2020 Dissertations (UMKC)
https://hdl.handle.net/10355/72981
2024-03-29T12:03:30ZA critical review of narrative coherence theory for use with Congolese refugee women who are resettling in the United States
https://hdl.handle.net/10355/79202
A critical review of narrative coherence theory for use with Congolese refugee women who are resettling in the United States
Gowen, Malindi Jeri
Due to the extensive violence occurring in the Democratic Republic of the Congo over the past three decades (Cultural Orientation Resource Center, 2014), between 2008 and 2013 approximately 11,000 Congolese refugees have been resettled in the United States across 45 states. An approximate additional 41,000 Congolese refugees were resettled in the United States between 2013 and 2018 (Mossaad, 2019; Zong and Batalova, 2015). In the past two years, the U.S. accepted more than 20,000 Congolese refugees, making it the largest refugee group to be resettled in the United States during this two-year period (Greenberg, Gelatt, & Holovnia, 2019; National Immigration Forum, 2020). This makes further knowledge and understanding of this population essential for many medical and mental health professionals. The goal of this qualitative study is to conduct a critical analysis of the theory of narrative coherence and its applicability to Congolese women (Baerger & McAdams, 1999). Narrative coherence theory posits the ability to share one’s story in a way that makes sense to the listener indicates the person has integrated and come to terms with their life experiences. Additionally, psychological well-being has been negatively correlated with low coherence (Baerger & McAdams, 1999). Researchers reported that few strong tools are available to assess refugee women’s well-being (Gagnon, Tuck, & Barkun, 2004). Determining if a narrative coherence measure can be used to assess the well-being of Congolese women refugees could provide strides in this area and further understanding of the unique resettlement process for these women. The results of this study will contribute to the limited literature available on Congolese refugees in the United States and help inform and impact current available resources and treatment.
Key terms: narrative coherence, Congolese refugee women, life story, social support, well-being
Title from PDF of title page viewed December 16, 2020; Dissertation advisors: Johanna Nilsson and Kimberly Langrehr; Vita; Includes bibliographical references (pages 89-100); Thesis (Ph.D.)--School of Education. University of Missouri--Kansas City, 2020
2020-01-01T00:00:00ZA Descriptive Correlational Study of Rate and Determinants of Parental mHealth Adherence to Symptom Home Monitoring for Infants with Congenital Heart Disease during the Single Ventricle Interstage Period: The DOMAIN Study
https://hdl.handle.net/10355/73993
A Descriptive Correlational Study of Rate and Determinants of Parental mHealth Adherence to Symptom Home Monitoring for Infants with Congenital Heart Disease during the Single Ventricle Interstage Period: The DOMAIN Study
Erickson, Lori Anne
Single ventricle heart disease care in the ambulatory setting affects approximately 4,000 infants in the United States annually. Treatment typically involves a three-staged surgical strategy over the first three years of life with parental home monitoring of the infant during the interstage period, which is the time between the first two surgeries. Symptom home monitoring during the interstage period increasingly requires technology to maximize patient outcomes. Mobile health, or mHealth, transfers infant hemodynamic monitoring data captured by parents from the home to designated registered nurse coordinators who monitor the data remotely. Parental mHealth symptom home monitoring adherence is critical to improve morbidity and reduce mortality in infants during this high-risk period. However, rates and determinants of mHealth adherence have yet to be studied. The purpose of this research was to quantify the rate of parental mHealth adherence and to describe the relationship between patient-related, family-related, community-related, and healthcare system-related determinants of parental mHealth adherence for infants with congenital heart disease during the single ventricle interstage period. The pediatric self-management conceptual framework was used with a retrospective, descriptive, correlational research design. De-identified data from 312 infants treated at nine pediatric hospitals between March 2014-September 2019 were included from the Cardiac High Acuity Monitoring Program multi-site registry. This registry was developed in 2014 by Children’s Mercy Kansas City and includes patient, family, and medical record data. SPSS AMOS software was used to refine a model to develop a theoretically identified, recursive structural equation model. The rate of parental mHealth adherence-data days was 75.54%. The overall model variance was 24.0%, with good local and global fit. A higher parental age (p<.001) and Medicaid insurance (p=.009) were positively associated with parental mHealth adherence. Higher rates of implementation of oxygen saturation symptom home monitoring were associated with lower clinic visits (p< .001) and increased education levels (p=.001). Adherence to mHealth video use was associated with increased healthcare team driven communications (p=.047). Future research areas proposed from these findings include determining mHealth adherence rates associated with optimized clinical outcomes and ways to reduce parental mHealth non-adherence.
