Thesis (M.S.)--Ohio University, March, 2009. / Title from PDF t.p. Includes bibliographical references.

Dissertation (Ph.D.)--University of Akron, Dept. of Psychology, 2005. / "May, 2005." Title from electronic dissertation title page (viewed 11/29/2005) Advisors, Susan I. Hardin, Linda M. Subich; Committee members, Nicole J. Borges, Sandra L. Perosa, James R. Rogers; Department Chair, Linda M. Subich; Dean of the College, Roger B. Creel; Dean of the Graduate School, George R. Newkome. Includes bibliographical references.

Thesis (Ph. D.)--Illinois State University, 2001. / Title from title page screen, viewed March 28, 2006. Dissertation Committee: Mark Swerdlik (chair), Ray Bergner, Gary Creasey, Susan Godley, Jef Kahn. Includes bibliographical references (leaves 129-143) and abstract. Also available in print.

Thesis (Ph. D.)--University of Texas at Austin, 2007. / Vita. Includes bibliographical references.

Thesis (M.A.)--Humboldt State University, 2007. / Includes bibliographical references (leaves 62-69). Also available via Humboldt Digital Scholar.

Thesis (Ph. D.)--University of Texas at Austin, 2008. / Vita. Includes bibliographical references.

The purpose of this study was to explore the decision-making process of Indo-Canadian women in seeking counselling help. Little research regarding help-seeking behaviours and attitudes of minority groups has been done in the area of counselling psychology. Even less attention has been given to the Indo-Canadian community. The aim of this study was to contribute to existing research through a contextual understanding of the influences on an Indo-Canadian woman whe/n faced with the decision to pursue counselling help. It was further intended to provide mental health services with information on ways of encouraging this cultural group to utilize the available help resources. This study used narrative and multiple case study methodology. Seven Indo-Canadian women, all having previously used mental health services, were interviewed. Interviews were then transcribed, and 'straightened' into individual narratives based on the unique story of each participant. Factors of hindrance and facilitation with regard to help-seeking were extracted from the narratives and then analyzed for commonalities. The transcripts and narratives were validated by an external examiner to ensure freedom from distortion and bias. Five of the seven stories along with the factors of hindrance and facilitation were further validated by the respective participants. In addition, an abstract story was constructed from the individual accounts. Findings extended the research through the identification of facilitating factors in the decision-making process of Indo-Canadian women in seeking counselling. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

Indiana University-Purdue University Indianapolis (IUPUI) / Atypical symptoms, multiple co-morbidities and a lack of public awareness make it difficult for older adults to know when to seek help for sepsis. Diagnosis delays contribute to older adults’ higher sepsis mortality rates. This research describes patients’ and caregivers’ experiences with the symptom appraisal process, self-management strategies, provider-nurse-patient interactions, and barriers when seeking sepsis care. Convenience and purposive stratified sampling were utilized on two data sources. A nurse-patient and nurse-family caregivers were interviewed. Online stories by older adult patient survivors or family members from the Faces of Sepsis ™ Sepsis Alliance website were analyzed. Emergent themes were identified using qualitative descriptive methods. Listlessness and fatigue were most bothersome symptoms for the nurse-family caregivers. Fever, pain and low blood pressure were most common complaints, followed by breathing difficulty, mental status changes and weakness. Patients expressed “excruciating pain” with abdominal and soft tissue sources of infection, and with post-operative sepsis. Concern was expressed that self-management strategies and medications create barriers by masking typical sepsis signs. Health care providers’ interpersonal interactions, lack of awareness of sepsis symptoms and guidelines, complacency towards older adults, and denial by patients were barriers. Further barriers were staff inexperience, delays, care omissions, and tension between health care providers, patients and caregivers—with emerging advocacy by patients and family. In conclusion, providers should assess previous self-management strategies when evaluating symptoms. At primary care visits or hospital discharge, older patients with risk factors need anticipatory guidance for sepsis symptoms and possible emergent infections--specifically patients with pre-existing risk factors such as urinary tract infections, pneumonia, or operative events. Public and professional education are needed to overcome a lack of urgency and understanding of symptoms for diagnosis, treatment and guideline adherence for inpatients and outpatient clinics. Further research on subjective sepsis symptoms may improve patient-clinician communications when evaluating sepsis in older adults.

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