• Please place your writing outside of the evaluation/criterion tables. The tables are for feedback and scoring only. • Please find a gap in the literature to attest to the need for this study. Usually, this is a recommendation for further research on the topic from a recent, peer reviewed research report. Discuss this gap in the introduction and the background to the problem section. • Please provide a variable list. Include for each variable the definition of the variable. Classify the variable as predictor or criterion. Classify the variable as continuous, ordinal, categorical or ratio. Show how the variable will be measured in numbers, include the source of the number such as an instrument. I cannot evaluate the research questions and hypotheses without a variable list.• You must use pre-established instruments that have been tested for validity and reliability. It is not clear what previous data you mean to use. However, patient information is protected by HIPAA, so you cannot access patient records. • Preliminary site permission is needed to show feasibility of this study.
• Need to answers all of the questions in the yellow highlight and the bubble comments.I look forward to reading your revised prospectus.
Dr. XXXXXXX, dissertation methodologist, Aug 2017
Dissertation ProspectusFemale Veterans and Post Traumatic Stress Disorder: Countertransference and Burnout among Service ProvideSubmitted byAsnage Castelly3 August 2017Dr. XXXXXXXXProspectus Instructions:1. Read the entire Prospectus Template to understand the requirements for writing your Prospectus. Each section contains a narrative overview of what should be included in the section and a table with criteria required for each section. These criteria will be used to assess the prospectus for overall quality and feasibility of the proposed research study.2. As you draft each section, delete the narrative instructions and insert your work related to that section. Use the criteria table for each section to ensure that you address the requirements for that particular section. Do not delete/remove the criteria table as this is used by you and your Committee to evaluate your prospectus.3. Prior to submitting your prospectus for review by your Chair or Methodologist, use the criteria table for each section to complete a self-evaluation, inserting what you believe is your score for each listed criteria into the Learner Self-Evaluation column.4. The scoring for the criteria ranges from a 0-3 as defined below. Complete a realistic and thoughtful evaluation of your work. Your Chair and Methodologist will also use the criteria tables to evaluate your work.5. Your Prospectus should be between 6-10 pages when the tables are deleted. Score Assessment0 Item Not Present1 Item is Present, But Does Not Meet Expectations: Not all components are present. Large gaps are present in the components that leave the reader with significant questions. All items scored at 1 must be addressed by learner per reviewer comments.2 Item Approaches Meeting Expectations, But Needs Revision: Component is present and adequate. Small gaps are present that leave the reader with questions. Any item scored at 2 must be addressed by the learner per the reviewer comments.3 Item Meets Expectations: Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions. No changes required. Dissertation ProspectusIntroduction Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)I used to believe the world was basically fair and that people were basically good. Now I think fate is fickle and I don’t trust anyone.Saakvitne & Pearlman, Transforming the PainIntroduction Providers who give care to trauma victims are susceptible to getting harmed psychologically. Di Leone et al (2013) predict that up to 45% of combat veterans exhibit symptoms associated with PTSD. These veterans maintain constant contact with a variety of service providers, including psychological counselors, caseworkers, and pastoral care counselors. Frequent contact with female veterans symptomatic of PTSD can lead to burnout, associated with countertransference during the therapeutic process, among care providers (Ray, Wong, White, & Heaslip, 2013). According to Behary & Dieckmann (2013), it is common for service providers to experience their own schema activation or countertransference in response to PTSD grandiosity or devaluation. Most studies focus on measuring the direct exposure to trauma based on the classifications under the DSM-IV-TR for PTSD diagnosis (APA 2009), with less attention paid to the effect of indirect exposures. This study will test the assumption that indirect exposure to traumatic events is a critical factor in the development of secondary traumatic stress (STS) symptoms. The study will be underpinned by the theory of vicarious traumatization (VT) and test the influence of countertransference on the mental health of professionals providing services to female veterans with PTSD.1. Dissertation topic is introduced. 1.52. Describes how the study extends prior research or fills a “need” or “defined gap” from current literature. Please find a gap in the literature to attest to the need for this study. Usually, this is a recommendation for further research on the topic from a recent, peer reviewed research report. Discuss this gap in the introduction and the background to the problem section.
NOTE: This Introduction section elaborates on Point #1(the Topic) from the 10 Strategic Points. This Introduction section provides the foundation for the Introduction section in Chapter 1 of the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Background of the Problem
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Background of the ProblemWe are all exposed to subjective working environments frequently creating particular hazards. Mental health workers are at a high risk of burnout (Browning, Kj, & JA, 2011). This incidence is occasionally associated with exposure to Post-traumatic stress disorder (PTSD) situations (Morse, Salyers, & Rollins, 2012). In a study published by APA (2009), in a random sample of 1000 counseling psychologists, a majority, 62%, presented with depression, while 42% presented with suicide ideation behaviors. Practitioners also exhibited anxiety and burnout, fatigue, decreased energy and motivation, and memory deficits, which can lead to ethical violations and malpractice. The numbers of female service members have increased greatly over the past half-century. From just 2% in the 1950s, the number of members in the Active Component of the Armed forces has risen to 14%, while the Reserve Component stands at 18% (VA Women Veterans Task Force, 2012). This has also led to the growth in the number of female veterans, with estimations showing that they constitute at least 8%, 1.8 million, of the 22.2 million veterans (Department of Veterans, 2011). This number is essentially projected to increase to 11% by 2020. Over the past 10 years, the number of veterans enrolled in the VA health care system has doubled. Currently, there are more than 500,000 female veterans enrolled in the health care system. Owing to gender differences in PTSD, female veterans are more likely to be treated by female mental health care professionals (McCarthy, 2017). Cieslak et al (2014) reported that interactions between female veterans and female care providers create a risk due to the propensity of the care providers to develop an emotional reaction when dealing with their patients. This can result in traumatic stress and burnout (Cieslak et al., 2014). This is what is called vicarious traumatization and occurs when the care provider is unable to manage countertransference (Cazares, 2015), and may lead to the inability of the provider to continue providing treatments to patients with PTSD (Cavanaugh, Weise-Batista, Lachal, Baubet, & Moro, 2015). 1. Identifies the “need,” or “defined gap” that will lead to the research problem statement in a following section. Citations from the literature in the last 5 years describe the problem as a current “need” or “gap” for further research. Please find a gap in the literature to attest to the need for this study. Usually, this is a recommendation for further research on the topic from a recent, peer reviewed research report. Discuss this gap in the introduction and the background to the problem section.
