Anthropology Works

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Applying Students' Perspectives on Different Teaching Strategies: A Holistic View of Service-Learning Community Engagement
(Michigan Publishing, 2021-11) Ricke, Audrey; Anthropology, School of Liberal Arts
From a university perspective, service-learning and community engagement (SLCE) has been identified as a high-impact practice that offers advantages over traditional lecture and assignments, yet students do not always embrace SLCE courses. While most studies of undergraduate students’ perceptions of SLCE focus on particular experiences or on SLCE in general, contextualizing these findings within students’ perceptions of various teaching strategies and knowledge can better assist faculty in engaging students. Drawing on cognitive anthropology, this article is one of the first to conduct a cultural domain analysis to provide insights into how undergraduates conceptualize SLCE in relation to other teaching strategies. This broader analysis of the associations undergraduates make with SLCE reveals how these can carry ramifications for quality engagement with the project and community partners. The results include how faculty can design and scaffold SLCE into their courses in the absence of a centralized agency or formal campus-wide process for regulating SLCE experiences.
The arterial border: negotiating economies of risk and violence in Mexico's security regime
(Inderscience, 2017) Vogt, Wendy; Anthropology, School of Liberal Arts
This article examines the material and ideological dimensions of what I conceptualise as Mexico's 'arterial border'. Since the late 1980s, transit routes in Mexico's interior have increasingly become sites of a diffused migration enforcement strategy. Based on long-term ethnographic research along Central American transit routes, I examine how the arterial border has developed historically and is experienced by migrants in local contexts. I pay particular attention to the disjuncture between violent encounters with the state and discourses of security, human rights and humanitarianism that serve to legitimise bordering practices. Such an analysis moves beyond understandings of borders as spatially fixed entities to reimagine them as constantly shifting and dynamic sites of state violence, individual agency and contestation.
Black Lives Matter and the Public Rediscovery of Structural Racism
(2021) Hyatt, Susan B.; Anthropology, School of Liberal Arts
Asset-Based Community Development promises to empower local communities while failing to address racialized disparities. We must look to broad-based social movements such as Black Lives Matter if we wish to create a genuinely more equitable and anti-racist world
Book Review: Broken Chains and Subverted Plans: Ethnicity, Race, and Commodities
(University of Chicago, 2018) Mullins, Paul R.; Anthropology, School of Liberal Arts
Content counts, but context makes the difference in developing expertise: a qualitative study of how residents learn end of shift handoffs
(BMC, 2018-11-03) Rattray, Nicholas A.; Ebright, Patricia; Flanagan, Mindy E.; Militello, Laura G.; Barach, Paul; Franks, Zamal; Rehman, Shakaib U.; Gordon, Howard S.; Frankel, Richard M.; Anthropology, School of Liberal Arts
BACKGROUND: Handoff education is both formal and informal and varies widely across medical school and residency training programs. Despite many efforts to improve clinical handoffs, little evidence has shown meaningful improvement. The objective of this study was to identify residents' perspectives and develop a deeper understanding on the necessary training to conduct safe and effective patient handoffs. METHODS: A qualitative study focused on the analysis of cognitive task interviews targeting end-of-shift handoff experiences with 35 residents from three geographically dispersed VA facilities. The interview data were analyzed using an iterative, consensus-based team approach. Researchers discussed and agreed on code definitions and corresponding case examples. Grounded theory was used to analyze the transcripts. RESULTS: Although some residents report receiving formal training in conducting handoffs (e.g., medical school coursework, resident boot camp/workshops, and handoff debriefing), many residents reported that they were only partially prepared for enacting them as interns. Experiential, practice-based learning (i.e., giving handoffs, covering night shift to match common issues to handoff content) was identified as the most suited and beneficial for delivering effective handoff training. Six skills were described as critical to learning effective handoffs: identifying pertinent information, providing anticipatory guidance, applying acquired clinical knowledge, being concise, incorporating delivery strategies, and appreciating the styles/preferences of handoff recipients. CONCLUSIONS: Residents identified the immersive performance and the experience of covering night shifts as the most important aspects of learning to execute effective handoffs. Formal education alone can miss the critical role of real-time sense-making throughout the process of handing off from one trainee to another. Interventions targeting senior resident mentoring and night shift could positively influence the cognitive and performance capacity for safe, effective handoffs.
Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clinic
(Elsevier, 2017-03) Rattray, Nicholas A.; Sico, Jason J.; Cox, LeeAnn M.; Russ, Alissa L.; Matthias, Marianne S.; Frankel, Richard M.; Anthropology, School of Liberal Arts
Background Transitions of care from specialty and acute settings to primary care abound. Compared to the continuity in end-of-shift handoffs, care transitions involve provider communication between practices and facilities with their own cultures and bureaucracies. Using the transition from acute care to outpatient primary care for stroke/transient ischemic attack (TIA) patients as a case study, this qualitative research explored communication practices and institutional arrangements among clinical providers responsible for longitudinal management of hypertension. In this study, researchers investigated the barriers and facilitators of effective communication between acute stroke/TIA inpatient and primary care providers at a Veterans Affairs Medical Center. Methods A multidisciplinary team conducted consensus-based coding and thematic analysis of semistructured interviews with 21 clinical providers (9 with primary responsibilities for inpatient care and 12 with primary responsibilities in outpatient, primary care). Results Thematic analysis of responses identified three factors that influenced communication between clinical providers: (1) consistent, concise but complete medication and treatment plans; (2) reliable, standardized discharge documentation; (3) use of multiple modes of communication. Participants identified cultural barriers, including challenges with rotating providers at a teaching hospital and local discharge practices. Conclusion Ambiguity about who is being handed off to and time pressures in the acute setting may lead inpatient providers to give lower priority to discharge communication, leaving outpatient providers with low-quality information. While electronic templates have standardized key components of discharge documentation, improvement opportunities remain. Increased awareness of the challenges and opportunities on each side of the care transfer could foster communication practices that systematically account for the information needs of inpatient and outpatient providers.
Dental microwear texture analysis of Homo sapiens sapiens : Foragers, farmers, and pastoralists
(Wiley, 2019-06) Schmidt, Christopher W.; Remy, Ashley J.; Van Sessen, Rebecca; Scott, Rachel M.; Mahoney, Patrick; Beach, Jeremy J.; McKinley, Jacqueline; d’Anastasio, Ruggero; Chiu, Laura W.; Buzon, Michele R.; de Gregory, J. Rocco; Sheridan, Susan G.; Eng, Jacqueline T.; Watson, James T.; Klaus, Haagen D.; Willman, John C.; Da-Gloria, Pedro; Wilson, Jeremy J.; Krueger, Kristin L.; Stone, Abigail; Sereno, Paul C.; Droke, Jessica L.; Perash, Rose L.; Stojanowski, Christopher M.; Herrmann, Nicholas P.; Anthropology, School of Liberal Arts
Objectives The current study seeks to determine if a sample of foragers, farmers, and pastoralists are distinguishable based on their dental microwear texture signatures. Materials and methods The study included a sample of 719 individuals from 51 archeological sites (450 farmers, 192 foragers, 77 pastoralists). All were over age 12 and sexes were pooled. Using a Sensofar® white‐light confocal profiler we collected dental microwear texture analysis (DMTA) data from a single first or second molar from each individual. We leveled and cleaned data clouds following standard procedures and analyzed the data with Sfrax® and Toothfrax® software. The DMTA variables were complexity and anisotropy. Statistics included ANOVA with partial eta squared and Hedges's g. We also performed a follow‐up K‐means cluster analysis. Results We found significant differences between foragers and farmers and pastoralists for complexity and anisotropy, with foragers having greater complexity than either the farmers or the pastoralists. The farmers and pastoralists had greater anisotropy than the foragers. The Old World foragers had significantly higher anisotropy values than New World foragers. Old and New World farmers did not differ. Among the Old World farmers, those dating from the Neolithic through the Late Bronze Age had higher complexity values than those from the Iron Age through the medieval period. The cluster analysis discerned foragers and farmers but also indicated similarity between hard food foragers and hard food farmers. Discussion Our findings reaffirm that DMTA is capable of distinguishing human diets. We found that foragers and farmers, in particular, differ in their microwear signatures across the globe. There are some exceptions, but nothing that would be unexpected given the range of human diets and food preparation techniques. This study indicates that in general DMTA is an efficacious means of paleodietary reconstruction in humans.
Dirty Work, Dangerous Others: The Politics of Outsourced Immigration Enforcement in Mexico
(Berghahn, 2020) Vogt, Wendy; Anthropology, School of Liberal Arts
While Mexico has been openly critical of US immigration enforcement policies, it has also served as a strategic partner in US efforts to externalize its immigration enforcement strategy. In 2016, Mexico returned twice as many Central Americans as did the United States, calling many to criticize Mexico for doing the United States’ “dirty work.” Based on ethnographic research and discourse analysis, this article unpacks and complicates the idea that Mexico is simply doing the “dirty work” of the United States. It examines how, through the construction of “dirty others”—as vectors of disease, criminals, smugglers, and workers—Central Americans come to embody “matter out of place,” thus threatening order, security, and the nation itself. Dirt and dirtiness, in both symbolic and material forms, emerge as crucial organizing factors in the politics of Central American transit migration, providing an important case study in the dynamics between transit and destination states.
