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SOCIAL WORK STUDENTS' ATTITUDES AND PERCEPTIONS ABOUT THE AFFORDABLE CARE ACT
Title
SOCIAL WORK STUDENTS' ATTITUDES AND PERCEPTIONS ABOUT THE AFFORDABLE CARE ACT.
Creator
Goddard, Yvichess, Burg, Mary Ann, University of Central Florida
Abstract / Description
The Affordable Care Act is creating major political changes, on the state and federal levels, and is redefining American citizens' ability to access health services. Medical and mental health social workers are in high demand within the health care workforce to advocate and assist patients in navigating through a complex health care system. Little research has been conducted in understanding future social work professionals' views and knowledge about the legislation. This exploratory...
Show moreThe Affordable Care Act is creating major political changes, on the state and federal levels, and is redefining American citizens' ability to access health services. Medical and mental health social workers are in high demand within the health care workforce to advocate and assist patients in navigating through a complex health care system. Little research has been conducted in understanding future social work professionals' views and knowledge about the legislation. This exploratory-descriptive study used a convenience sample of 105 Bachelors (BSW) and Masters (MSW) level social work students to explore views on health care policy and reform based on students' personal experiences accessing health care. The study also obtained an understanding of how demographic factors affect students' support for health reform. Implications of this study show the need for greater implementation of health policy education in the social work curriculum and further research on the factors affecting students' knowledge and attitudes of health reform.
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Date Issued
2014
Identifier
CFH0004649, ucf:45306
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004649
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
Government Responsiveness in Matters of Racial Sensitivity
Title
Government Responsiveness in Matters of Racial Sensitivity.
Creator
Carnegie, Vickie, Bryer, Thomas, Knox, Claire, Kapucu, Naim, Burg, Mary Ann, Fine, Terri, University of Central Florida
Abstract / Description
This study assesses factors influencing the responsiveness of government officials in Alabama, Mississippi, and South Carolina regarding the public display of the Confederate Flag on state grounds in the aftermath of the Charleston, South Carolina shooting. The purpose of this dissertation research is to understand the factors influencing how government officials make decisions during racially/culturally sensitive events. Two research questions frame this study: 1) What factors are relevant...
Show moreThis study assesses factors influencing the responsiveness of government officials in Alabama, Mississippi, and South Carolina regarding the public display of the Confederate Flag on state grounds in the aftermath of the Charleston, South Carolina shooting. The purpose of this dissertation research is to understand the factors influencing how government officials make decisions during racially/culturally sensitive events. Two research questions frame this study: 1) What factors are relevant to understanding state government officials' decision- making regarding the display of the Confederate Flag on public grounds? 2) Under what conditions of public decision making regarding the Confederate flag is executive authority, vote/referendum, or legislative processes used? Employing grounded theory across newspaper content in Alabama, South Carolina, and Mississippi, 117 articles were examined to provide insight into the research questions. The themes which emerged from this analysis are: 1)Key factors in the decision-making regarding the display of the Confederate Flag on state grounds are: a.The response to a triggering crisis event b.A desire for inclusiveness c.A perception of outside attention or scrutiny d.A concern for the economic well-being of the State e.The political agency of the decision maker 2)Economics, standing law, and political expediency influence decisions of whether executive authority, vote/referendum, or legislative processes are used in decision-making regarding the display of the Confederate Flag on public grounds. This study introduces a detailed model of decision-making for public officials in racially/culturally sensitive matters to navigate the handling of issues with similar schema-forming symbols which can call forth dynamic and polarizing responses. The findings from this research study can be used to foster improved government efforts at responding to matters of a highly charged emotional nature.
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Date Issued
2018
Identifier
CFE0007439, ucf:52734
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007439
Risk Factors Associated with the Arrest for Adolescent to Parent Abuse
Title
Risk Factors Associated with the Arrest for Adolescent to Parent Abuse.
Creator
Cicale, Coleen, Yegidis, Bonnie, Burg, Mary Ann, Gryglewicz, Kimberley, Fisher, Kristina Childs, University of Central Florida
Abstract / Description
This study explored risk factors associated with the arrest for adolescent to parent abuse (ATPA) when compared to arrest for a similar violent misdemeanor against a non-parent. The phenomenon of ATPA is widely under-researched and there is little in terms of prevention policy or treatment. Using 18,548 risk assessment screens performed with adolescents (12-17) arrested in Florida for a violent misdemeanor, and guided by previous literature and social ecological and social bond theories, this...
