Publications by authors named "Andrea Walker"

Mothers experiencing homelessness are seldom asked about past trauma that may be causal to housing instability and poor health. There are also few validated trauma-focused interventions in family shelters. To address this gap, we tested the feasibility and acceptability of the trauma-focused clinical ethnographic narrative intervention (CENI-TF) in increasing mothers' trauma disclosure, appraisal of its meaning in their lives, and help-seeking behaviors.

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Sex offender treatment providers are ethically responsible for their client's treatment; yet they are morally bound to protect society. Those who treat court-mandated clients are required to violate client confidentiality and report to authorities any disclosures made by clients during the treatment process. Using in-depth interviews ( = 22), this study focused on the perceptions of community-based sex offender treatment providers to explore ethical issues stemming from balancing a duty of care to the client with the mandated reporting requirements of the criminal justice system, and the difficulties of working within two bureaucratic systems (i.

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Background: Traumatic stress can adversely affect obstetricians' mental health and may affect care provision. Little is known about the impact of traumatic birth on the Australasian obstetric workforce.

Aim: To assess the feasibility of conducting a binational survey of Australia and New Zealand obstetricians, trainees, and general practitioner obstetricians, to determine the prevalence of trauma exposure and associated factors.

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The current mixed-methods study examines how college students negotiate the grief process with the competing demands of college. Data were collected from 950 students at a regional comprehensive university and a research intensive institution. Quantitative findings revealed closeness to the deceased as a key positive predictor of mental health and academic difficulties and positive associations between changes in peer relationships and mental health difficulties.

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This study presents a survey of state statutes which restrict the civil rights of persons with a mental illness or who have been declared mentally incompetent. Five civil rights (voting, holding public office, jury service, parenting, and marriage) are examined. The results of this study are compared with the results of studies conducted in 1989 and 1999 to determine what changes have occurred over time in the restriction of civil rights of those suffering from mental health problems.

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Abdominal wall pain at the linea semilunaris is classically the result of a Spigelian hernia. If no hernia is detected, these patients may be left with chronic pain without a diagnosis or treatment. A retrospective review was performed of patients presenting with abdominal wall pain at the linea semilunaris between 2009 and 2012.

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Background: Differences in interlaboratory research protocols contribute to the conflicting data in the literature regarding engineered nanomaterial (ENM) bioactivity.

Objectives: Grantees of a National Institute of Health Sciences (NIEHS)-funded consortium program performed two phases of in vitro testing with selected ENMs in an effort to identify and minimize sources of variability.

Methods: Consortium program participants (CPPs) conducted ENM bioactivity evaluations on zinc oxide (ZnO), three forms of titanium dioxide (TiO2), and three forms of multiwalled carbon nanotubes (MWCNTs).

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As part of the National College Grief Study, college student bereavement experience was examined specifically in a Christian university climate. Sex, year in school, and closeness to the deceased were measured in terms of academic and mental health outcomes and resources utilized. Females reported more mental health problems when close to the deceased, and seniors were less likely than first year students to utilize personal support resources of family and religion.

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Human pluripotent stem (hPS) cells such as human embryonic stem (hES) and induced pluripotent stem (hiPS) cells are vulnerable under single cell conditions, which hampers practical applications; yet, the mechanisms underlying this cell death remain elusive. In this paper, we demonstrate that treatment with a specific inhibitor of non-muscle myosin II (NMII), blebbistatin, enhances the survival of hPS cells under clonal density and suspension conditions, and, in combination with a synthetic matrix, supports a fully defined environment for self-renewal. Consistent with this, genetically engineered mouse embryonic stem cells lacking an isoform of NMII heavy chain (NMHCII), or hES cells expressing a short hairpin RNA to knock down NMHCII, show greater viability than controls.

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The authors used stratified random sampling to assess the prevalence and severity of bereavement in college undergraduates, providing an advance over findings that emerge from convenience sampling methods or from anecdotal observations. Prior research using convenience sampling indicated that 22% to 30% of college students are within 12 months of having experienced the death of a family member or friend. Using an ethnically diverse sample from a private, Midwestern university, 118 randomly selected students answered demographic and life experience questions and indicated whether a family member or friend had died within the last 24 months.

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Due to the severity of the risks involved in violation of ethical principles with research of American Indian populations, more attention in literature is needed on the topic. This article reviews discussions of ethical and methodological issues, uses Muscogee Creeks' responses from the author's prior study (Walker, 2008; Walker & Balk, 2007) as an example and application, and specifically focuses on the research of death and bereavement. The article provides ethical reflection and recommendations for designing death and bereavement research as an outsider to the culture, as well as for building trust with participants in American Indian populations.

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This qualitative, collective case study involves interviews with 27 members of the Muscogee Creek Tribe to explore spirituality as related to death and bereavement. Results yielded that Creeks are generally open to the existence of inexplicable supernatural events. Creek spirituality encompasses awareness of spiritual beings, both good and bad.

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A qualitative, collective case study explores grieving in the Muscogee Creek tribe. Data from interviews with 27 participants, all adult members of the tribe, reveal tendencies in patterns of grieving. Commonalities include (a) individual strength and certainty of recovery; (b) focus on giving to others in the family and coping as a family unit; and (c) support mainly received from family.

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A qualitative, collective case study explores bereavement rituals in the Muscogee Creek tribe. Data from interviews with 27 participants, all adult members of the tribe, revealed consensus on participation in certain bereavement rituals. Common rituals included: (a) conducting a wake service the night before burial; (b) never leaving the body alone before burial; (c) enclosing personal items and food in the casket; (d) digging graves by hand; (e) each individual throwing a handful of dirt into the grave before covering, called giving a "farewell handshake"; (f) covering the grave completely by hand; (g) building a house over the grave; (h) waiting 4 days before burial; (i) using medicine/purification; and (j) adhering to socialized mourning period.

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Leading change initiatives across multiple geographic locations has become increasingly frequent among nursing leaders as hospitals merge to form more effective and powerful organizations. This case study illustrates how strong nursing leadership, in conjunction with a transformational change approach, led to the successful implementation of a new documentation system at two hospitals within one organization. The project process is described in detail, including a discussion of lessons learned, and recommendations are provided for the leadership of future multi-site projects.

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