2. Discusses how the “need” or “defined gap” has evolved historically into the current problem or opportunity to be addressed by the proposed study. 13. ALIGNMENT: The problem statement for the dissertation will be developed from and justified by the “need” or “defined gap” that is described in this section and supported by the Literature. 1NOTE: This Background of the Problem section uses information from Point #2 (Literature Review) in the 10 Strategic Points. This Background of the Problem section becomes the Background of the Study in Chapter 1 in the Proposal. It is then expanded to develop the comprehensive Background to the Problem section in Chapter 2 (Literature Review) in the Proposal. NOTE: When writing this section ensure it has a logical flow, as well as, uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Theoretical Foundations and Review of the Literature/Themes
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Theoretical Foundations and/or Conceptual FrameworkThe study is grounded on two theories: the theory of vicarious trauma (Killiam et al., 2017) and burnout theory (Schaufeli, Maslach& Marek, 2017). The theory of vicarious trauma is premised on the fact that when healthcare professionals listen to the graphic discussions of traumatic experiences by patients become indirectly exposed to traumatic events that can lead to harmful emotional reactions (Killiam et al., 2017). As a result, the continuous indirect exposure to traumatic events leads to countertransference (Schaufeli, Maslach& Marek, 2017). This affirms that there is a relationship between indirect exposures to trauma and burnout. The theory is grounded on the constructivist paradigm. In relation to social development, it holds that an individual’s experience of traumatic events has the ability to shape their personal history (Iqbal, 2015), as well as the ability to cope with increased exposure to trauma from patients (Cieslak et al., 2014). On the other hand, burnout theory, which was developed systematically years ago, is premised on the fact that negative experiences in the workplace has the potential of producing chronic stress, which can lead to emotional exhaustion and cynicism, also conceptualized as compassion fatigue, secondary traumatic stress, and emotional strain (Hernandez-Wolfe, Killian, Engstrom, &Gangsei, 2014). 1. Theoretical Foundations section identifies the theory(s), model(s) relevant to the variables (quantitative study) or phenomenon (qualitative study). This section should explain how the study topic or problem coming out of the “need” or “defined gap” in the Background to the Problem section relates to the theory(s) or model(s). (One paragraph) 22. Review of the Literature Themes/Topics section: This section lists the major themes or topics related to the research topic. It provides a short one-two sentence description of each theme/topic and identifies its relevance to the research topic supporting it with at least one citation from the literature. (One or two sentences per theme/topic). Meet criteria at left3. ALIGNMENT: The Theoretical Foundations models and theories need to be related to and support the problem statement or study topic. The sections in the Review of the Literature are topical areas needed to understand the various aspects of the phenomenon (qualitative) or variables/groups (quantitative) being studied; to select the design needed to address the Problem Statement; to select surveys or instruments to collect information on variables/groups; to define the population and sample for the study; to describe components or factors that comprise the phenomenon; to describe key topics related to the study topic, etc. NOTE: The two parts of this section use information from Point #2 (Literature Review) from the 10 Strategic Points. This Theoretical Foundations section is expanded upon to become the Theoretical Foundations section in Chapter 2 (Literature Review). The Theoretical Foundations section is also used to help create the Advancing Scientific Knowledge section in Chapter 1. This Review of Literature Themes/Topics section is expanded upon to provide the Review of the Literature section in Chapter 2 (Literature Review). The Review of the Literature Themes/Topics section is also used to provide the basis for the Significance of the Study section in Chapter 1. NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Problem Statement
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Problem StatementStudies such as (US department of veteran affairs, 2017) have estimated that burnout rates among mental health care providers are as high as 50% and is a major contributing factor to declining personal satisfaction and patient care while predisposing the provider to severe cases of mental and physical health problems. Such data, which exists previously helps us to draw assumptions, with which we draw conclusions. The new data then form a basis for more assumptions, which help us have a more systematic comprehensive understanding of how to mitigate burn out in psychological care providers.Other studies have confirmed that burnout is a significant issue among healthcare professionals providing therapeutic treatment for traumatized patients exhibiting symptoms of PTSD (Cavanagh et al., 2015). Cieslak et al., (2015) suggested that the management of countertransference is a significant factor in the product of burnout. However, despite the increasing incidences of PTSD among veterans and associated burnout among professionals, there is a dearth indeed of research examining the effect of treatment on burnout among service providers. Further, there are no prior studies focusing specifically on the therapeutic dyad of female veterans with PTSD and their service providers (Machado et al., 2014; Strong, Findley, McMahon, & Angell, 2015). The effects of countertransference on service providers have not been widely investigated (Garcia et al., 2015).CriteriaThe study will, therefore, examine the effect of the intensity of countertransference on burnout among mental health service providers dealing with female veterans presenting with PTSD, and generate new understanding on the therapeutic dyad of female veterans with PTSD and their service providers.1. Presents a clear declarative statement that begins with either: “It is not known how or why…” (qualitative), or “It is not known if or to what degree/extent…” (quantitative). 1Write a problem statement in the format at left. 2. Clearly describes the magnitude and importance of the problem, supporting it with citations from the literature. 13. ALIGNMENT: The problem statement is developed from and justified by the “need” or “defined gap” defined by the Literature that is discussed in the Background to the Problem section above. 1NOTE: This section elaborates on Points #3 (Problem Statement) from the 10 Strategic Points. This section becomes the foundation for the Problem Statement section in Chapter 1(and other Chapters where appropriate) in the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA formatComments from Evaluator:
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Research Question(s) and/or HypothesesThe aim of the study is to address the correlation of countertransference and burnout in care providers. The conceptual model for the study is based on the proposition that there is a relationship between the countertransference, prior personal experience with trauma, and the severity of patient PTSD and burnout among female mental health professionals treating female veterans with PTSD. This relationship is moderated by age, gender, and number of patients, seen each week. The research questions, as well as hypotheses of the study, can be presented as:RQ1: What is the relationship between the perceived intensity of countertransference and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA?H10: No relationship exists between the perceived intensity of countertransference and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA.H1a: A positive relationship exists between the perceived intensity of countertransference and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA and burnout.RQ2: What is the relationship between previous experience with personal trauma and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA?H20: No relationship exists between previous experience with personal trauma and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA.H2a: A positive relationship exists between previous experience with personal trauma and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA.RQ3: What is the relationship between severity of patient PTSD and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA?H30: No relationship exists between the severity of patient PTSD and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA.H3a: A positive relationship exists between the severity of patient PTSD and burnout among service providers providing treatment for female veterans receiving treatment for PTSD at the VA.RQ4: What is the effect of moderating variables of age and gender of the service provider and number of patients with PTSD seen each well on burnout?H40: No relationship exists between the moderating variables of age and gender of the service provider and number of patients with PTSD seen each well on burnout.H4a: A relationship exists between the moderating variables of age and gender of the service provider and number of patients with PTSD seen each well on burnout.1. Qualitative Designs: States the research question(s) the study will answer, and describes the phenomenon to be studied.or2. Quantitative Designs: States the research question(s) the study will answer, identifies the variables, and presents the hypotheses. 1Definition of variables is needed in order to evaluation this criteria. 3. ALIGNMENT: The research questions are based on both the Problem Statement and Theoretical Foundation model(s) or theory(s). There should be no research questions that are not clearly aligned to the Problem Statement. 1NOTE: This section elaborates on Points #5 (Research Questions) & #6 Hypothesis/variables or Phenomena) from the 10 Strategic Points. This section becomes the foundation for the Research Question(s) and/or Hypotheses section in Chapter 1 in the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Significance of the Study
