SSW Master's Theses
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Item Through the mud: development of a scale to measure resilience and refinement of the domestic sex trafficking risk and resiliency assessment (DST-RAA)(Wichita State University, 2017-05) Farres, Allison B.; Countryman-Roswurm, Karen I.This study progressed the development of the Domestic Sex Trafficking Risk and Resiliency Assessment (DST-RRA). This tool is intended to assist direct service professionals to 1) increase identification of those at-risk of or subjected to DST and 2) provide victim-centered strengths-based interventions (Countryman-Roswurm, 2012). Previous research utilized a mixed methods design and the instrument development and construct validation (IDCV) process to develop and test the risk assessment and identify resilience factors associated with DST (Countryman-Roswurm, 2012). The current study continued the IDCV process and centered on the initial development and pilot testing of the DST-RRA resilience assessment. The resilience assessment was developed using resilience factors identified in previous research (CountrymanRoswurm, 2012). Focus groups were then conducted to test the face validity of the resilience assessment. Participants (n=52) provided qualitative and quantitative data to facilitate a qualitative-dominant crossover analysis of the assessment. Analysis validated previously identified resilience factors and provided guidance to update and improve the resilience assessment. Updates will improve the DST-RRA for professionals and clients.Item College students' perspectives on human trafficking(Wichita State University, 2014-05) Patton, Bailey; Countryman-Roswurm, Karen I.; Bolin, Brien L.Domestic minor sex trafficking (DMST) is an insidious and hidden form of abuse (Smith, Vardamen, & Snow, 2009; Clawson, 2010, Countryman-Roswurm, 2012). In the US, approximately 100,000 children are sexually exploited each year (Estes & Weiner, 2001; Smith et al., 2009). The complexity and scope of this issue requires a multi-disciplinary, collaborative approach led by professionals trained to identify and intervene on behalf of victims (ASERCA, n.d; Clawson & Dutch, 2008; Smith et al., 2009; Countryman-Roswurm, 2012; Rafferty, 2013; Countryman-Roswurm & Patton, 2014). Therefore, it is important to assess and enhance the knowledge and perceptions of DMST across disciplines. A University setting provides access to a range of disciplines and is typically structured to facilitate collaboration (Lattuca, Voigt, & Fath, 2004). This project examined 52 multi-disciplinary students' knowledge and perceptions of DMST before and after completing a one credit hour course on the topic. The results indicate that perception and knowledge about DMST were increased through participation in the course. The benefits of enhancing college students' perceptions of human trafficking and increasing their knowledge about human trafficking are discussed.Item Assessing the mediating role of spiritual factors on the relationship between stress and depression among older adults in assisted living facilities(Wichita State University, 2012-05) Jun, Jung Sim; Bolin, Brien L.This study examined the relationship between stress and depression, and the mediating role of spiritual factors among 316 older adults, 65 years or older in assisted living facilities (ALFs). Hierarchical regression analysis revealed that a high level of stress was associated with a high level of depression among older residents. For male residents, a Sobel test indicated that the direct coefficient of stress on depression decreased when spiritual coping and forgiveness were mediated. However, there was no significant mediating role of spiritual factors for stress and depression among female residents. This study suggests the importance of providing spiritual support for older men who are dealing with significant stress as a way to minimize depressive symptoms.Item Code status designation: analysis of appropriate documentation, associated patient demographics, and outcomes in the hospitalized patient(Wichita State University, 2012-05) Collazo, Allison Grace; Dale, OrrenTransportable Physician Orders for Patient Preferences (T-POPP) is a POLST (Physician Orders for Life Sustaining Treatment) paradigm medical order form currently being developed as a bi-state initiative. T-POPP allows patients with serious illnesses to permit, limit, or refuse medical interventions. This thesis describes the documentation surrounding current resuscitation status orders for accessibility and clarity in the medical record prior to the regional implementation of T-POPP, in order to better understand at baseline how useful the present system is. Three code status designations are currently in use at KU Hospital relative to cardiac arrest: Full Code (which permits any and all resuscitative efforts); LAR, limited attempts at resuscitation (which permits certain medical interventions and limits others); and DNAR, do not attempt resuscitation (which limits all resuscitative interventions). This study methodology consisted of a systematic review of chart abstractions and reviews for patients with LAR and DNAR instructions in March 2011 from the University of Kansas Hospital. This study explores the prevalence of such orders, how decisions regarding these orders are documented in the medical record for clarity and accessibility, and associated patient demographics. Accessibility and clarity of such documentation is paramount. This study found that there is a high prevalence (96.2%) of documentation regarding code status orders, though significantly lower prevalence of documentation with clarity and accessibility; the highest level of clarity is found in orders with direct quotes and paraphrases; the highest level of accessibility is found in resuscitation status notes and chart notations in the code status order comments section; and that advance directives are not usually available at bedside to provide guidance for plan of care at point of care.