Show moreThis study explored risk factors associated with the arrest for adolescent to parent abuse (ATPA) when compared to arrest for a similar violent misdemeanor against a non-parent. The phenomenon of ATPA is widely under-researched and there is little in terms of prevention policy or treatment. Using 18,548 risk assessment screens performed with adolescents (12-17) arrested in Florida for a violent misdemeanor, and guided by previous literature and social ecological and social bond theories, this analysis explored the relationship between risk factors (categorized as individual characteristics, beliefs, behavior, commitment and involvement and attachment) and arrest for ATPA versus arrest for a violent misdemeanor against a non-parent. Of the 17 hypothesized risk factors, 9 risk factors were found to be significant risk factors associated with the arrest for ATPA versus the arrest for a violent misdemeanor against a non-parent. Age and ethnicity/race were both found to be associated with ATPA arrests. Risk factors found to increase the likelihood of being arrested for ATPA included a history of mental health problems, the adolescent witnessing domestic violence, the adolescent being a victim of abuse, and adolescents' normative beliefs in resolving conflict. The findings of this study add to the current body of literature and can be used to inform the creation of new policies and interventions in the realm of ATPA and family violence.
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Date Issued
2018
Identifier
CFE0007165, ucf:52285
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007165
Assessing Institutional Response to Sexual Violence on College Campuses: The Relationship Between Organizational Characteristics of Colleges and Adherence to National Guidelines
Title
Assessing Institutional Response to Sexual Violence on College Campuses: The Relationship Between Organizational Characteristics of Colleges and Adherence to National Guidelines.
Creator
Macri, Lisa, Burg, Mary Ann, Anderson, Kim, Yegidis, Bonnie, McMahon, Sarah, Potter, Roberto, University of Central Florida
Abstract / Description
This dissertation is a cross sectional exploratory study assessing adherence to the federal campus sexual violence Clery Act and Title IX guidelines among a national sample of (n=94) institutions of higher education (IHE) to determine if there are any relationships between organizational characteristics and CSV policy adherence using a three-part index of compliance: (1). Levels of IHE compliance to federal policies; (2). Levels of IHE provision of CSV prevention services and programs; and (3...
Show moreThis dissertation is a cross sectional exploratory study assessing adherence to the federal campus sexual violence Clery Act and Title IX guidelines among a national sample of (n=94) institutions of higher education (IHE) to determine if there are any relationships between organizational characteristics and CSV policy adherence using a three-part index of compliance: (1). Levels of IHE compliance to federal policies; (2). Levels of IHE provision of CSV prevention services and programs; and (3). Levels of IHE provision of CSV interim and supportive measures. Resource Dependency Theory (Pfeffer (&) Salancik, 1978) informed the study's primary hypothesis that an IHE's reliance on federal financial aid would positively correlate to higher scores on the measures of IHE CSV compliance. Results from regression analyses found a statistically significant (p(<).001) relationship between the receipt of federal student aid dollars by all IHE in the sample and the scores on all levels of the compliance measure. For each federal student aid dollar received, total compliance scores increased by 4 points for all IHE in the sample. Other IHE characteristics, such as the presence of a recent Title IX investigation, were assessed in regard to their relationship to compliance levels. Findings of this exploratory study suggest provisional support for the application of RDT to IHE compliance behaviors regarding campus sexual violence. Additionally, two-year IHE in the sample had statistically significantly lower levels of overall compliance, identifying an opportunity to improve compliance..
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Date Issued
2019
Identifier
CFE0007492, ucf:52631
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007492
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
Determinants of Health-related Quality of Life of Patients with End-stage Renal Disease
Title
Determinants of Health-related Quality of Life of Patients with End-stage Renal Disease.
Creator
Varghese, Shabu, Dziegielewski, Sophia, Burg, Mary Ann, Zhang, Ning, Jacinto, George, University of Central Florida
Abstract / Description
End-stage Renal Disease (ESRD) or Chronic Kidney Disease (CKD) constitutes a serious public health problem in the United States. According to the United States Renal Data System (USRDS), in 2013, Medicare spending alone accounts for $30.9 billion for the treatment-related expenses for ESRD. The purpose of this study was to examine the causal relationship of two important determinants, perceived social support and treatment adherence with health-related quality of life (HRQOL) of ESRD patients...