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Significance of the StudyOwing to the increasing levels of burnout among mental health care professions (US department of veteran affairs, 2017) and the rising numbers of female VA veterans presenting with PTSD (Machado et al., 2014; Strong, Findley, McMahon, & Angell, 2015), the findings of the study will provide insight on how to reduce the rate of burnout since it is an occupational hazard. The study will also generate knowledge on the association between severity of patient PTSD and burnout among service providers. The findings of the study may have practical significance for service providers with many PTSD patients by identifying some of the factors that may contribute to burnout. Based on the findings, service providers may adopt specific approaches to reduce the possibility of negative countertransference and vicarious trauma when treating patients with PTSD. 1. Describes how the proposed research will contribute to the Literature, relating it specifically to other studies from the Background to the Problem and Problem Statement above. 12. Describes how the proposed research will contribute to the literature on the selected theory(s) or model(s) that comprise the Theoretical Foundation for the study. Discuss theoretical contributions3. Describes how addressing the problem will have practical value for the real world considering the population, community, and/or society. Avoid overstating 4. ALIGNMENT:Part 1 is based on specific studies from the Background to the Problem and Problem Statements sections above and identifies how this research will contribute to that Literature. Part 2 is based on specific model(s), theory(s) or variables from the Theoretical Foundations section above and identifies how this research will contribute to the knowledge on those model(s) or theory(s). Part 3 reflects on potential practical applications of the potential research findings based on Literature in the field of practice. 1NOTE: This section does not directly come from any section of the 10 Strategic Points. However it does build on the Background to the Problem, Problem Statement and Theoretical Foundations sections that are developed from the 10 Strategic Points. This section becomes the Significance of the Study section in Chapter 1 in the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Rationale for Methodology
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Rationale for MethodologyThe study will adopt a quantitative research methodology. A quantitative approach is appropriate when the purpose of the study is to test the validity of a proposition established prior to commencing the research (Punch, 2013). Quantitative methods are preferred when testing for the existence of the possible relationships through observation and measurement (Grinnell & Unrau, 2011), and when the intention of the research is to generalize findings to reflect the entire population.1. Identifies the specific research methodology for the study (quantitative, qualitative, or mixed). 22. Justifies the research methodology to be used for the study by discussing why it is the best approach for answering the research question and addressing the problem statement. Uses citations from original sources in the literature on the specific research methodology to support the arguments. (NOTE: Books such as those by Creswell, which are secondary sources summarizing others approaches to research, may not be used as sources in this section). 1Additional original sources should be used and cited. 3. ALIGNMENT: The selected methodology should be justified based on the Problem Statement and Research Questions. 1NOTE: This section elaborates on the methodology part of Point #7(Methodology and Design) in the 10 Strategic Points. This section becomes the foundation for the Research Methodology in Chapter 1 of the Proposal and the basis for developing Chapter 3, Research Methodology.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA formatComments from the Evaluator:
Nature of the Research Design for the Study
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score(0-3) Chair or Reviewer Evaluation Score(0-3)Nature of the Research Design for the Study The research design adopted for the study is essentially a correlation research design. According to Heppner, Wampold, Owen, Thompson, & Wang (2016) a correlation research design is appropriate when it is not possible to manipulate the independent variables under investigation. Since the independent variables of the intensity of countertransference, previous experience of the service provider with traumatized patients, and the severity of the PTSD symptoms of the patient cannot be manipulated; the research design is the most preferred for the study. The descriptive research design could also be used for the study since it is able to test the hypothesis. On the other hand, quasi-experimental research required the identification of an existing control group that is exposed to the treatment variable and a pre-existing control group that is not exposed to the treatment variable (Heppner et al., 2016). Since such pre-existing conditions do not exist and it is not possible to assign service providers at the VA to groups that provide treatment to such defined solutions, the most appropriate research design was a correlation research design.1. Identifies the specific type of research design chosen for the study as well as a sample appropriate for the design. (e.g., Quantitative designs include descriptive/survey, correlational, causal-comparative, quasi-experimental, and experimental. Qualitative designs include case study, narrative, grounded theory, historical, and phenomenological.) Although other designs are possible, these are the designs GCU recommends doctoral learners use to help ensure a doable study. 22. Discusses why the selected design is the best design to address the research questions as compared to other designs. 13. ALIGNMENT: The selected Research Design should be justified based on the research questions as well as the hypotheses/variables (quantitative) or phenomenon (qualitative). It should also be aligned with the selected Research Methodology. 1NOTE: This section also elaborates on the Design part of Point #7 (Methodology and Design) in the 10 Strategic Points. This section provides the foundation for Nature of the Research Design for the Study in Chapter 1.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from Evaluator:
Purpose of the Study Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Purpose of the StudyThe purpose of this study is to examine the theory of vicarious traumatization among female mental health care professionals treating female veterans with PTSD. Vicarious traumatization will be measured using previously recorded data of independent variables; countertransference, prior personal experience with trauma, and the severity of patient PTSD. The dependent variable will be burnout among VA staff providing services to female veterans with PTSD at a single VA health facility. In this study, countertransference is defined as the subjective degree of either positive or negative emotional reactions of the service provider to traumatic events discussed by patients with PTSD (Cavanagh et al., 2015). Prior personal experience with trauma is defined as traumatic events in the service provider’s past that may have an effect on the emotional response to a patient’s discussion of trauma (Cieslak et al., 2014). The severity of patient PTSD is defined as the intensity of PTSD as determined by the PTSD Checklist-Military Version (PCL-M). Burnout is defined as essential feelings of emotional exhaustion, of depersonalization, a low sense of self-efficacy (Ray et al., 2013). 1. Presents a declarative statement: “The purpose of this _______study is….” that identifies the research methodology, research design, target population, variables/groups (quantitative), or phenomena (qualitative) to be studied, and geographic location. It often includes a version of the Problem Statement as a way to define the phenomenon or variables/hypotheses. 1Revise purpose to align with problem and research questions and include all elements from left column2. ALIGNMENT: The Purpose Statement includes: Research Methodology, Research Design, and Problem Statement from the previous sections. It also includes the target population, which should be of sufficient size to provide a large enough sample to complete the study and provide significant (quantitative) or meaningful (qualitative) results. 1NOTE: This section elaborates on Points #8 (Purpose Statement) in the 10 Strategic Points. This section becomes the foundation for the Purpose of the Study in Chapter 1 of the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Instrumentation or Sources of Data