Evaluating the feasibility of implementing a Telesleep pilot program using two-tiered external facilitation
(BMC, 2020) Rattray, Nicholas A.; Khaw, Andrew; McGrath, Mackenzie; Damush, Teresa M.; Miech, Edward J.; Lenet, Adam; Stahl, Stephanie M.; Ferguson, Jared; Myers, Jennifer; Guenther, David; Homoya, Barbara J.; Bravata, Dawn M.; Anthropology, School of Liberal Arts
Background: Obstructive sleep apnea (OSA) can negatively impact patients' health status and outcomes. Positive airway pressure (PAP) reverses airway obstruction and may reduce the risk of adverse outcomes. Remote monitoring of PAP (as opposed to in-person visits) may improve access to sleep medicine services. This study aimed to evaluate the feasibility of implementing a clinical program that delivers treatment for OSA through PAP remote monitoring using external facilitation as an implementation strategy. Methods: Participants included patients with OSA at a Veteran Affairs Medical Center (VAMC). PAP adherence and clinical disease severity on treatment (measured by the apnea hypopnea index [AHI]) were the preliminary effectiveness outcomes across two delivery models: usual care (in-person) and Telehealth nurse-delivered remote monitoring. We also assessed visit duration and travel distance. A prospective, mixed-methods evaluation examined the two-tiered external facilitation implementation strategy. Results: The pilot project included N = 52 usual care patients and N = 38 Telehealth nurse-delivered remote monitoring patients. PAP adherence and disease severity were similar across the delivery modalities. However, remote monitoring visits were 50% shorter than in-person visits and saved a mean of 72 miles of travel (median = 45.6, SD = 59.0, mode = 17.8, range 5.4-220). A total of 62 interviews were conducted during implementation with a purposive sample of 12 clinical staff involved in program implementation. Weekly external facilitation delivered to both front-line staff and supervisory physicians was necessary to ensure patient enrollment and treatment. Synchronized, "two-tiered" facilitation at the executive and coordinator levels proved crucial to developing the clinical and administrative infrastructure to support a PAP remote monitoring program and to overcome implementation barriers. Conclusions: Remote PAP monitoring had similar efficacy to in-person PAP services in this Veteran population. Although external facilitation is a widely-recognized implementation strategy in quality improvement projects, less is known about how multiple facilitators work together to help implement complex programs. Two-tiered facilitation offers a model well-suited to programs where innovations span disciplines, disrupt professional hierarchies (such as those between service chiefs, clinicians, and technicians) and bring together providers who do not know each other, yet must collaborate to improve access to care.
Exploring University-Community Collaborations
(2021-10) Kryder-Reid, Elizabeth; Fillipelli, Gabriel; Boyd, Phyllis; Brooks, Paula; Nadaraj, Aghilah; Sangsuwangul, Alvin; Humphrey, Leah; Anthropology, School of Liberal Arts
The Riverside neighborhood bears multiple burdens of environmental harm. Running the gamut from groundwater contamination in subsurface waters to lead in soils and dust and paint to particulate matter in the air from highways and industry, these environmental insults harm the physical, mental, and economic well-being of the community. The community has also faced an information gap where data was scarce, hard to locate, and sometimes wrong. Activists have long worked to improve the quality of life in the neighborhood, but faced barriers in the form of policies (e.g. Red Lining, zoning variances, disinvestment in public services such as street lights and sidewalks) and practices (e.g. absentee landlords, illegal dumping). Features such as the Central Canal that were developed into recreational amenities in other parts of the city were minimally maintained or restricted from use by residents. In the face of these challenges, IUPUI faculty, students, and community members have partnered on multiple projects to document the history of environmental harms, assess exposure and risk of residents’ exposomes, and share information in ways that are accessible and relevant for residents. The work supports the agency and activism of the community, particularly as it faces pressures of gentrification and university encroachment with the prospect of 16 Tech project expansion. The work also takes place in the context of contested interests and harmful legacies as representatives of an urban university that displaced longtime residents work to partner ethically and transparently with those same communities. As a result, current faculty-community collaborations operate within a space complicated by the problematic legacy of harm and ongoing structural racism. However well-intentioned, faculty, students and community members have to navigate that history and enduring power dynamics as they design their research, identify relevant questions, and share results in ways that are accessible and meaningful to community members.

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