...Public Health Nursing Vol. 22 No. 4, pp. 354—359 0737-1209/05 # Blackwell Publishing, Inc. SPECIAL FEATURES: PRACTICE CONCEPTS The Child Welfare System: Through the Eyes of Public Health Nurses Janet U. Schneiderman ABSTRACT Objective: This qualitative descriptive study investigates how public health nurses working within the child welfare system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative...
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...Abstract This project was conducted to study the human resource practices that can facilitate the social service organisation to effectively align its employees for efficiently service delivery. For this purpose the HRM theories and concepts as well as the best practices applicable to social service organisations were studied. This facilitated the author to find the strategic role that the HRM can play in engaging the employees and assess how the HR can motivate them and align them towards attaining organisation goals and objectives. The ultimate aim was to evaluate how Leyton health care an elderly home care service provider in London can align its HR and attain its objectives. Interview was held for the managerial level staff and questionnaire was given to the service delivery staff of Leyton Health Care. The total samples used for the study were 12. Out of these 2 were managerial level staff and 10 were service delivery staff. Open ended questions were used for the managerial level participants of the organisation while in case of the service delivery employees, a survey questionnaire which had statements with multiple choice questions i.e., close ended questions were used. The statements that were derived were regarded as themes and the evaluation of results was made by using the method of thematic analysis. Here pie charts were used to indicate neutrality, agreement and disagreement to the statements given. The results of this project indicate that there was...
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...Evaluating the Research Process There are many steps to the research process that a researcher must go through. From choosing the subject or a problem to writing the final report, steps are important to maintain a set of standards to the research process. Reviewing the appropriate literature and considering ethical decisions in data collection are also equally important. The types of data collected and how it was collected will help in drawing a conclusion to the significance of the project. With an appropriate amount of statistically sound data a determination can then be made as to whether the research project or study was effective. This paper will be using the article “Who Gives a Tweet: Assessing Patients’ Interest in the Use of Social Media for Health Care” for examples of how the research process is used to determine the effectiveness of a study the article. Research Process The research process begins with selecting a problem or question that a researcher seeks to find an answer to. The researcher will form a hypothesis based off their theory or other research. Third the literature is reviewed. Next, researcher will list all the measures that must be looked at and decide on the subjects for the project. The researcher will then need to decide upon and describe the design of the research as well as decide on the appropriate way to measure their variables. The last steps of the research process are then to analyze the data collected, draw their conclusion...
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...Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered nurses perceived past curricula as lower than the ideal on both health care and process of learning. The results of this interim evaluation imply that the new nursing curriculum follows health care trends,...
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...The Open Health Services and Policy Journal, 2010, 3, 53-70 53 Open Access Outreach and Engagement in Homeless Services: A Review of the Literature Jeffrey Olivet*,1, Ellen Bassuk1,2,3, Emily Elstad1, Rachael Kenney1 and Lauren Jassil1 1 2 3 Centre for Social Innovation, 215 Spadina Avenue, Suite 120 Toronto, Ontario M5T 2C7, Canada The National Center on Family Homelessness, 181 Wells Avenue, Newton, MA 02459, USA Department of Psychiatry, Harvard Medical School, USA Abstract: Outreach and engagement are regarded by many who work in homeless programs as essential services. Outreach on the streets and in shelters is often the first point of contact for people who are not served by traditional sitebased services and is often the first step in engaging homeless people in services. While outreach and engagement are critical components of the response to homelessness, consensus is lacking about the nature and effectiveness of these services. The purpose of this paper is to examine what is known about outreach and engagement for people experiencing homelessness. The authors review quantitative studies that examine outcomes and augment this understanding with information from qualitative studies and non-research literature. The latter provides information about the goals of outreach, assumptions and values, staffing issues, and consumer involvement. The paper concludes with implications for practice, policy, and research. Keywords: Homeless/homelessness, outreach,...
