Dementia Special Care Units

Abstract

Despite continued interest and growth in special care units in the United States, there is no uniform agreement on characteristics for these units, specific outcomes, or satisfaction with them. This study examined family satisfaction with Dementia Special Care Units (SCUs) using a modified standardized instrument and follow-up interviews. The study included five SCUs in one state, three participating in a dementia SCU demonstration project. Family outcomes were evaluated using surveys and interviews. The only significant difference between facilities in the demonstration project and the comparison facilities was one variable noting family with residents in the demonstration project had more positive perceptions regarding resident safety. The study illustrates a need for policy makers to more clearly identify and regulate special aspects of SCUs, taking family perceptions into consideration.     

Developing and Testing a Satisfaction Survey for Nursing Home Residents

Abstract

Input from consumers has become an important part of quality improvement in long-term care and for consumer decision-making. This paper documents the development of the Ohio Nursing Home Resident Satisfaction Survey (ONHRSS) through a partnership of state government, research, and industry experts. The instrument was tested and refined through two waves of data—a pretest phase and later with statewide data. Exploratory and confirmatory analyses with statewide data identified eight primary factors along with an underlying, secondary Global Satisfaction factor. Reliability of the domains ranged from .69 to .95. Recommendations for further refinement and testing of the instrument are discussed along with policy and practice implications.     

A Program Evaluation of Los Angeles ACORN's Welfare Case Advocacy

SUMMARY

Bureaucratic confusion and client dissatisfaction since the 1996 changes in welfare policy opened opportunities for third party advocacy on behalf of welfare clients. This paper evaluates Los Angeles ACORN's case advocacy program for welfare clients. Outcomes analyzed include client satisfaction with ACORN's advocacy and effects of the program on welfare clients who later became ACORN members. Ninety-one percent of clients surveyed (N = 99) stated they were satisfied with the resolution of their welfare case complaint. Eighty-eight percent of respondents stated ACORN did a better job resolving their problem compared to the welfare department. Unique aspects of the program include peer advocacy and opportunities for welfare recipients to join ACORN and work on welfare policy changes among other issues.     

A four factor model predicting likelihood of foster carer retention

This study used a self‐report method to test a conceptual model for predicting the likelihood of retention of foster carers for children requiring out‐of‐home care. It was hypothesized that satisfaction levels of foster carers would be determined by locus of control and social support, and that the decision to stay or leave fostering within the next 18 months would be influenced by foster carer satisfaction, and commitment to a child/ren in care. Participants were 185 Queensland foster carers. Results supported the proposed model. Logistic regression analysis revealed that an increase in either satisfaction or commitment would result in foster carers being more likely to decide to stay in fostering. Multiple regression analysis found that both locus of control and social support made a significant contribution to the prediction of carer satisfaction. The findings were further supported by qualitative data. Implications of the findings are discussed.     

Sources of occupational stress: An examination of British prison officers

Abstract

The purpose of this paper is to identify the major sources of occupational stress experienced by British prison officers and to examine their effects on overall job stress and job satisfaction. Eighty-one officers from HM Prison, Maidstone, took part in a questionnaire study, and three main findings emerged. First, lack of stiff and resources were ranked as the most likely sources of stress, and areas of the prison where confrontations with inmates were most likely to occur were ranked as the most stressful locations. Second, officers who reported the highest levels of job stress overall had the lowest job satisfaction and the greatest wish for more emphasis on control and security of inmates. Third, when the sources of stress were factor-analysed and used to predict overall job stress and job satisfaction, using multiple regression, the sìngle most important predictor of job stress was found to be the factor labelled 'confrontations with inmates' and, for dissatisfaction with the job, it was 'poor morale and resentments'. The paper discusses the theoretical implications of the findings.     

青岛市农民专业合作社的发展:现状、问题与对策

近年来,青岛市农民专业合作社快速发展,在运行过程中发挥了重要功能,推动了现代农业发展.当前,还存在着发展空间有限、内部管理欠规范、主动参与市场竞争的动力不足、个别部门政策支持行为不到位等亟待解决的问题.因此,进一步规范和发展农民专业合作社,必须端正发展思想,避免"两个倾向"; 加强宣传教育与培训;加快组织模式创新;进一步完善内部运行机制;强化政府支持行为,营造一个有利于发展的外部环境.     

宁波市农民持续增收的保障机制研究

农民收入问题是“三农”问题的核心,改革开放30年来,宁波市农民人均纯收入快速增长,走在全国前列,有力支撑了区域经济的快速发展。宁波市农民收入快速增长具有阶段性、多元性和差异性的特点,其驱动机制包括：制度创新、城乡统筹、科技支撑和社会保障等因素。宁波市要实现2020年农民纯收入翻番的目标,仍面临一系列的制约瓶颈,需要把增加农民收入与城乡一体化、产业布局调整、促进非农就业和加速城镇化相结合,用工业化、城镇化、市场化破解农民收入持续增长的难题。     

中国C2C交易市场电子服务质量对顾客忠诚的影响——以顾客满意和顾客价值为中介变量

通过构建整合性的理论研究模型，揭示了C2C交易市场电子服务质量、顾客满意、顾客价值以及顾客忠诚之间相互作用的机理。并对中国具有C2C网上购物经验的用户进行问卷调查，建立结构方程模型，采用验证性因子分析法实证检验研究假设。研究结果发现：（1）C2C网站的电子服务质量对顾客满意和顾客价值产生显著的正向影响；（2）C2C卖家的电子服务质量对顾客满意产生显著的正向影响，对顾客价值的影响不显著；（3）顾客满意和顾客价值都对顾客忠诚产生显著的正向影响；（4）确认了顾客满意和顾客价值在C2C交易市场电子服务质量和顾客忠诚之间的中介效应。根据研究结论对C2C交易网站和网上卖家提高电子服务质量和顾客忠诚提出一些富有决策指导意义的对策和建议。     

城市居家老年人主观生活质量评价及其影响因素研究

本文根据城市居家老人生活质量评价的若干指标，对上海城市居家老人分事件类别的主观满意度及其整体生活状况的满意度进行了实证分析．并运用Logistic回归分析研究城市居家老人各生活质量因素对整体生活主观满意度的影响。研究发现影响整体生活满意度评价的因素是多方面的，有经济状况因素、身体健康因素、心理健康因素、社会支持因素、婚姻状况、参与老年活动因素。