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Instrumentation or Sources of DataA questionnaire will be used to obtain responses to questions related to the independent and dependent constructs. The response on independent variables was based on the Likert scale. Typically, the Likert scale ranges from 1 strongly disagree to 5 strongly disagree. The study will use a Likert scale to rank responses on questions relating to previous data about countertransference and burnout. The severity of PTSD will be measured by comparing the information in a database PCL-M (PTSD Checklist for the Military). The dependent variable, burnout, will be measured using the Maslach Burnout Inventory (MBI); a 22-item survey contained three subscales that measured emotional exhaustion, depersonalization, and personal accomplishment (Maslach et al., 1996). MBI will measure the emotional, cognitive, behavioral, and somatic manifestations of caregiver burnout. The study will also essentially collect information on the demographic profiles of the respondents, such as age and gender, as well as the number of patients seen per week.The target population must be a large sample of at least 100 participants who are the staff at a VA facility providing counseling services to female veterans with PTSD. The population includes psychologists, psychiatrists, and pastoral counselors. Random sampling technique essentially will be used to select the sample populations. Data will be collected using various instruments including the PCL-M, the MBI, and a survey instrument designed to collect data concerning countertransference, patient mix, and demographics. The data collected will be analyzed using regression analysis. Regression analysis is suitable for testing the existence of a relationship among variables (Heppner et al. 2016). The quantitative methodology addresses the specific problem examined in this study of burnout among providers of mental health services to female veterans receiving treatment through the VA by collecting and analyzing data concerning proposed factors contributing to burnout. The quantitative methodology is also linked to the purpose of the study, which involves testing the propositions of the theory of vicarious traumatization as the theory relates to burnout. The quantitative data can be used to determine if the proposition reflected in the research questions and linked hypotheses are valid.1. Identifies and describes the types of data that will be collected to answer each Research Question for a qualitative study. Identifies the data that will be collected for each Variable/Group in a quantitative study. 1Additional clarity is needed and revisions. See comments2. Identifies tools, instruments, or databases to be used to collect the data (e.g., observations, interviews, questionnaires, documents, media (qualitative), standardized tests, surveys, and databases (quantitative)). For a qualitative study, identify the specific tools, instruments, or databases for each research question in a qualitative study. For a quantitative study, identify the name of the specific “validated” and “previously used in quantitative research” survey or data source to be used to collect data for each variable, providing a citation for the instrument or data source. 13. ALIGNMENT: Aligns with the Research Questions (qualitative) or Variables (quantitative) previously described in the Research Question(s) and Phenomena or Research Questions, Hypotheses, and Variables section above. Identifies and describes the data and data source that will be used to answer each Research Question for a qualitative study. Identifies, describes, and names the type of numerical data and specific data collection instrument or source that will be used for each variable and group in a quantitative study. 1NOTE: This section elaborates on Point #9 (Data Collection) from the 10 Strategic Points. This information is summarized high level in Chapter 1 in the Proposal in the Nature of the Research Design for the Study section. This section provides the foundation for Instrumentation (quantitative) or Sources of Data (qualitative) section in Chapter 3.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Data Collection Procedures
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Data Collection Procedures Location: The VA facility in Northampton, MA of the United States of America. Population: A random sampling recruited from the community. Sample: Service providers giving care to women veteran with PTSD (determined by self-report and a score of 50+ on the PTSD Questionnaire). The questionnaires will be administered to 50 female mental health care professionals at the VA facility. Survey instruments were incorporating the elements of PLC-M, BMI, and demographic characteristics will be distributed through the service network mailing list provided by the VA facility. These VA facilities provide mental health care services, post-traumatic stress disorder counseling, psychological evaluations, initial traumatic brain injury evaluations, inpatient psychiatric treatment, inpatient/ residential substance abuse treatment, and residential women’s trauma recovery. As such, mental health care professionals working in these facilities are exposed to a myriad of mental health issues affecting female veterans. Completed questionnaires will be mailed back to the researcher for data analysis.1. Defines the target population and the expected sample size, which comprises the people or organizations being studied, as defined in the problem statement. For quantitative studies, it justifies why the target population and expected sample size (final number of people or organizations being studied for which data will be collected) is large enough to produce statistically significant results (quantitative) or meaningful results (qualitative). 1You need a G*Power analysis of power of .80 and.95 for sample size determination. Please screen shot in the appendix. Check definition of target population and define2. Provides an overview the proposed step-by-step procedure to collect data using the tools, instruments, or databases from the section above. Includes the steps (e.g., obtaining initial informed consent from participating organization; IRB review; sample selection; groupings; protecting rights/well-being; maintaining data security; sample recruitment; data collection instruments and approaches; field testing instruments; notifying participants; collecting the data, etc.) in a way another researcher can replicate the study. Steps may be provided in a list format. 1Do missing items at left3. ALIGNMENT: Shows the steps and approach to collect data for each and every data source identified in the Instrumentation or Sources of Data section. Defines the sample as the set of people or organizations being studied for which data will be collected. The sample size must be correct for the type of design selected to get statistically significant (quantitative) or meaningful (qualitative) results. 1NOTE: This section elaborates on Points #4 (Sample and Location) and #9 (Data Collection) in the 10 Strategic Points. This section provides the foundation for the Data Collection Procedures section in Chapter 3 in the Proposal. And it is summarized high level in Chapter 1 in Nature of the Research Design for the Study in the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Data Analysis Procedures
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Data Analysis ProceduresThe process of data analysis will use multiple regression procedures, which correlate variables in order to determine the relationship. The questionnaires will be administered to the female mental health care professionals at the VA facility. Survey instruments were incorporating the elements of PLC-M, BMI, and demographic characteristics will be distributed through the service network mailing list provided by the VA facility. These VA facilities provide mental health care services, post-traumatic stress disorder counseling, psychological evaluations, initial traumatic brain injury evaluations, inpatient psychiatric treatment, inpatient/ residential substance abuse treatment, and residential women’s trauma recovery. As such, mental health care professionals working in these facilities are exposed to a myriad of mental health issues affecting female veterans. Completed questionnaires will be mailed back to the researcher for data analysis.1. Describes the analysis to examine each stated research question and/or hypothesis. For quantitative studies, describes the analyses including the inferential and/or descriptive statistics to be completed. For qualitative studies, describes the specific analytic approach appropriate for the Research Design and each research question to be completed. In qualitative research the different research questions may require different approaches to doing qualitative data analysis, as well as descriptive statistics. revise2. ALIGNMENT: For qualitative studies, there is a clear and obvious alignment between each research question, data to be collected, tool or data source, as well as data analysis to understand/explain the phenomenon. For quantitative studies, there is a clear and obvious alignment between each variable, data to be collected, instrument or data source, as well as data analysis for each hypothesis. NOTE: This section elaborates on Point #10 (Data Analysis) from the 10 Strategic Points. This section provides the foundation for Data Analysis Procedures section in Chapter 3 in the Proposal.
NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
Ethical Considerations
Criteria (Required Components): score 0-3 Learner Self-Evaluation Score (0-3) Chair or Reviewer Evaluation Score (0-3)Ethical Considerations There is a risk of data security with regards to the private information about the participants. The American Psychological Association (APA, 2013) through the Research Ethics and Research Regulations and the British Psychological Society (BPS, 2015) through the Code of Conduct, Ethical Principles, and Guidelines, among other psychological associations across the world, specify considerations that must formally be adhered to in psychological research. These principles bind researchers in the field of psychology with the expectation of operating within a framework of ethical principles. In this study, the researcher will ensure that all the participants are protected from any form of physical and or psychological harm using prior information of how to manage such risks. The researcher will ensure that there is a minimal level of risk to participants, by ensuring the safety of research information. It is indeed the duty of the researcher to ensure that the participants in the study are safe. The researcher will provide a letter of introduction from the academic supervisor to communicate the intentions of the project, detailing informed consent from his participants. After explaining to individual participants about the nature of the research, the researcher will obtain a signed consent before administering the questionnaire. In essence, the researcher will fully debrief the participants on the nature of the research, the aims, and objectives, and will share the findings of the study with participants. In obtaining informed consent, the researcher will stress to the participants the right to withdraw from the study at any time, the right to anonymity and confidentiality, and the obligation of the researcher to protect the participants. In addition, the researcher will also obtain permission and approval from the university and the VA facility (Heffernan, 2005).1. Discusses potential ethical concerns that might occur during the data collection process. 12. Describes how the identities of the participants in the study and data will be protected. No names attached to data and private recruitment and informed consent3. Describes subject recruiting, informed consent and site authorization processes. How this will be done needs to be included4. ALIGNMENT: Ethical considerations are clearly aligned with, and relate directly to the specific Data Collection Procedures. This section also identifies ethical considerations related to the target population being researched and organization or location as described in the Purpose Statement section. NOTE: This section does use information from any of the 10 Strategic Points.This section provides the foundation for Ethical Considerations section in Chapter 3 in the Proposal.NOTE: When writing this section ensure it has a logical flow, as well as uses correct paragraph structure, sentence structure, tense, punctuation, and APA format.Comments from the Evaluator:
ReferencesAbendroth, M., & Flannery, J. (2006). Predicting the risk of compassion fatigue. Journal of Hospice and Palliative Nursing 8(6), 346–356. doi:10.1097/00129191-20061100000007.American Psychological Association. (2009). Proficiency in psychology: Assessment and treatment of serious mental health. Washington, DC.Anderson, J. (2017, July 17). Vicarious Trauma and Its Impact. Retrieved July 17, 2017, from Research Advocacy Digest: http://www.wcsap.org/sites/default/files/uploads/resources_publications/research_advocacy_digest/RAD_v6_i2.pdfBaird, K., &Kracen, A.C. (2006). Vicarious traumatization and secondary traumatic stress: A research synthesis. Counselling Psychology Quarterly, 19(2), 181-188.Baum, N. (2015). Secondary traumatization in mental health professionals. Trauma, Violence and Abuse, 17(2), 221-235. Doi: https://doi.org/10.1177/1524838015584357.Baum, N., Rahav, G., & Sharon, M. (2014). Heightened susceptibility to secondary traumatization: A meta-analysis of gender differences. American Journal of Orthopsychiatry, 84(2), 111-122. Doi: 10.1037/h0099383.Behary, W., & Dieckmann, E. (2013). Schema therapy for pathological narcissism: The art of adaptive re-parenting. In J. S. Ogrodniczuk, (Ed.), Understanding and treating pathological narcissism (pp. 285-300). Washington, DC: American Psychological Association.Bertsinger, W., & Snell, D., & Wilson, G. (2014). Secondary trauma and the ethical obligation for the military psychologists: Preserving compassion and competence in the crucible of combat. Psychological Services, 11(1), 68-74. Doi: 10.1037/a0033913.Bisson, J., Cosgrove, S., Lewis, C., & Roberts, N., (2015). Post-traumatic stress disorder. BMJ, 351, h6161. Doi: 10.1136/bmj.h6161.Boscarino, J. A., Adams, R. E., & Figley, C.R. (2010). Secondary trauma issues for psychiatrists: Identifying vicarious trauma and job burnout. Psychiatric Times, PTSD, Violence, and Trauma. Retrieved from http://www.psychiatrictimes.com/ptsd/secondary-trauma-issuespsychiatristsBroackman, C., Snyder, J., Gerwitz, A., Gird, S., Quattlebaum, J….De Garmo, D. (2016). Relationship of service members’ deployment trauma, PTSD symptoms, and experiential avoidance to post-deployment family reengagement. Journal of Family Psychology, 30(1), 52-62. Doi: 10.1037/fam0000152.Cavanagh, A., Weise-Batista, E., Lachal, C., Baubet, T., & Moro, M. (2015). Countertransference in trauma therapy. Journal of Trauma and Stress Disorder Treatment, 4(4), 2-10. Doi: 10.4172/2324-8947.1000149. Cazares, P. (2015). Treatment of conversion disorder with PTSD. In Ritchie, E. (Ed.) Posttraumatic stress disorders and related diseases in combat veterans. New York NY: Springer.Cieslak, R., Shoji, K., Douglas, A., Melvile, E., Luszczunska….Benight, C. (2014). A meta-analysis of the relationship between job burnout and secondary trauma stress among workers with indirect exposure to trauma. Psychological Services, 11(1), 75-80. Doi: 10.1037/a0033798. Cloitre, M., Jackson, C., & Schmidt, J. (2016). Case report: STAIR for strengthening social support among veterans with military sexual trauma and PTSD. Military Medicine, 181, e183-e187. Doi: 10.7205/MILMED-D-15-00209.Colli, A., Tanzilli, A., Dimaggio, G., & Lingiardi, V. (2014). Patient personality and therapist response: An empirical investigation. The American Journal of Psychiatry, 171(1), 102-108. Doi: 10.1176/appi.ajp.2013.13020224. Conrad, D., & Keller-Guenther, Y. (2006). Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse and Neglect, 30, 1071–1080. Craig, C. D., & Sprang, G. (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety, Stress & Coping, 23(3), 319– 339. doi:10.1080/10615800903085818.Datz, F., Parth, K., Said, U., & Loffler-Statska, H. (2016). Countertransference triggered activity in treatment: Good, bad or useful? British Journal of Medicine and Medical Research, 11(9), 1-11. Retrieved from: http://imsear.li.mahidol.ac.th/bitstream/123456789/182059/1/bjmmr2016v11n9p1-11.pdf.Department of Veterans Affairs, VetPop07, via the National Center for Veterans Analysis and Statistics (NCVAS) Devilly GJ, Wright R, Varker T. (2009) Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Aust N Z J Psychiatry. 43: 373– 385.Di Leone, B., Vogt, D., Gradus, J., Street, A., Giasson, H….Resick, P. (2013). Predictors of health care use among male and female veterans deployed in support of wars in Afghanistan and Iraq. Psychological Services, 10(2), 145-151. Doi: 10.1037/a0032088.Edmonds, W., & Kennedy, T. (2012). An applied reference guide to research designs. Thousand Oaks CA: Sage Publications. Figley, C. (1995). Compassion fatigue as secondary traumatic stress disorder: An overview. Coping with secondary traumatic stress disorder in those who treat the traumatized. New York, NY: Brunner-Routledge.Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self-care. Journal of Clinical Psychology, 58(11), 1433–1441. doi:10.1002/jclp.10090 Figley, C. R., & Barnes, M. (2005). External trauma and families. In P. C. McKenry & S. J. Price (Eds.), Families and change (3rd ed.) (pp. 379–401). Los Angeles, CA: Sage. Flyvbjerg, B. (2006). Five misunderstandings about case-study research. Qualitative Research Practice, 12(2), 219–245. doi:10.1177/1077800405284363Finklestein, M., Stein, E., Greene, T., & Solomon, Z. (2015). Posttraumatic stress disorder and vicarious trauma in mental health professionals. Health and Social Work, 40(2), e25-e31. Doi: 10.1093/hsw/hlv026.Freudenberger, H. (1974). Staff burnout. Journal of Social Issues, 30, 159-166.Friedman, M. (2013). Finalizing PTSD in DSM-5: Getting from There and Where to Go Next. Journal of Traumatic Stress, 26, 548-556. Doi: 10.1002/jts.21840.Galek K, Flannelly KJ, Greene PB, Kudler T. (2011) Burnout, secondary traumatic stress, and social support. Pastoral Psychol.Garcia, H., McGeary, C., Finley, E., Ketchum, N., McGeary, D….Peterson, A. (2015). Burnout among psychiatrists in the Veterans Health Administration. Burnout Research, 2, 108-114. Doi: 10.1016/j.burn.2015.10.001.Garner, B. R., Hunter, B.D. (2012). Examining the temporal relationship between psychological climate, work attitude, and staff turnover. Journal of Substance Abuse Treatment, 44(2), 193–200. doi:10.1016/j.sat.2012.05.002. Gillespie, D. F. (1987). Burnout among social workers. New York: Haworth Press.Grinnell, R., & Unrau, Y. (2011). Social work research and evaluation. New York NY: Oxford University Press.Grubaugh, A., Clapp, J., Freuh, B., Tuerk, P. Knapp, R….Egede, L. (2016). Open trial exposure therapy for PTSD among patients with severe and persistent mental illness. Behavior Research and Therapy, 78, 1-12. Doi: 10.1016/j.brat.2015.12.006.Hassija, C., Jalupcak, M., Maguen, S., & Shipherd, J. (2012). The influence of combat and interpersonal trauma on PTSD, depression and alcohol misuse in U.S. Gulf War and OEF/OIF women veterans. Journal of Traumatic Stress, 25, 216-219. Doi: 10.1002/jts.21686.Heffernan, T. (2005). A Student’s Guide to Studying Psychology. Psychology Press.Hensel, J., Ruiz, C., Finney, C., & Dewa, C. (2015). Meta-analysis of risk factors for secondary traumatic stress in therapeutic work with trauma victims. Journal of Traumatic Stress, 28, 83-91. Doi: 10.1002/jts.21998.Heppner, P., Wampold, B., Owen, J., Thompson, M., & Wang, K. (2016). Research design in counseling. Boson MA: Cengage.Hernandez-Wolfe, P., Killian, K., Engstrom, D. & Gangsei, D. (2014). Vicarious resilience, vicarious trauma, and awareness of equity in trauma work. Journal of Humanistic Psychology, 55(2), 1-20. Doi: 10.1177/0022167814534322. Hoge, C., & Warner, C. (2014). Estimating PTSD prevalence in U.S. veterans: Considering combat exposure, PTSD checkpoint cutpoints, and DSM-5. Journal of Clinical Psychiatry, 75(12), 1439-1441. Doi: 10.4088/JCP.14com09616.Horrell, S., Holohan, D., Didion, L., & Vance, G. (2011). Treating traumatized OEF/OIF veterans: How does trauma treatment affect the clinician? Professional Psychology: Research and Practice, 42(1), 79-86. Doi: 10.1037/a0022297.Iqbal, A. (2015). The ethical considerations of counseling psychologists working with trauma: Is there a risk of vicarious traumatization? Counseling Psychology Review, 30(1), 44-51. Retrieved from: http://www.academia.edu/12089394/The_ethical_considerations_of_counselling_psychologists_working_with_trauma_Is_there_a_risk_of_vicarious_traumatisation.Ivey, M. (2013). Cognitive therapy’s assimilation of countertransference: A psychodynamic perspective. British Journal of Psychotherapy, 29(2), 230-324. Doi: 10.1111/bjp.12015. Johnson, W., Bertsinger, M., Snell, A., & Wilson, A. (2014). Secondary trauma and ethical obligations for military psychologists: Preserving compassion and competence in the crucible of combat. Psychological Services, 11(1), 68-74. Doi: 10.1037/a0033913.Kachele, H., Erhardt, I., Seybert, C., & Bucholz, M. (2015). Countertransference as