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...e1) argue that “ frameworks assist the novice healthcare practitioner with learning about approaches to research by giving consideration to aspects of the similarities and differences between the qualitative and quantitative research paradigms.” This framework was chosen as it is comprehensive and covers points/questions raised during the critiquing process, although it is important to remember that it is not a definitive checklist and other questions may be asked during the critiquing process. The method, results and discussion sections of a qualitative research article by Weston, J.M., Norris, E.V., Clark, E.M. (2011). ‘The Invisible Disease: Making Sense of an Osteoporosis Diagnosis in Older Age’, Qualitative Health Research, 21(12), pp. 1692-1704, will be critically analysed following a critique of the article...
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...Homeless Youth: Research, Intervention, and Policy by Karen Spuriel Coleman- MBA Abstract Homelessness among youth in the U.S. is disturbingly common, with an estimated annual prevalence of at least 5 percent for those ages 12 to 17. Although homeless youth appear throughout the nation, they are most visible in major cities. Rigorous research on this special population is sparse, making it difficult to capture an accurate and complete picture. Despite its limitations, recent research describes homeless youth as a large and diverse group. Many homeless youth have multiple overlapping problems including medical, substance abuse, and emotional and mental problems. Literature suggests that comprehensive and tailored services are needed that address both the immediate and long-term needs of homeless youth. Where appropriate, services should include assistance with meeting basic needs as perceived by youth as a gateway to other needed services. In addition to serving those already homeless, interventions are needed to prevent homelessness among at-risk youth. Lessons for Practitioners, Policy Makers, and Researchers • As used here, the term “homeless youth” focuses on minors who have experienced literal homelessness on their own—i.e., who have spent at least one night either in a shelter or "on the streets" without adult supervision. On occasion, where warranted by the research being discussed, the term is also used to describe homeless young adults up to age 24. • Homelessness...
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...Hospital Executive summary The health care market in the Northeastern Ohio has been experiencing tremendous changes in the last few years. These changes have been more prominent among the health services for seriously ill children. Institutions that have in the past been involved in other health care services have turned to pediatrics. In order to combat this, Akron Children's Hospital has resulted to trying to understand the decision making procedures on institution or physician selection among the parents with seriously sick children. This was in an effort to differentiate itself from the other health care service providers. With the identification of similarities in advertisement approaches within the major contenders for the Industry, more unique differentiation strategies were sought through researches to identify how to best communicate with the customers in a unique way that would give the company a competitive edge over other service providers. Marcus Thomas LLC, the researcher contracted by Akron Children's Hospital, used telephone interviews and focus groups in learning the decision making behaviors. In both research approaches, parents with children between the ages of one month and eighteen years were sampled. The geographical spread of the sample exceeded the Summit County, where the hospital is based. From the survey, it was inferred that the decision makers use their emotions rather than rationality when making decisions on health care provision for their children...
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...SYNOPSIS TOPIC “Study of consumer awareness and perception towards health insurance portability.” INTRODUCTION Healthcare Insurance Market in India is unique and has a strong growth potential than the other insurance markets. Life insurance includes all risks related to the lives of human beings. IRDA (Insurance Regulatory and Development Authority) allowed to the customer to change their insurance company in case of dissatisfaction with company. Health insurance portability gives the flexibility to the customer and increase the fair competition among companies. The concept of Portability is new in India so the awareness and perception towards portability of customers depends on several factors. The study covers all the fundamental aspects of awareness and customer preference towards healthcare insurance portability in India. The objective of this study is therefore to examine some of the influences such as consumer awareness and enthusiasm, the role of social influences like advertising, services provided by company, groups and family in affecting consumer’s perception and evaluations of health insurance. RATIONALE OF STUDY • The main logic behind doing this study is that the concept of Health insurance portability is new in India so the awareness of that is not measure till now. • The second rationale of the study is that there are certain reason to influence the customer to change their service provider. • Another rationale of study is to understand the...
