Many forms of oppression create barriers for health care, further health disparities, and impact the wellness of physicians. As health disparities, caused by the social determinants of health, complicate the practice of medicine, physicians' risk of burnout increases. The practice of Physician Cultural Responsibility provides a means to overcome…

This qualitative study aimed to examine the lived experience of clinical mental health counselors working with adolescents. Participants included pre-licensed (associate) or licensed counselors who predominately work with and have a strong preference for working with adolescent clients. Data was collected through individual interviews and analyzed…

Many healthcare entities across the globe are moving away from the idea of only treating patients' diseases to a model of focusing on the overall well-being of patients. Because of this change, healthcare academia must also focus on this change when helping educate clinical practitioners. One major proponent of this type of care is effective…

Physician assistant (PA) programs must teach medical communication skills that facilitate effective patient care. Empathy is one such skill that is explicitly mentioned in relevant documents, but there is no common definition of empathy nor a formal curriculum to teach it. Current literature suggests that empathy is a feeling resulting from…

The purpose of this study is to investigate the relationship between intentional online information seeking, incidental online information seeking, eHealth literacy, and shared decision-making; the relationship between intentional online information seeking, incidental online information seeking, information overload, eHealth literacy, information…

We consider Bayesian estimation of a hierarchical linear model (HLM) from small sample sizes. The continuous response Y and covariates C are partially observed and assumed missing at random. With C having linear effects, the HLM may be efficiently estimated by available methods. When C includes cluster-level covariates having interactive or other…

Communication is fundamental to the human condition but is impaired in life-altering ways for more than 2.4 million individuals with aphasia in the United States. Individuals with aphasia identify discourse-level communication (i.e. language in use) as a high priority for treatment. The central premise of most aphasia treatments is that restoring…

This study addresses the issue of language barriers between healthcare providers and patients in medical contexts. Such barriers can significantly hinder patients' access to quality healthcare and treatment. To this end, this qualitative research builds on previous studies and compares language interpreter perceptions of in-person and virtual…

Adults with autism spectrum disorder (ASD) often experience co-occurring physical and mental health challenges throughout their lives. At the same time, they often face many barriers to accessing proper care. Strategies to improve communication and understanding can help to mitigate some of these barriers. This study examined the effects of an…

The underlying goal of all five of the chapters in this manuscript is to better understand how language facilitates or impedes care for gender nonconforming (GN) people, individuals who experience and/or express aspects of gender that do not conform to social expectations, through (1), access (2), knowledge, (3), quality of care, and (4)…

The paradigm shift in healthcare from "sick care" to a disease prevention model is driven by the need to address health inequities. The new paradigm requires a change from the current "distant yet concerned" attitude to patient-relationship-centered approaches. Two questions drive this study: (a) How we can prepare physicians…

One in three women report being a victim of intimate partner violence (IPV) in her lifetime. IPV is a type of behavior classified as causing physical, psychological, or sexual harm to those in an intimate partnership. Violence affects women in all settings, and among all racial, religious, and socioeconomic groups. Abused women are likely to visit…

Nursing education is facing challenging demands today with the NextGen NCLEX scheduled for release in Spring 2023, updated American Association of Colleges of Nursing (AACN) Essentials, and distance learning due to COVID-19. This dissertation examines the effects the COVID-19 pandemic had on nursing students as education was disrupted just prior…

The purpose of this quantitative, comparative, descriptive study was to examine and compare the self-assessments of interprofessional collaborative competence of graduating nursing students (GNS) to the assessments of the preceptors at the end of their preceptorship rotation in Las Vegas, Nevada. The participants' demographic variables including…

Empathy is considered a significant factor in the physician-patient relationship. The current study examined the impact of a Longitudinal Integrated Clerkship (LIC) model on empathy and patient-centered attitude in medical students. Archival data were examined from 186 medical students at a medical college in the mid-Atlantic region of the United…