The National University System Repository exists to increase public access to research and other materials created by students and faculty of the affiliate institutions of National University System. Most items in the repository are open access, freely available to everyone.
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Item Service Delivery Collaboration for the Homeless Population in Contra Costa Regional Medical Center's Emergency Department(2017)Contra Costa County Regional Medical Center is a 166-bed safety net hospital, caring for the indigent. I saw our collective role as the 'water carriers' in a system that needed streamlined collaboration across divisions when it comes to our homeless population. I decided to work with frontline social worker staff who were unable to take care of the homeless patient in a comprehensive way within our Emergency Department (ED), and thus, this patient became a frequent visitor because of this system gap. It was my interest to partner with the Health, Housing, and Homeless Division (H3) and learn about their new streamlined referral system, called Coordinated Entry (CE), which would launch in February 2017. Their goal was to partner with our hospital in communicating how this new service will benefit staff and patients, and my goal was to add outreach teams who would canvas the ED and triage patients to CE services, offering a true warm hand-off. This system delivery collaboration will have a positive impact on staff and patients, and be a cost-effective and safer alternative that will potentially create a depth of services for our homeless patients.Item Sexuality and Alzheimer's Disease and Its Effect on Spousal Caregiving(1994)Extensive research has been done on Alzheimer's disease; however, very little has been reported in the area of sexuality. The purpose of this research is to study the relations among Alzheimer's disease, spousal caregiving, and sexual behavior. Data were collected from two sources: questionnaires distributed in a pilot study conducted in Hawaii and a revised questionnaire distributed in Northern California. The combining of the two studies was justified through comparison of the means of the following variables: age of caregiver, age of spouse, number of years married, number of years caregiving, scores on Knowledge and Attitude scales about sexuality, and rates of affection prior to and since the onset of illness. Participants included 13 male and 21 female spousal caregivers, ranging in age from 49 to 85 years old. The questionnaire was developed to explore caregivers' knowledge and attitudes regarding sexuality and affectional behavior, sexual satisfaction, and frequency of intercourse prior to and since the onset of their spouse's dementia. The more affection shown and the more positive a caregiver's attitude was about sexuality, the greater the frequency of intercourse, both prior to and since the onset of illness. Higher frequencies of intercourse led to higher scores of sexual satisfaction for caregivers, both prior to and since the onset of illness. Thus, in keeping with the decline in frequency of intercourse after the onset of illness, sexual satisfaction declined as well. With more time and resources, the problem of sample size could be remedied. Also, a qualitative study through interviews may provide a personal approach in allowing caregivers to share their experiences.Item Sandplay in the Classroom(1984)This study examines the content and organization of sequential themes of sandplay produced by fifth-grade students in a public school. Two types of analyses are used, structural and symbolic. The structural analyses, which apply Piaget's stages of development, reveal the cognitive level of each student. The structural categories devised by Jones are applied. The symbolic analysis examines the emotional factor and ego strength of a child. The sandplay theories of Kalff and Weinrib are combined with Clegg's notion of the reparation. The early sandplay themes showing conflict, impoverishment, or confusion are followed by a reparative motif and subsequently by benign themes. The early sandplay themes, revealing little conflict, impoverishment, or confusion, later show improved organization and continued benign themes. The sandplay of one student is examined in detail. A comparative study of the first and last sandworlds of five additional students is conducted. A systematic progression towards more benign, coherent, and unified themes was discovered. Tentative conclusions concerning the impact of sandplay on public school students are drawn.Item Recycling Attitudes and Behaviors(2012)In this study, the researcher aimed to examine the attitudes and behaviors of Americans in relation to recycling. A survey was distributed online via Survey Monkey using the snowball method to obtain a convenient sample of 105 participants. The survey contained 13 questions: 3 open-ended questions and 10 closed-ended questions. The survey results showed that most people do recycle, that recycling is important to people, and that people do go out of their way to recycle even it is not convenient for them. Most survey participants also indicated that they think they should recycle in order to contribute to environmental protection. The survey participants indicated that they were mostly aware of which items went in which bins (garbage versus recycling). The survey participants revealed that they thought they were, as individuals, important to solve the environmental problem and that they would cause a good amount of damage if they did not recycle. Finally, the results indicated that most people believed there was some message from the media and government about recycling, although the strength of that message varied.Item Recall of Childhood Memories by Adult Children of Alcoholics(1987)This study was designed to examine early autobiographical memory in adult children of alcoholics (ACA). It was hypothesized that the trauma of growing up in an alcoholic home would cause the ACA to report fewer early childhood events than adults from non-alcoholic homes. Thirty-two participants were evenly divided between groups. There were eight men and 24 women, the mean age being 33. All subjects were matched for age, education, and income. Subjects participated in a standard autobiographical memory test, a Children of Alcoholics Screening Test, and a questionnaire regarding parental drinking patterns. The results supported the hypothesis, namely, ACAs reported significantly fewer events than the control group, p < .01. It was also found that ACAs reported significantly more repeated memories than the control group, 2.(.Oi. These findings raise important questions as to the effects of trauma upon autobiographical memory and suggest the need for further experimental research investigating these phenomena.
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