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...BURDEN OF HEALTH INEQUALITIES IN THE UNITED STATES Thomas A. LaVeist, Ph.D. Darrell J. Gaskin, Ph.D. Patrick Richard, Ph.D. September 2009 foreward Not everyone in the United States enjoys the same health opportunities. Studies show that minority Americans experience poorer than average health outcomes from cradle to the grave. They are much more likely to die as infants, have higher rates of diseases and disabilities, and have shorter life spans. As the U.S. Congress and the Obama Administration work toward enactment of legislation to reform America’s health care system, a central focus of the debate has been the projected cost of ensuring accessible and affordable health care to every citizen. While some have struggled with the premise that health care reform can actually reduce health-related spending, the experience of racial and ethnic minorities under our current health care system is a strong indication that improving opportunities for good health – and minimizing inequities in health care access and outcomes – may well be good for the nation’s fiscal health, as well. This study, commissioned by the Joint Center for Political and Economic Studies and carried out by leading researchers from Johns Hopkins University and the University of Maryland, provides important insight into how much of a financial burden racial disparities are putting on our health care system and society at large. The researchers examined the direct costs associated with the provision of care to a sicker...
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...SERVANTS’PERCEPTION ON THE PROPOSED SOCIAL HEALTH INSURANCE WORKING IN GULELE SUB CITY, ADDIS ABABA, ETHIOPIA. BY MENGISTU KIFLE (BSC) A RESEARCH PROPOSAL TO BE SUBMITTED TO FACULTY OF PUBLIC HEALTH, DEPARTMENT OF HEALTH SERVICES MANAGEMENT AND PLANNING,JIMMA UNIVERSITY; IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR MASTERS OF PUBLIC HEALTH IN HEALTH SERVICES MANAGEMENT CIVIL SERVANTS’ PERCEPTION ON THE PROPOSED SOCIAL HEALTH INSURANCE WORKING IN GULELE SUB CITY, ADDIS ABABA, ETHIOPIA. BY: Mengistu Kifle (BSC) Name of advisors: 1. Dr Elias Ali Yesuf (MD, MPH) 2. Mr.Tesfamicheal Alaro (Bsc, MPH) Summary Back ground: Health care financing continues to stir debates around the world. Many low and middle income countries especially, keep on exploring different ways of financing their health systems. The government of Ethiopia initiated social health insurance to be applied first on the formal employer with compulsory membership of the system and the members will get health service including their family from contracted health facility with the Ethiopian health insurance agency by contributing a pre-service payment. The health insurance agency will control and manage the insurance system in the country. Objective: The aim of this study is to assess civil servants’ perception and associated factors on the proposed social health insurance working in Gulele...
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...head: THE FOSTER CARE AND SUBSTANCE ABUSE The Association Between Foster Care and Substance Abuse Risk Factors and Treatment Outcomes: An Exploratory Secondary Analysis Sharon H. Stoess Grand Canyon University NRS-433V March 27, 2011 The Association Between Foster Care and Substance Abuse Risk Factors and Treatment Outcomes: An Exploratory Secondary Analysis “The child welfare and substance abuse systems are integrally linked through the children and families they serve (Blome, W., Shields, J., & Verdieck, M., 2009). There is a dearth of knowledge, however, on how children who have experienced foster care fare when they are treated for substance abuse issues as adults” (Blome, W., Shields, J., & Verdieck, M., 2009). “In addition, the funds available for in-depth, comprehensive research in child welfare are limited” (Blome, W., Shields, J., & Verdieck, M., 2009). “Data collected for one purpose can potentially be used to answer other questions” (Blome, W., Shields, J., & Verdieck, M., 2009). “Secondary analysis involves the use of data gathered in a previous study to test new hypotheses or address new questions” (Polit & Beck, 2009, p. 295). “The issue, however, is that the original researchers may not have collected all the data needed to answer the current question” (Blome, W., Shields, J., & Verdieck, M., 2009). “This article presents an exploratory study using the Alcohol and Drug Services Study (ADSS) study set” (Blome, W.,...
