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.     

西部民族民俗文化的基本形态及其审美特性

民俗文化依性质可分为物质和精神两种基本形态。文章从审美的视角对西部这两种形态的民族民俗文化的审美特性作了分析和探讨。     

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.     

川东T构造须家河组储层地震响应及形成机制

对川东T构造须家河组含气储层的地球物理响应特征进行了分析，采用地质与地球物理互馈结合的手段，通过合成记录正演、储层置换的方法进行了其地质形成机制研究。结果表明：T构造须家河组含气储层主要表现为低频率、弱振幅（近空白）反射，其形成机制主要有两方面的因素，一是含气层速度的降低导致振幅减弱，在薄层叠加效应的作用下，含气层下部出现弱振幅；二是含气层对高频的吸收作用，低频率导致砂泥岩互层无法分辨，表现为弱振幅。最终形成的低频率、弱振幅特征是这两种因素的综合响应，该特征在Ｔ构造高部位可以作为识别含气储层的标志。     

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。     

The Medical Center's Impact in the Network to Sustain the Aged in the Community

A process is described to show how a Social Work Department of a Medical Center ascertained the need to offer a continuum of comprehensive services to a high risk elderly population. This includes aiding and participating with the board and administration of the Medical Center to develop a varied network of services programs. A community based program model is used to show the utilization of individual and group modalities in working with this age population. Clinical material is incorporated to emphasize that aging clients are accessible for psychosocial interventions and can utilize their ego strengths through group living and group counseling. Experiences will highlight that behavioral changes can be brought about through a reintegration of social, emotional, and environmental forces.