Title from PDF of title page viewed June 9, 2020; Dissertation advisor: Cynthia L. Russell; Vita; Includes bibliographical references (pages 166-188); Thesis (Ph.D.)--School of Nursing and Health Studies. University of Missouri--Kansas City, 2020
2020-01-01T00:00:00ZA Dyadic Analysis of Racial-Ethnic Socialization Among Black-White Interracial Parents
https://hdl.handle.net/10355/77961
A Dyadic Analysis of Racial-Ethnic Socialization Among Black-White Interracial Parents
Greenwalt, Sydney Kathryn
Interracial couples face unique parenting challenges. Black-White interracial couples, in particular, are responsible for fostering the healthy racial-ethnic identity development of their children who do not necessarily share their same racial-ethnic background (Stevenson, 1995) in a society pervasively impacted by oppression and racial discrimination (Hughes, Rodriguez et al., 2006). Although much has been written about the process of racial-ethnic socialization, most of this research has focused on monoracial families of color and cannot necessarily be generalized to multiracial families, where individual family members vary in racial-ethnic background. In order to extend this area of research to the experiences of multiracial families, the dyadic reports of Black-White interracial parents efforts to engage in different forms of racial-ethnic socialization were examined. Among a sample of 114 interracial couples where each dyad consists of one Black parent and one White parent, the Actor-Partner Interdependence Model (Kenny, Kashy, & Cook, 2006) examined actor and partner effects of colorblind racial attitudes and Black racial identity on different forms of racial-ethnic socialization. Results demonstrated the interdependent nature of racial-ethnic socialization practices among Black-White interracial couples.
Title from PDF of title page viewed November 5, 2020; Thesis advisor: Kimberly Langrehr; Vita; Includes bibliographical references (pages 127-148); Thesis (Ph.D.)--School of Education. University of Missouri--Kansas City, 2020
2020-01-01T00:00:00ZA Glittering Hope at the Darkest Time: Refugees and the Western Sanitary Commission During the Civil War
https://hdl.handle.net/10355/75795
A Glittering Hope at the Darkest Time: Refugees and the Western Sanitary Commission During the Civil War
Lee, Jisung
By 1864, refugees from the South and the Western Border flooded into St. Louis and adjacent towns in unprecedented numbers. This influx of destitute people required aid and relief organizations in Missouri to broaden their level of operations. As the largest charity society in the Western states, the Western Sanitary Commission (WSC) answered the call for help. However, many St. Louisians, who were divided by political ideology, were not favorable to its efforts to aid these refugees. This paper focuses on the Commission’s three activities to discover how it represented and defined itself amid the political conflict.
First, the Western Sanitary Commission published a report of its work on behalf of White Southern refugees whose loyalty was doubtful. The Commission observers stressed in the report that those displaced were human beings and not only refugees but also soldiers’ families who deserved aid from the Union. The report was also a form of propaganda to ask for donations and support for the Commission’s work. Second, the language used by the WSC for its biggest fundraising event, the Mississippi Valley Sanitary Fair, continually highlighted the unity of Americans. It did not mean unconditional affection for human beings. It instead indicated integration under the Union. Sharing the same nationality provided Americans with a way to identify themselves with the refugees. Lastly, the Refugee and Freedmen’s Home shows how the WSC practiced its new identity in its operations. By accommodating both black and white refugees in one building, it showed race did not matter for its aid and relief movement.
In sum, the WSC members by 1864 found themselves needing to garner broader financial support and overcome opposition towards white refugees, many who hailed from Confederate states. Facing these challenges, they justified the work on behalf of the destitute as a patriotic endeavor consolidating racially and politically divided Americans under the Union’s cause. In this process, they pursued a glittering hope; a new nation based on the integration of racial and political identity.
Title from PDF of title page viewed February 1, 2021; Vita; Includes bibliographical references (page 60-63); Thesis (M.A.)--Department of History. University of Missouri--Kansas City, 2020
2020-01-01T00:00:00Z