Burnout in the Nursing Profession: Extant Knowledge and Future Directions for Research and Practice

Burnout is a psychological state resulting from prolonged psychological or emotional job stress, and is a culmination of three factors: emotional exhaustion, depersonalization, and reduced personal accomplishment. Due to the nature of the “people-work” they must constantly perform, along with a highly stressful and unpredictable work environment, nurses have alarmingly high rates of burnout among members of their profession. Given the importance of research on burnout to understanding the context-specific stressors and challenges of nursing, this review offers a synthesis of research published in the last decade in both nursing and communication journals, with an emphasis on discussing opportunities for further research in this area of study. As such, an overview of the extant research on the predictors, outcomes, and means of coping with and preventing burnout among nurses will be discussed. Finally, this article concludes by forwarding a series of directions for both research and practice in the fields of nursing and communication

Addressing Student Precarities in Higher Education: Our Responsibility as Teachers and Scholars

[T]his essay will focus on how we, as scholars of communication and instruction, can address, mitigate, and even illuminate these issues of precarity in our pedagogy, our scholarship, and our professional lives. This argument is centered on three key premises: (1) it is the responsibility of instructors to care about student precarities, (2) as instructional scholars and experts in communication, we are well prepared to mitigate these precarities in our course structure and pedagogy, as well as (3) in the scholarship we produce and prioritize on teaching and learning

Addressing the Role of Health Literacy in Social Science: The Revision and Validation of the Perceived Oral Health Literacy Scale

The purpose of this dissertation was twofold. The first purpose was to develop a valid and reliable measurement of health literacy appropriate for use in social science. The second purpose was to determine whether health literacy is a skill set that can be increased through the intervention efforts of communication studies scholars. These purposes were addressed across four studies. The results of exploratory and confirmatory factor analysis provided support for a 26-item revised Perceived Oral Health Literacy Scale (LaBelle & Weber, 2013) which assesses individuals\u27 Motivation and Ability to gain access to, understand, and use health information in order to promote and maintain good health. Conceptually, this measure is consistent with the definition of health literacy put forth by the World Health Organization (2014), thus offering evidence of its content validity. Empirically, the results across the four studies provide strong evidence for the validity of the revised POHLS. Evidence for construct validity was provided by the measures positive relationships to patient self-efficacy, response efficacy and perceived health competence, while also being negatively related to trait and dyadic communication anxiety. Further evidence of construct validity was suggested by known groups differences in the POHLS scores obtained between individuals who had completed a semester long course in Health Communication and those who had completed a course in an unrelated topic. Evidence for the criterion- related validity of the measure was not supported, as the revised POHLS was not related to individuals\u27 physiological indicators of health or stage of readiness to change behaviors related to obesity and diabetes prevention. The results of a pretest-posttest nonequivalent groups design did not provide support for the effectiveness of a brief educational intervention to increase individuals\u27 health literacy; however, the known-groups assessment offers support to conduct further research on this topic. Taken together, these results provide support for the revised POHLS as a reliable and valid measure of health literacy appropriate for use in social science research

Interpersonal Communication in Eye Care: An Analysis of Potential Impacts on Cataract Surgery Candidates’ Expectations and Behaviors

Purpose: To identify cataract surgery candidates’ knowledge, beliefs, desires and emotions as they relate to cataract surgery generally as well as to their behavioral intent to adhere to a doctor-recommended pre-surgical ocular surface prep routine designed to improve refractive outcomes and prevent surgical complications. Methods: This national, noninterventional, cross-sectional, mixed methods survey included 278 US adults ages 65 and older with no history of cataract surgery in either eye. Results: Only 20% of participants said they want to have cataract surgery, and even fewer (8%) said they wish they could have cataract surgery right away. Fear was the predominant emotion in one out of every three respondents and was correlated with intention to delay having cataract surgery for as long as possible (r = 0.44). Fewer than 2% of participants said their doctors recommended home-health strategies to combat the risks of ocular surface disease preoperatively. However, most say they would use a pre-surgical prep kit if their doctor gave them one (87%), asked them to buy one (83%), or directed them to obtain one online (71%). Conclusion: These findings negate the popular assumption that patients are in a hurry to have their cataract surgery right away and, therefore, may resist physician recommendations to address ocular surface disease pre-operatively

TIM-3 blockade in diffuse intrinsic pontine glioma models promotes tumor regression and antitumor immune memory

Diffuse intrinsic pontine glioma (DIPG) is an aggressive brain stem tumor and the leading cause of pediatric cancer-related death. To date, these tumors remain incurable, underscoring the need for efficacious therapies. In this study, we demonstrate that the immune checkpoint TIM-3 (HAVCR2) is highly expressed in both tumor cells and microenvironmental cells, mainly microglia and macrophages, in DIPG. We show that inhibition of TIM-3 in syngeneic models of DIPG prolongs survival and produces long-term survivors free of disease that harbor immune memory. This antitumor effect is driven by the direct effect of TIM-3 inhibition in tumor cells, the coordinated action of several immune cell populations, and the secretion of chemokines/cytokines that create a proinflammatory tumor microenvironment favoring a potent antitumor immune response. This work uncovers TIM-3 as a bona fide target in DIPG and supports its clinical translation

