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The Impact of Mobbing and Job-related Stress on Burnout and Health-related Quality of Life: The Case of Turkish Territorial State Representatives
Title
The Impact of Mobbing and Job-related Stress on Burnout and Health-related Quality of Life: The Case of Turkish Territorial State Representatives.
Creator
Yesilbas, Mehmet, Wan, Thomas, Dziegielewski, Sophia, Steen, Julie, Zhang, Ning, University of Central Florida
Abstract / Description
Job-related stress occurs as one of the most serious issues in modern era in developed nations. It has direct and negative effects on employees' productivity and it may have negative impacts on employees' health. One of the potential results of prolonged stressors at work place is burnout and this response may lead to physical, emotional, and psychological exhaustion that can occur at both individual and organizational levels. Burnout is a job related threat that provokes social stress and...
Show moreJob-related stress occurs as one of the most serious issues in modern era in developed nations. It has direct and negative effects on employees' productivity and it may have negative impacts on employees' health. One of the potential results of prolonged stressors at work place is burnout and this response may lead to physical, emotional, and psychological exhaustion that can occur at both individual and organizational levels. Burnout is a job related threat that provokes social stress and can directly affect an individual's health. Health-related quality of life (HRQoL) is commonly used to measure an individual's overall/global health and quality of life. Another serious issue, mobbing, usually leads to some individual and organizational complications. It affects the organizational commitment, motivation and efficiency of staff, job satisfaction of employee, and may lead to potential burnout of the employees. The primary objective of this study is to determine whether stress and mobbing are directly related to burnout; and, whether burnout leads to an adverse effect on the HRQoL of Turkish territorial state representatives (TSRs). This study examines four specific research questions: 1) Whether and to what extent do the levels of perceived job related stress and mobbing affect the level of perceived burnout syndrome of TSRs? 2) Whether and to what extent is the level of perceived burnout syndrome associated with HRQoL of TSRs? 3) To what extent does the level of perceived burnout mediate the effects of job-related stress on HRQoL of TSRs? 4) What are the mediating factors between job burnout and HRQoL? This study is expected to offer valuable and insightful information about the role of job burnout factors influencing the variability in TSRs' HRQoL.The study utilized two statistical analyses, which were descriptive analysis and Structural Equation Modelling (SEM) which allows for the assessment of the relationships specified in the hypotheses and the SEM was used to validate the theoretically driven model. The findings of the study supported the hypotheses of the study, which asserted that there were correlations between job-related stress and burnout, mobbing and burnout, and burnout and HRQoL. The CFA results established that job-related stress was positively and significantly associated with the burnout of TSRs, while perceived mobbing was positively and significantly related to the burnout of TSRs. Moreover, perceived HRQoL of TSRs was negatively associated with the burnout of TSRs. Further, the findings indicated that the relationship between job-related stress and burnout and the relationship between burnout and HRQoL of TSRs were statistically significant. Thus the variable had a positive effect on burnout and a negative effect on the HRQoL of TSRs. In summary, the findings of the study showed that results and propositions of the theoretical frameworks of the study and literature were consistent with one another.
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Date Issued
2015
Identifier
CFE0006236, ucf:51071
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006236
The Effects of Social Support and Working Alliance on Latino-American Male Combat Veterans
Title
The Effects of Social Support and Working Alliance on Latino-American Male Combat Veterans.
Creator
Duran, Lloyd, Leon, Ana, Steen, Julie, Molina, Olga, Wan, Thomas, University of Central Florida
Abstract / Description
The negative effects of traumatic combat experiences on combatants' psychological functioning is well documented in the literature. The Global War on Terrorism (GWOT) has resulted in many veterans returning from deployments with mental health conditions related to trauma exposure, such as posttraumatic stress disorder, depression, general anxiety, and suicidality. Past researchers found significant ethnic differences in psychological functioning, with Latino-American veterans reporting more...