an object of empirical research? International Forum of Psychoanalysis, 24(2), 96-108. Doi: http://dx.doi.org/10.1080/0803706X.2012.737933. Killian, K.D. (2008). Helping till it hurts? A multimethod study of compassion fatigue, burnout, and self-care in clinicians working with trauma survivors, Traumatology, 14(2), 32-44. Killian, K., Hernandez-Wolfe, P., Engstrom, D., & Gangsei, D. (2017). Development of the Vicarious Resilience Scale (VRS): A measure of positive effects of working with trauma survivors. Psychological trauma: theory, research, practice, and policy, 9(1), 23.Knight, C. (2015). Trauma-informed social work practice: Practice considerations and challenges. Clinical Journal of Social Work, 43, 25-37.Lanier, B. (2017). Practicing Counselors, Vicarious Trauma, and Subthreshold PTSD: Implications for Counselor Educators. Lasalvia, A., Bonetto, C., Bertani, S., Bissoli, S., Cristofalo, D., Marrella, G.,…Ruggeri, M. (2009). Influence of perceived organisational factors on job burnout: Survey of community mental health staff. The British Journal of Psychiatry, 195, 537- 544. doi:10.1192/bjp.bp.108.060871. Lee, J., Lim, N., Yang, E., & Lee, S. M. (2011). Antecedents and consequences of three dimensions of burnout in psychotherapists: A metaanalysis. Professional Psychology: Research and Practice, 42, 252–258. doi:10.1037/a0023319. Leiter, M. P., & Harvie, P. L. (1996). Burnout among mental health workers: A review and a research agenda. International Journal of Social Psychiatry, 42(2), 90-101. doi:10.1177/002076409604200203. Leiter, M. P., & Maslach, C. (2001). Burnout and health. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of Health Psychology (pp. 415-426). Mahwah, NJ: Lawrence Erlbaum Associates. Levant, R. F., Wimer, D. J., & Williams, C. M. (2011). An evaluation of the Health Behavior Inventory-20 (HBI-20) and its relationships to masculinity and attitudes towards seeking psychological help among college men. Psychology of Men & Masculinity, 12(1), 26-41. doi:10.1037/a0021014. Leiter, M. P., & Maslach, C. (2005). Banishing burnout: Six strategies for improving your relationship with work. San Francisco: Jossey-Bass. Likert, R. (1932). A technique for the measurement of attitudes. Archives of Psychology,22(140), 1–55.Machado, D., Coelho, F., Giacomelli, A., Donassalo, M., Abitanta, M….Eizerik, C. (2014). Systematic review of countertransference in adult psychotherapy. Trends in Psychiatry and Psychotherapy, 36(4), 173-185. Doi: 10.1590/2237-6089-2014-1004.Margolies, S., Rybarcyk, B., Vrana, S., Leszczyszyn, D. & Lynch, J. (2013). Efficacy of a cognitive-behavioral treatment for insomnia and nightmares in Afghanistan and Iraqi veterans with PTSD. Journal of Clinical Psychology, 69(10), 1026-1042. Doi: 10.1002/jclp.21970.Maslach, C., & Jackson, S. (1984). Burnout in organizational settings. Applied Social Psychology Annual, 5, 133-153. Retrieved from: http://smlr.rutgers.edu/sites/smlr.rutgers.edu/files/documents/faculty_staff_docs/BurnoutinOrganizationalSettings.pdf.Maslach C. & Jackson, S. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113. Retrieved from: http://onlinelibrary.wiley.com/doi/10.1002/job.4030020205/pdf.Maslach, C., & Jackson, S. E. (1996). Maslach Burnout Inventory Human Services Survey (MBI-HSS). In C. Maslach, S. E. Jackson, & M. P. Leiter (Eds.), MBI Manual (3rd ed., n.p.). Mountain View, CA: CPP, Inc.Maslach C, Leiter MP. (1997) The truth about burnout: How organizations cause personal stress and what to do about it. Jossey-Bass; San Francisco, CA. Maslach C, Schaufeli WB, Leiter MP. (2001)Job burnout. Annual Review ofPsychology.;52:397–422. doi:10.1146/annurev.psych.52.1.397.McCann, I., & Pearlman, L. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131-149. Doi: 10.1002/jts.2490030110.McEwen BS. Protective and damaging effects of stress mediators. N. Engl. J. Med. 1998;338:171–179.McGeary, M. S., Garcia, A. H., & Finely, P. H. (2015). Burnout among psychiatrists in the Veterans Health Administration. Chicago: Elsevier.McGeary CA, McGeary DD. (2012) Occupational burnout. In: Gatchel RJ, Schultz IZ, editors. The handbook of occupational wellness. Springer Publishing; New York, NY: 20 pp. 181–200.McNally, R., & Frueh, B. (2013). Why are Iraq and Afghanistan war veterans seeking PTSD disability compensation at unprecedented rates? Journal of Anxiety Disorders, 27, 520-526. Doi: 10.1016/j.janxdis.2013.07.002.Mealer, M., Burnham, L. H., & Goode, C. C. (2010, August 11). The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses. Retrieved July 17, 2017, from PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2919801/Michalopoulos, L. M. & Aparicio, E. (2012). Vicarious trauma in social workers: the role of trauma history, social support, and years of experience. Journal of Aggression, Maltreatment, & Trauma, 21, 646-664 Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health, 39(5), 341-352. doi:10.1007/s10488- 011-0352-1. Newell, J. M., & MacNeil, G. A. (2010). Professional burnout, vicarious trauma, secondary traumatic stress, and compassion fatigue: A review of theoretical terms, risk factors, and preventive methods for clinicians and researchers. Retrieved from http://www.iupui.edu/~mswd/S501/multimedia/word_doc/burnoutarticle.pdf.Newell, J., Nelson-Gardell, D., & MacNeil, G. (2015). Clinician response to client trauma: A chronological review of constructs and terminology. Trauma, Violence and Abuse, 17(3), 1-8. Doi: 10.1177/1524838015584365. Pietrantoni, L. &Prati, G. (2008).Resilience among first responders.African Health Sciences, 8, S14- S20.Punch, J. (2013). Introduction to social research: quantitative and qualitative approaches. Thousand Oaks CA: Sage Publications.Ravich, S., & Carl, N. (2016). Qualitative research: Bridging the conceptual, theoretical, and methodological. Thousand Oaks CA: Sage Publications.Ray, S., Wong, C., White, D., & Heaslip, K. (2013). Compassion satisfaction, compassion fatigue, worklife conditions, and burnout among frontline mental