Addressing the Role of Health Literacy in Social Science: The Revision and Validation of the Perceived Oral Health Literacy Scale

The purpose of this dissertation was twofold. The first purpose was to develop a valid and reliable measurement of health literacy appropriate for use in social science. The second purpose was to determine whether health literacy is a skill set that can be increased through the intervention efforts of communication studies scholars. These purposes were addressed across four studies. The results of exploratory and confirmatory factor analysis provided support for a 26-item revised Perceived Oral Health Literacy Scale (LaBelle & Weber, 2013) which assesses individuals' Motivation and Ability to gain access to, understand, and use health information in order to promote and maintain good health. Conceptually, this measure is consistent with the definition of health literacy put forth by the World Health Organization (2014), thus offering evidence of its content validity. Empirically, the results across the four studies provide strong evidence for the validity of the revised POHLS. Evidence for construct validity was provided by the measures positive relationships to patient self-efficacy, response efficacy and perceived health competence, while also being negatively related to trait and dyadic communication anxiety. Further evidence of construct validity was suggested by known groups differences in the POHLS scores obtained between individuals who had completed a semester long course in Health Communication and those who had completed a course in an unrelated topic. Evidence for the criterion- related validity of the measure was not supported, as the revised POHLS was not related to individuals' physiological indicators of health or stage of readiness to change behaviors related to obesity and diabetes prevention. The results of a pretest-posttest nonequivalent groups design did not provide support for the effectiveness of a brief educational intervention to increase individuals' health literacy; however, the known-groups assessment offers support to conduct further research on this topic. Taken together, these results provide support for the revised POHLS as a reliable and valid measure of health literacy appropriate for use in social science research

Strategic communication for organizations

Strategic Communication for Organizations elucidates the emerging research on strategic communication, particularly as it operates in a variety of organizational settings. This book, appropriate for both students and practitioners, emphasizes how theory and research from the field of communication studies can be used to support and advance organizations of all types across a variety of business sectors.   Grounded in scholarship and organizational cases, this textbook: focuses on message design provides introductory yet comprehensive coverage of how strategy and message design enable effective organizational and corporate communication explores how theory and research can be synthesized to inform modern communication-based campaigns Strategic Communication for Organizations will help readers discuss how to develop, implement, and evaluate messages that are consistent with an organization's needs, mission, and vision, effectively reaching and influencing internal and external audiences

Student Intentions to Engage Instructors in Mental Health-Related Conversations: An Application of the Theory of Planned Behavior

Objective Considering that college students experience mental health issues and college counseling centers are overwhelmed, this study identifies instructors as a potential mental health resource for students. This study utilizes the theory of planned behavior to investigate the relationship between students’ attitudes, injunctive and descriptive norms, perceived behavioral control, and their intentions to engage their instructors in mental health conversations. Participants Participants were 311 undergraduate students at a small, private university in Southern California. Methods Participants were recruited through a Communication subject pool and completed an online survey about engaging instructors in these conversations. Results Results of a regression analysis indicate that all theoretical constructs positively predict students’ intentions to discuss mental health with an instructor. Conclusions By providing insight into students’ intentions to utilize instructors as mental health resources on campus, these findings yield practical implications for better preparing universities and their faculty to engage in students’ mental health

Elevated TGFβ signaling contributes to ocular anterior segment dysgenesis in Col4a1 mutant mice

Ocular anterior segment dysgenesis (ASD) refers to a collection of developmental disorders affecting the anterior structures of the eye. Although a number of genes have been implicated in the etiology of ASD, the underlying pathogenetic mechanisms remain unclear. Mutations in genes encoding collagen type IV alpha 1 (COL4A1) and alpha 2 (COL4A2) cause Gould syndrome, a multi-system disorder that often includes ocular manifestations such as ASD and glaucoma. COL4A1 and COL4A2 are abundant basement membrane proteins that provide structural support to tissues and modulate signaling through interactions with other extracellular matrix proteins, growth factors, and cell surface receptors. In this study, we used a combination of histological, molecular, genetic and pharmacological approaches to demonstrate that altered TGFβ signaling contributes to ASD in mouse models of Gould syndrome. We show that TGFβ signaling was elevated in anterior segments from Col4a1 mutant mice and that genetically reducing TGFβ signaling partially prevented ASD. Notably, we identified distinct roles for TGFβ1 and TGFβ2 in ocular defects observed in Col4a1 mutant mice. Importantly, we show that pharmacologically promoting type IV collagen secretion or reducing TGFβ signaling ameliorated ocular pathology in Col4a1 mutant mice. Overall, our findings demonstrate that altered TGFβ signaling contributes to COL4A1-related ocular dysgenesis and implicate this pathway as a potential therapeutic target for the treatment of Gould syndrome