Show moreThe negative effects of traumatic combat experiences on combatants' psychological functioning is well documented in the literature. The Global War on Terrorism (GWOT) has resulted in many veterans returning from deployments with mental health conditions related to trauma exposure, such as posttraumatic stress disorder, depression, general anxiety, and suicidality. Past researchers found significant ethnic differences in psychological functioning, with Latino-American veterans reporting more symptoms of PTSD. Furthermore, Latino-American cultural values place importance on collective orientation and secrecy of mental health concerns which may affect treatment. Thus, this study built on limited research about Latino-American male combat veterans by focusing on the effects of social support and working therapeutic alliance during mental health treatment. Using a cross-sectional design, a sample of 42 GWOT Latino-American Veterans undergoing mental health treatment at a VA Medical Center in the Southeastern U.S. was recruited and surveyed. Participants completed a set of nine questionnaires (Beck Scale for Suicidal Ideation, PTSD Checklist (-) Military Version, Beck Depression Inventory (-) 2nd Edition, Beck Anxiety Inventory, Postdeployment Social Support Scale, Combat Exposure Scale, Working Alliance Inventory (-) Short Form. Network Orientation Scale, and Multidimensional Scale of Perceived Social Support). Descriptive and bivariate statistics were calculated, and regression models were tested. The results indicate that social support improved overall PTSD and intrusive symptoms, separately, but working therapeutic alliance had a marginal effect on avoidance symptoms. Working alliance was found to exert a negative effect on depressive symptoms. The study did not yield evidence to support significant effects of social support or working alliance on suicidality and generalized anxiety. These results have implications for mental health service systems and for future research. Therapists serving veterans with PTSD should work with the patient/client to increase perceived social support. When serving veterans with depressive symptoms, therapists should place special effort on developing a strong working alliance.?
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Date Issued
2017
Identifier
CFE0006872, ucf:51749
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006872
Childhood Predictors in the Severity of Combat Related Posttraumatic Stress Disorder Among Veterans with Combat Related Exposure
Title
Childhood Predictors in the Severity of Combat Related Posttraumatic Stress Disorder Among Veterans with Combat Related Exposure.
Creator
Bermes, Michael, Abel, Eileen, Burg, Mary, Steen, Julie, Johnson, Ann, University of Central Florida
Abstract / Description
Emerging research suggests that childhood adversities may increase both the risk and symptomology of posttraumatic stress disorder (PTSD) in our veteran population. Over 40% of our reintegrating military veterans return with significant mental health issues led by combat-related PTSD. PTSD impacts veterans in numerous areas including unemployment, increased criminal justice involvement, increased treatment costs, divorce, co-morbid mental illness, greater levels of domestic violence,...
Show moreEmerging research suggests that childhood adversities may increase both the risk and symptomology of posttraumatic stress disorder (PTSD) in our veteran population. Over 40% of our reintegrating military veterans return with significant mental health issues led by combat-related PTSD. PTSD impacts veterans in numerous areas including unemployment, increased criminal justice involvement, increased treatment costs, divorce, co-morbid mental illness, greater levels of domestic violence, homelessness, high college dropout rates, suicide, and long term health problems. The purpose of this study is to investigate the impact of childhood adversities (abuse, neglect, and poverty) upon the severity of combat-related PTSD in veteran populations. Specifically, the researcher examines the direct effects of: (1) childhood trauma; (2) childhood neglect; and (3) childhood poverty (as assessed based on socioeconomic status [SES]) upon the severity of combat-related PTSD. This study of student veterans (n=102) receiving services from a veteran service center at a major metropolitan university in Central Florida is a non-experimental, explanatory, retrospective survey design using structural equation modeling (SEM) to test the relationships among study variables. Findings strongly supported a relationship between childhood trauma and neglect and the severity of combat-related PTSD. Similarly, findings also supported that no relationship existed between childhood SES and the severity of combat-related PTSD. Both childhood trauma and neglect were significantly associated with combat-related PTSD at an even greater effect than that of combat exposure. SES was not found to be significant in the severity of combat-related PTSD. The findings suggest that preventive screening policies to reduce costs and severity of combat-related PTSD might be needed.
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Date Issued
2013
Identifier
CFE0004815, ucf:49739
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004815
A Comparison Between Male Perpetrators Of Intimate Partner Violence and Child Sexual Abuse: A Feminist Perspective
Title
A Comparison Between Male Perpetrators Of Intimate Partner Violence and Child Sexual Abuse: A Feminist Perspective.
Creator
Schafer, Christelle, Molina, Olga, Steen, Julie, Burg, Mary, Feder, Lynette, University of Central Florida
Abstract / Description
The purpose of this study was to explore whether attributes of sex role identity and gender role stress differed between perpetrators of child sexual abuse (CSA) and perpetrators of intimate partner violence (IPV). The primary research question posed in the research sought to determine if participants' attitudes on gender role stereotyping or gender role stress were significantly different between perpetrators of CSA and perpetrators of IPV. Participants in this study were a convenience...
