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Funding (In)security and Challenges: Non-Profit Literacy Programming and Neoliberal Contradictions in Canada 资金(不)安全与挑战:加拿大非营利扫盲计划与新自由主义的矛盾
Q4 Medicine Pub Date : 2024-07-24 DOI: 10.1177/10793739241253224
Tiffany L. Gallagher, Kevin Gosine, Darlene Ciuffetelli Parker
Increasingly, the non-profit sector is expected to provide services for which the state previously took responsibility, and plays a vital role in providing key supports, such as those related to literacy and building social capital. In a jurisdiction of Ontario, Canada, local funding for literacy programs ceased without warning. In this qualitative study, stakeholders consisting of program users ( n = 72), staff ( n = 11), and program leads ( n = 8) shared their experiences regarding the goals, activities, impacts, and needs of the programs through interviews and focus groups. Findings illuminate both challenges and recommendations for future implementation in three themes: (1) Identifying and reconciling funding gaps and restrictions; (2) requiring supports for human resources; and (3) communicating, cooperating, and collaborating to survive. The challenges faced by financially strapped, non-profit entities highlight a fundamental contradiction within neoliberal ideology: Neoliberal-induced funding scarcity within the non-profit sector can undermine the capacity of community organizations to promote neoliberal ideals related to self-reliance and resilience.
人们越来越期待非营利部门提供以前由国家负责的服务,非营利部门在提供关键支持(如与扫盲和建立社会资本有关的支持)方面发挥着至关重要的作用。在加拿大安大略省的一个辖区,当地对扫盲计划的资助毫无征兆地停止了。在这项定性研究中,由项目用户(72 人)、员工(11 人)和项目负责人(8 人)组成的利益相关者通过访谈和焦点小组分享了他们在项目目标、活动、影响和需求方面的经验。调查结果揭示了三个主题中的挑战和对未来实施的建议:(1) 找出并协调资金缺口和限制;(2) 需要人力资源支持;(3) 沟通、合作和协作以求生存。财政拮据的非营利实体所面临的挑战凸显了新自由主义意识形态中的根本矛盾:新自由主义导致的非营利部门资金短缺会削弱社区组织促进与自力更生和复原力相关的新自由主义理想的能力。
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引用次数: 0
Arkansas Domestic Violence shelters: Resilience in the Face of Multiple Challenges 阿肯色州家庭暴力庇护所:面对多重挑战的复原力
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.37808/jhhsa.46.1.1
Amber Overholser, Jennifer Kelton-Huff
Domestic violence occurs with far too much frequency, with an average of 24 people per minute being victims of rape, physical violence or stalking by an intimate partner in the United States (The National Coalition Against Domestic Violence, n.d.). Domestic violence shelters are typically 501c3 nonprofits which provide services to victims fleeing violence. This paper explores how shelters within the state of Arkansas have exhibited resiliency over the course of the recent COVID-19 pandemic and the 40% cuts required due to changes in the Crime Victims Fund (CVF), the primary source of funding for most shelters. Our findings reveal varied abilities to respond to these co-occurring stressors and found that contracting COVID-19, fears about closing, concerns over victims, and especially funding, weighed heavily on the minds of shelter staff We also found that shelter staff who stayed were resilient, fully invested in their organizations and the clients they serve, and looking onward to the future.
在美国,平均每分钟就有 24 人成为亲密伴侣强奸、身体暴力或跟踪的受害者(全国反家庭暴力联盟,无注释)。家庭暴力庇护所通常是 501c3 非营利组织,为逃离暴力的受害者提供服务。本文探讨了阿肯色州的避难所在最近的 COVID-19 大流行以及由于犯罪受害者基金(CVF)(大多数避难所的主要资金来源)的变化而需要削减 40% 资金的过程中是如何表现出恢复能力的。我们的研究结果表明,庇护所工作人员应对这些并发压力的能力各不相同,并发现在 COVID-19 大流行期间,对关闭庇护所的担忧、对受害者的担忧,尤其是对资金的担忧,在庇护所工作人员的心中占据着重要的位置。 我们还发现,留下来的庇护所工作人员具有很强的适应能力,他们全身心地投入到自己的组织和服务对象中,并对未来充满信心。
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引用次数: 0
Organizational Resilience In Public Sector Organizations: Destination Management Organizations 公共部门机构的组织复原力:目的地管理组织
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.37808/jhhsa.46.1.2
Charlene M. L. Roach, Acolla Lewis-Cameron, Tenisha Brown-Williams
This qualitative exploratory study examined the effectiveness of organizational resilience processes adopted by Destination Management Organizations (DMOs) in Small Island Developing States (SIDS) during a global crisis. Study results showed that the DMOs' organizational resilience engaged strategies fostered within a positive work climate (PWC) where dynamic processes of resilience capabilities emerged for Caribbean SIDS. These organizational resilience processes are complex and dynamic, with an interplay of both internal and external influences. The study offers practical and theoretical implications for public organizations in the service sector, where an integrated framework for engaging resilience strategies and capabilities processes emerges.
