishing graduated interprofessional learning strategies to socialize and prepare learners to work in collaborative care environments. Interprofessional socialization (IPS) is the process of bringing students together from different disciplines to learn from, with, and about…

Although evidence-based practices (EBPs) exist to support emotional and behavioral health for children and their families, their adoption in community settings remains startlingly low. While therapist training is a promising method to promote the successful adoption of EBPs, there is often a lack of agreement on the foundational skills therapists…

School social workers provide services and resources for children with disabilities and protect their rights. The National Association of Social Work (NASW) Code of Ethics provides the school social workers' responsibilities to clients in the promotion of well-being. The present research involved identifying the school social workers' role in…

Background: Infant mortality and maternal deaths are steadily increasing in the United States. Infant mortality and maternal deaths may be preventable if education is offered to the woman and her partner prior to conception. Preconception health education is not routinely addressed with a woman and her partner in routine visits to a health care…

Many children in U.S. K-12 schools struggle with childhood obesity. A healthy lifestyle taught in a child's early years is essential for student learning, and it can set the pace for healthy choices to be made in adulthood. The purpose of this exploratory case study was to explore the experiences of parents in Montgomery County, Ohio, who…

Adoption and use of health information technology, the electronic health record (EHR) in particular, has the potential to help improve the quality of care, increase patient safety, and reduce health care costs. Unfortunately, adoption and use of health information technology has been slow, especially when compared to the adoption and use of…

1.) Relationships "de Confianza" and the Organization of Collective Social Action: We examine the relational elements of community change, focusing on how community health workers ("promotoras") build relationships "de confianza." The analysis demonstrates how relationships "de confianza" have laid a…

Non-pediatric nurses in rural areas often care for children in adult units, emergency departments, and procedural areas. A half-day program about pediatric nursing using constructivist teaching strategies including an advance organizer, case studies, and simulation was offered at a community hospital in Western North Carolina. Nurses reported a…

Some clinical leaders of community mental health centers are not aware of successful methods for supporting and empowering staff to be more effective, specifically when the staff is experiencing change because of new health information technology. Clinical leaders in community mental health face similar management issues as do other business,…

Developmental screening programs identify young children with delayed skill growth or challenging behaviors and refer them to community agencies for evaluation or other services. This research studied the predictive impact of developmental screening results and child and family characteristics on the completion of these referrals for evaluation. A…

Research objectives: This dissertation examines the state of development of each of the eight core electronic health record (EHR) functionalities as described by the IOM and describes how the current state of these functionalities limit quality improvement efforts in ambulatory care settings. There is a great deal of literature describing both the…