Show moreEnd-stage Renal Disease (ESRD) or Chronic Kidney Disease (CKD) constitutes a serious public health problem in the United States. According to the United States Renal Data System (USRDS), in 2013, Medicare spending alone accounts for $30.9 billion for the treatment-related expenses for ESRD. The purpose of this study was to examine the causal relationship of two important determinants, perceived social support and treatment adherence with health-related quality of life (HRQOL) of ESRD patients. Using the health belief model and Bandura's self-efficacy theory, the study explained the theoretical underpinnings of the causal relationships of the patient's perspectives of perceived social support and treatment adherence in predicting the HRQOL of ESRD patients. The study utilized a non-experimental research design and the statistical tool Structural Equation Modeling (SEM), in evaluating the causal relationships between the variables. With a convenience sample size of 413 ESRD patients from the Central West region of Florida, the findings of the study validated a statistically significant relationship between perceived social support and HRQOL as well as between perceived social support and treatment adherence in ESRD patients. However, the study didn't find any significant relationships between treatment adherence and HRQOL. The results of the study enhanced the body of knowledge relating to HRQOL of ESRD patients, provided foundation for interventions and policy formation in improving the HRQOL of patients with ESRD.
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Date Issued
2016
Identifier
CFE0006512, ucf:51366
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006512
Home Care Quality Effects of Remote Monitoring
Title
Home Care Quality Effects of Remote Monitoring.
Creator
Williams, Cynthia, Wan, Thomas, Oetjen, Dawn, Burg, Mary Ann, Zhang, Ning, University of Central Florida
Abstract / Description
Despite concerted efforts to decrease costs and increase public health, the embattled U.S. health care system continues to struggle to alleviate these widespread issues. Because the problem of hospital utilizations among patients with heart failure is posited to increase as the population ages, innovative methodologies need to be explored to mitigate adverse events. Remote monitoring harnesses the strength of advanced information and communication technology to affect positive changes in...
Show moreDespite concerted efforts to decrease costs and increase public health, the embattled U.S. health care system continues to struggle to alleviate these widespread issues. Because the problem of hospital utilizations among patients with heart failure is posited to increase as the population ages, innovative methodologies need to be explored to mitigate adverse events. Remote monitoring harnesses the strength of advanced information and communication technology to affect positive changes in health care quality and cost. By reaching across geographical boundaries, remote monitoring may support increased access to less costly services and improve the quality of home health care.The purpose of the study was to examine the home care quality effects of remote monitoring technology in patients with heart failure and to provide an economic justification for its adoption and diffusion. It compared remote monitoring as a potential intervention strategy to a standard no-intervention group (without remote monitoring). Specifically, it analyzed remote monitoring as a viable strategy to decrease hospital readmissions and emergency department visits. It also compared the cost of remote monitoring against the current standard-of-care. The theoretical framework of Donabedian's Quality Model was used in the evaluation of remote monitoring. A retrospective posttest only, case control study design was used to test the degree which remote monitoring was effective in promoting health care quality (hospital readmissions and decreased emergency department visits). Retrospective chart reviews were performed using electronic medical records (EMR). Analysis of Variance, Path Analysis, Automatic Interaction Detector Analysis (Dtreg), and Cost Outcomes Ratio were used to test the hypotheses and validate the proposed theoretical model.No significant difference was noted in remote monitoring and usual care groups. Results suggested that remote monitoring does not statistically lead to a decrease in heart failure-related hospital readmissions and all-cause emergency department visits. Results of the cost ratio analysis suggested that there was no statistically significant difference in the net income between usual care and remote monitoring; however, data suggest that there were significant increases in cost and intensity of nursing utilization for the remote monitoring intervention. The Automatic Interaction Detector Analysis showed that the unfavorable results in hospital readmissions were due to a decrease in collaborative care and patient education prior to the recommendation for hospitalization. The role of nursing care, whether in hospital or community-based care, in heart failure management is critical to quality outcomes. As the field continues to consider the use of technology in health care, decision makers should think through the process of patient care such that preventable hospital readmissions are decreased and patients received quality care.
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Date Issued
2014
Identifier
CFE0005442, ucf:50383
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005442