Show moreThe purpose of this study was to explore whether attributes of sex role identity and gender role stress differed between perpetrators of child sexual abuse (CSA) and perpetrators of intimate partner violence (IPV). The primary research question posed in the research sought to determine if participants' attitudes on gender role stereotyping or gender role stress were significantly different between perpetrators of CSA and perpetrators of IPV. Participants in this study were a convenience sample of adult males with histories of CSA and IPV from two different outpatient counseling programs. Participants completed the Bem Sex Role Inventory-Short Form (BSRI-SF) and the Male Gender Role Stress (MGRS) scales to investigate whether the gender role attributes and gender role stress scores of the perpetrators of CSA and IPV were (a) similar or different from each other and (b) whether they fell outside the norms established by the two standardized instruments. This study utilized multiple regression and one sample t-tests to analyze the data. There was a statistically significant relationship between perpetrator type and the BSRI-SF and MGRS scores. Additionally, perpetrators of CSA and IPV had lower scores on the MGRS scale than those men in previous research. Additional research was suggested to further explore the relationship between gender role stereotypes and gender role stress on the perpetration of CSA.
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Date Issued
2013
Identifier
CFE0005056, ucf:49976
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005056
Patient Violence and Aggression in Non-Institutional Health Care Settings: Predictors of Reporting By Healthcare Providers
Title
Patient Violence and Aggression in Non-Institutional Health Care Settings: Predictors of Reporting By Healthcare Providers.
Creator
Campbell, Colleen, Burg, Mary Ann, Gammonley, Denise, Steen, Julie, Potter, Roberto, University of Central Florida
Abstract / Description
This dissertation is conducted to examine the factors which contribute to the reporting of incidents of violence or aggression perpetrated by patients against health care providers in non-institutional health care settings. With a theoretical foundation grounded in community science, applying stress theory, broken windows theory and the theory of reasoned action, the following cross sectional study examines the contribution of characteristics of the healthcare provider, characteristics of the...
Show moreThis dissertation is conducted to examine the factors which contribute to the reporting of incidents of violence or aggression perpetrated by patients against health care providers in non-institutional health care settings. With a theoretical foundation grounded in community science, applying stress theory, broken windows theory and the theory of reasoned action, the following cross sectional study examines the contribution of characteristics of the healthcare provider, characteristics of the patient perpetrator and the form of violence to the providers' reporting or failing to report incidents. A self-administered survey was disseminated to a sample of non-institutional healthcare providers to test the research hypotheses about variables associated with reporting of incidents. The final sample size included 218 respondents, of which 213 met inclusion criteria for the study. 79.4% (N=169) of respondents had experienced at least one form of patient violence or aggression and were thus eligible for inclusion in the statistical analysis. The collected data was then analyzed through use of logistic regression to determine the contribution of each variable and the relative impact on the dependent variable of incident reporting. Findings indicated that there is a statistically significant contribution of the form of abuse, specifically verbal abuse in comparison to sexual abuse, to incident reporting. Specifically, the odds of reporting abuse are four times higher among individuals experiencing verbal abuse in contrast to providers subjected to patient-perpetrated sexual abuse.
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Date Issued
2016
Identifier
CFE0006082, ucf:50953
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006082
Academic Performance among Homeless Students: Exploring Relationships of Socio-Economic and Demographic Variables
Title
Academic Performance among Homeless Students: Exploring Relationships of Socio-Economic and Demographic Variables.
Creator
Moore, Miriam, Bryer, Thomas, Zhang, Ning, Steen, Julie, Bai, Haiyan, University of Central Florida
Abstract / Description
This study examines homeless student academic performance, types of temporary housing used among the homeless, degree of stability or instability for families with school-aged children, child needs for academic success, the importance of parental involvement in a child's academic growth, and other known factors in relations to child student academic performance, with a focus on grade level and racial differences. A multiple linear regression model is used to test the hypotheses while...
Show moreThis study examines homeless student academic performance, types of temporary housing used among the homeless, degree of stability or instability for families with school-aged children, child needs for academic success, the importance of parental involvement in a child's academic growth, and other known factors in relations to child student academic performance, with a focus on grade level and racial differences. A multiple linear regression model is used to test the hypotheses while controlling confounding variables. Statistically significant relationships are reported between race and academic performance, and grade level and academic performance. Practical and policy implications are discussed, as well as limitations of the study and need for future research.
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Date Issued
2015
Identifier
CFE0005848, ucf:50910
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005848
The Diffusion and Performance of the Accountable Care Organization Model
Title
The Diffusion and Performance of the Accountable Care Organization Model.
Creator
Lin, Yi-ling, Wan, Thomas, Malvey, Donna, Liu, Albert Xinliang, Steen, Julie, University of Central Florida
Abstract / Description
Background: Unity in pursuit of the Triple Aim: better health, better care, and lower per capita cost, can be achieved through a well-designed health care delivery system. The accountable care organizations (ACOs) model is considered a key component of health care delivery system improvement because the model fosters better coordination of care through clinical integration and financial accountability. Within the six Centers for Medicaid (&) Medicare Services (CMS) ACO programs, the Medicare...