health personnel. Traumatology, 19(4), 255-267.Rivera, J., & Johnson, A., (2014). Female veterans on operation enduring freedom and Iraqi freedom: Status and future directions. Military Medicine, 179(2), 133-136.Rothschild, B. (2006). Help for the helper: The psychophysiology of compassion fatigue and vicarious trauma. WW Norton & Co. Rzeszutek, M., Partyka, M., & Golab, A. (2015). Temperament traits, social support and secondary traumatic stress disorder symptoms in a sample of trauma therapists. Professional Psychology Research and Practice, 46(4), 213–220doi:10.1037/pro0000024.Saakvitne, K.W., & Pearlman, L.A. (1996). Transforming the pain. New York: W.W. Norton. Schaufeli, W., Bakker, A., Hoogdun, K., Schaap, C., & Kladler, A. (2001). On the clinical validity of the Maslach Burnout Inventory and the burnout measure. Psychology and Health, 16, 565-582. Doi: http://dx.doi.org/10.1080/08870440108405527.Salloum, A., Kondrat, D., Johnco, C., & Olson, K. (2015). The role of self-care on compassion satisfaction, burnout, and secondary trauma among child welfare workers. Children and Youth Services Review, 49, 54-61. Doi: https://doi.org/10.1016/j.childyouth.2014.12.023.Sansbury, B., Graves, K., & Scott, W. (2015). Managing traumatic stress responses among clinicians: Individual and organized tools for self-care. Trauma, 17(2), 114-122. Doi: 10.1177/1460408614551978. Schaufeli, W. B., Maslach, C., & Marek, T. (Eds.). (2017). Professional burnout: Recent developments in theory and research. Taylor & Francis.Seidler, A., Thinschmidt, M., Deckert, S., Then, F., Hegwald, J….Riedel-Heller, S. (2014). The role of psychosocial working conditions on burnout and its core emotional component emotional exhaustion: A systematic review. Journal of Occupational Medicine and Toxicology, 9, 1-13. Doi: 10.1186/1745-6673-9-10.Smoller, J. (2016). The genetics of stress-related disorders: PTSD, depression, and anxiety disorders. Neuropsychopharmacology Reviews, 41, 297-319. Doi: 10.1038/npp.2015.266. Sprang, G., Clark, J.J., & Whitt-Woosley, A. (2007). Compassion fatigue, compassion satisfaction, and burnout: Factors impacting a professional’s quality of life. Journal of Loss and Trauma, 12, 259-280.Strong, J., Findley, P., McMahon, S., & Angell, B. (2015). What is war? Female veterans experience of combat in Iraq and Afghanistan. Journal of Women and Social Work, 30(4), 1-15. Doi: 10.1177/0886109915585383.Sullivan, C., & Elbogen, E. (2014). PTSD symptoms and family vs. stranger violence in Iraq and Afghanistan veterans. Law and Human Behavior, 38(1), 1-9. Doi: 10.1037/lhb0000035.Suris, A., Link-Malcolm, J., Chard, K., Ahn, C., & North, C. (2013). A randomized controlled trial of cognitive processing therapy for veterans with PTSD related to military sexual trauma. Journal of Traumatic Stress, 26, 28-37. Doi: 10.1002/jts.21765.Thieleman, K., & Cacciatore, J. (2014). Witness to suffering: Mindfulness and compassion fatigue among traumatic bereavement volunteers and professionals. Social Work, 59(1), 34-41. Doi: https://doi.org/10.1093/sw/swt044.Thomsen S, Soares J, Nolan P, Dallender J, Arnetz B. Feelings of professional fulfillment and exhaustion in mental health personnel: The importance of organizational and individual factors. Psychotherapy and Psychosomatics. 1999;68:157–164.Thompson, I., Amatea, E., & Thompson, E. (2014). Personal and contextual predictors of mental health counselor’s compassion fatigue and burnout. Journal of Mental Health Counseling, 36(1), 55-88. Doi: http://dx.doi.org/10.17744/mehc.36.1.p61m73373m4617r3.Trippany, R. L., White Kress, V. E., & Wilcoxon, S. A. (2004). Preventing vicarious trauma: what counselors should know when working with trauma survivors. Journal of Counseling & Development, 82, 31-83.Ullman, S. E., & Siegel, J. M. (1996). Traumatic events and physical health in a community sample. Journal of Traumatic Stress, 9, 703-720.U. S. Department of Health and Human Services. (2013). Stress at work. Retrieved from https://www.cdc.gov/niosh/docs/99-101/pdfs/99-101.pdf U. S. Department of Labor (2016). Promoting a positive workplace environment. Occupational safety and health administration. Retrieved from https://www.osha.gov/SLTC/emergencypreparedness/resilience_resources/support_docu m ents/supervisorintra/intradeployment_supervisors.htmlVA Women Veterans Task Force. 2012 report. “Strategies for Serving Our Women Veterans.” Accessed on 3/1/2012. Available at http://nuraiitj.appspot.com/www.va.gov/opa/publications/Draft_2012_WomenVeterans_ StrategicPlan.pdfVoelkel, E., Pukay-Martin, N., Walter, K., & Chard, K. (2015). Effectiveness of cognitive processing therapy for male and female veterans with and without military sexual trauma. Journal of Traumatic Stress, 28, 174-182. Doi: 10.1002/jts.22006.Wairoa, Z., & Brozland, C. (2017, July 17). Staff well-being on mental health. Retrieved July 17, 2017, from UNHCR: https://hr.un.org/sites/hr.un.org/files/Staff%20Well-being%20and%20Mental%20Health%20in%20UNHCR%20_0.pdfWee, D.F., & Myers, D. (2002). Stress response of mental health workers following disaster: The Oklahoma City bombing. In C.F. Figley (Ed.), Treating compassion fatigue. Psychosocial stress series, no. 24., (pp. 57-83).Wilson, M. (2013). Desire and responsibility: The ethics of the countertransference experience. The Psychoanalytic Quarterly, 82(2), 435-476. Doi: 10.1002/j.2167-4086.2013.00036.x
Appendix BPhenomena, and Data AnalysisTable 2Qualitative StudiesResearch Questions: State the Research Questions that will be used to collect data to understand the Phenomenon being studied Phenomenon:Describe the overall phenomenon being studied by the research questions Sources of Data:Identify the specific approach (e.g., interview, observation, artifacts, documents, database, etc.) to be used to collect the data to answer each Research Question Analysis Plan: Describe the specific approach that will be used to (1) summarize the data and (2) analyze the data. .
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