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...Available online at www.sciencedirect.com Children and Youth Services Review 30 (2008) 774 – 786 www.elsevier.com/locate/childyouth The well-being of children in foster care: Exploring physical and mental health needs Dana J. Sullivan ⁎, Michiel A. van Zyl 1 University of Louisville, Kent School of Social Work, Louisville, KY 40292, United States Received 20 June 2007; received in revised form 22 July 2007; accepted 9 December 2007 Available online 17 December 2007 Abstract A census of children in foster care provided valuable insight into the well-being of children in one state. CHAID analysis on differences related to physical and mental health needs among various groups of children in foster care revealed a number of significant differences that are often overlooked in other types of analyses. Children's medical needs differ significantly by length of stay and emotional needs were more profound among children of certain ages. Published by Elsevier Ltd. Keywords: Foster care; Well-being; Mental health; Physical health; CHAID 1. Introduction Historically, social workers in child welfare have focused primarily on keeping children safe from abuse and neglect, and helping them return home safely or find new adoptive homes. However, Altshuler and Gleeson (1999) described the emphasis on safety and permanency, to the exclusion of well-being, as a triangle that can only be completed when well-being becomes a focus of child welfare services. In response to this emerging...
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...Health Insurance Needs, Awareness and Assessment in the Bahraich District, Uttar Pradesh JANUARY 2008 This publication was produced for review by the United States Agency for International Development. It was prepared by Constella Futures, New Delhi ITAP is a three-year project funded by United States Agency for International Development under Contract No. GPO-1-01-0400015-00 beginning April 1, 2005_ The project is being implemented by Constella Futures in partnership with Bearing Point, Sibley International, Johns Hopkins University, QED, Urban Institute and Association of Reproductive Health Professionals (ARHP). For further information contact: Constella Futures 1 D-11, Parkwood Estates Rao Tula RamMarg New Delhi 1100 022 Health Insurance Needs, Awareness and Assessment in the Bahraich District, Uttar Pradesh JANUARY 2008 The authors' views expreseed in this publication do not necessarily reflect the views of the United States Agency for International Development or the United States Government Contents List of Tables List of Figures List of Abbreviations Executive Summary Chapter 1: Background and Methodology .......................................................... 1.1 Introduction... 1.2 Objectives of the Study ................................. 1.3 Study Design and Methodology ....................................................................... 1.3.1 Sampling and Sample 1.3.2 Study techniques ..............................................
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...NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS BY CHRISTINA KAY FALK THESIS Submitted in partial fulfillment of the requirements for the degree of Master of Science in Community Health in the Graduate College of the University of Illinois at Urbana-Champaign, 2013 Urbana, Illinois Adviser: Stephen J. Notaro, Ph.D. ii ELDER ABUSE IN NURSING HOMES: THE IMPACT OF DEMENTIA/SPECIAL CARE UNITS By: Christina K. Falk Elder abuse is a topic that impacts everyone in America at some point in their life. Special care units also called dementia units are protected areas in a nursing home that are specially designed for dementia/Alzheimer patients. This thesis reviewed how a special care unit in a nursing home affect the number and severity of deficiencies reported to Medicare. The data was collected from Medicare’s Nursing Home Compare system and the Illinois Public Health Department. This study reviewed 770 nursing homes in Illinois were reviewed, 141 had special care units during the time of data collection. The facilities had a range of total deficiencies from one to 74 with Level of Harm ratings ranging from one to four on a four-point scale. The results showed that residents in a nursing facility that has a special care unit are at a greater risk of a higher Level of Harm but no difference in the number of deficiencies. Possible causes of this greater risk are due to the intrinsic nature of the population in special care units, the need for policy and procedural changes...
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