Show moreBackground: Unity in pursuit of the Triple Aim: better health, better care, and lower per capita cost, can be achieved through a well-designed health care delivery system. The accountable care organizations (ACOs) model is considered a key component of health care delivery system improvement because the model fosters better coordination of care through clinical integration and financial accountability. Within the six Centers for Medicaid (&) Medicare Services (CMS) ACO programs, the Medicare Shared Savings Program (MSSP) ACO has the largest size with a total of 432 ACOs formed; the service subjects of the MSSP ACO are the fee-for-service beneficiaries. Recently, academicians and researchers have been attracted to exploring ACOs' formation and performance. However, most of the early ACO research types are either descriptive or case study. Also, early researchers had limited access to ACO data sets, so they could utilize only regional and demographic factors to identify the predictors of ACO formation.Purpose: An integrative theoretical framework, Rogers' diffusion of innovation theory and Duncan's POET model, was used to examine ACO formation and performance. The first purpose of this study was to determine the relative influences of contextual variables and ACO characteristic variables on how early an ACO model was adopted. The second purpose was to examine how executives' perceptions of ACO performance and the ACO first-year performance are influenced by the contextual variables, ACO characteristic variables, and timing of the adoption of an ACO model. Methods: A cross-sectional design was formulated to gather data from a survey supplemented by secondary data with the analysis unit at the organization level. Study participants in the ACO survey included 2012, 2013, 2014, and 2015 ACO cohorts. Logistic regression was performed to examine the effects of POET and Rogers' five core characteristics in the early adoption of an ACO model (dichotomous). Additionally, multiple linear regression analysis was used to examine the effects of POET and the timing of adoption of an ACO model in the perceptions of ACO performance. ACO first-year performance dataset consisted only of ACO cohorts from 2012 through 2014. Finally, confirmatory factor analysis and structural equation modeling were conducted to examine the measurement model of the ACO first-year performance and a full latent variable model, respectively. Major Findings: A survey of ACO executives/managers between October 2015 and February 2016 was conducted. The 447 MSSP ACOs in my mailing list yielded a response rate of 13.65 % (n=61). Of the 61 MSSP ACOs, 42 (52.5%) were late adopters whose contractual agreement with CMS started in 2014 or 2015, and 36 (59.0%) were with hospital-based composition. Among ACOs that participated in my survey, their current degree of IT adoption in functionalities (62.27 vs. 52.50 points), usage levels (65.19 vs. 49.49 points), and integration levels (62.24 vs. 53.37 points) were better than their initial years. The multiple logistic regression presented that MSSP ACOs were more likely to be early adopters of a CMS if their service areas had high unemployment rates (OR=2.23; 95% CI: 1.13 - 4.39). In the multiple linear regression analysis, the executives in the early ACOs perceived their organizations as more effective than the late adopters, with 12.65 points higher in an aggregate of eight ACO quality domains (p = .005). Three hundred and seventeen MSSP ACOs, with contractual agreements with CMS before 2015, had retained their year-one performance records (the actual ACO performance with eight quality domains). The variability in the actual ACO performance was explained by the predictor variables of the study with an R-square of 15%. The actual ACO performance was likely to be improved if ACOs had more Medicare assigned beneficiaries or had the hospital-based composition. On the other hand, if ACOs' service areas were located in areas of high poverty concentration, a high unemployment rate, or a lower competitive index, their ACO performance was relatively lower than their counterparts. Implications: The findings suggest that managers should consider strategies to increase economies of scale in size and to have hospital involvement in their ACOs in order to increase effective management. Inadequate capital for information technology improvements is the biggest barrier inhibiting healthcare providers' willingness to join an ACO. Regardless of rural or urban areas, financial support is still important for those potential ACO participants who are planning to invest in necessary infrastructure. ACOs that involved hospitals also showed better performance than those ACOs without hospital involvement. This information may help health policy makers to define core principles of the best ACO model in the future. Conclusions: This study makes a unique contribution using a theoretically integrative framework with Rogers' diffusion of innovation theory coupled with Duncan's POET model to examine ACO formation and ACO performance. In the early ACO adopters, three-fifths of the ACOs had hospital involvement; and the levels of their current IT degree in functionalities, usage levels, and integration levels are higher than the late ACO adopters. This study demonstrates that contextual variables, such as unemployment rates at ACO service areas, relatively influence how early an ACO model was adopted. Executives in the early ACOs had higher perceptions of overall organizational effectiveness as compared with the late adopters. The first-year performance of 2012, 2013, and 2014 ACO cohorts is positively influenced by the size of assigned Medicare beneficiaries and hospital-based ACO and is negatively influenced by the poverty rate, unemployment rate, and market competition scores (Herfindah-Hirschman Index).
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Date Issued
2016
Identifier
CFE0006347, ucf:51576
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006347