这项定性探索性研究考察了小岛屿发展中国家(SIDS)的目的地管理组织(DMOs)在全球危机期间所采取的组织复原过程的有效性。研究结果表明,旅游景点管理组织的组织复原力战略是在积极的工作氛围(PWC)中形成的,在这种氛围中,加勒比小岛屿发展中国家出现了动态的复原能力过程。这些组织复原力过程是复杂和动态的,内部和外部影响因素相互作用。这项研究为服务部门的公共组织提供了实践和理论方面的启示,在此基础上形成了参与复原力战略和能力进程的综合框架。
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引用次数: 0
Gender and Work-Life Balance During COVID-19: A Study of Public Affairs Faculty COVID-19 期间的性别与工作生活平衡:对公共事务学院教师的研究
Q4 Medicine Pub Date : 2024-03-01 DOI: 10.37808/jhhsa.46.1.3
Pamela S. Medina, Lauren Azevedo, Wanzhu Shi, Matt T. Bagwell
Women have faced disproportionate negative health and economic impacts from COVID-19. This study explores gender differences in work-life balance among female and male public affairs faculty during the pandemic. Drawing on social role theory and the theory of gendered organizations, we survey faculty from the 176 NASPAA accredited schools to examine how gender, workload, institutional support, and domestic responsibilities impacted work-life balance during the early months of the COVID-19 pandemic. Results suggest that work-life balance was impacted in different ways by gender, domestic responsibilities, workload (teaching, research, and service), and institutional support policies related to the pandemic. An examination of qualitative data from faculty surveys revealed that increased demands, including homeschooling, childcare, domestic responsibilities, among other demands, lowered work life balance satisfaction. Several recommendations are made for addressing work-life imbalances and gender differences among higher education administration practitioners.
女性面临着 COVID-19 带来的不成比例的负面健康和经济影响。本研究探讨了大流行期间男女公共事务教师在工作与生活平衡方面的性别差异。借鉴社会角色理论和性别组织理论,我们调查了来自 176 所获得 NASPAA 认证的学校的教师,研究在 COVID-19 大流行的最初几个月中,性别、工作量、机构支持和家庭责任如何影响工作与生活的平衡。结果表明,性别、家庭责任、工作量(教学、研究和服务)以及与大流行病相关的机构支持政策以不同的方式影响着工作与生活的平衡。对教职员工调查的定性数据进行研究后发现,包括家庭教育、育儿、家务等需求的增加降低了工作与生活平衡的满意度。针对高等教育管理从业人员的工作与生活失衡和性别差异,提出了若干建议。
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引用次数: 0
Experiencing COVID-19 through the Eyes of Homeless Military Veterans: A Qualitative Study 无家可归退伍军人眼中的新冠肺炎体验:一项定性研究
Q4 Medicine Pub Date : 2022-12-15 DOI: 10.37808/jhhsa.45.3.3
P. Conard, Cindy Parnell, P. Julian, Michael Keller, M. Armstrong
Aims and Objectives: To explore the lived experience of homeless veterans during the COVID- 19 pandemic. Background: Homelessness is problematic in military veterans especially in a pandemic. Qualitative studies are needed to determine the needs of homeless military veterans during the COVID-19 pandemic. Method: A qualitative, phenomenological approach was used to analyze data from interviews with homeless military veterans who had experienced the COVID-19 pandemic. Lincoln & Guba’s Qualitative Integrity Framework was used for Methodological Rigor. Data Collection: Semi-structured audiotaped interviews with field notes were used. Data Analysis: Creswell’s method of analyzing significant statements and the generation of meaningful units and essence description were implemented. Results: These already vulnerable homeless military veterans described fear, social isolation, psychological, employment, and financial consequences, as well as health care delivery changes during COVID. Conclusions: This study highlighted the disparities homeless military veterans experienced during the COVID- 19 pandemic. Nurses should understand the health and social concerns of this population to foster interventions that will help them adapt and persevere through a crisis.
目的和目的:探索无家可归的退伍军人在COVID-19大流行期间的生活经历。背景:退伍军人无家可归是一个问题,尤其是在疫情期间。需要进行定性研究,以确定新冠肺炎大流行期间无家可归的退伍军人的需求。方法:采用定性、现象学方法分析对经历过新冠肺炎大流行的无家可归退伍军人的采访数据。Lincoln&Guba™的定性完整性框架被用于方法论的严格性。数据收集:采用半结构化的录音访谈和现场笔记。数据分析:Creswell™实现了对重要语句的分析方法、有意义单元的生成和本质描述。结果:这些本已脆弱的无家可归退伍军人描述了新冠肺炎期间的恐惧、社会孤立、心理、就业和经济后果,以及医疗服务的变化。结论:这项研究强调了无家可归的退伍军人在COVID-19大流行期间所经历的差异。护士应该了解这一人群的健康和社会问题,以采取干预措施,帮助他们适应并坚持度过危机。
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引用次数: 0
Two Paths, One Destination: A Demographic Portrait of Physicians Sanctioned by the Federal Government 两条路,一个目的地:联邦政府批准的医生的人口画像
Q4 Medicine Pub Date : 2022-12-15 DOI: 10.37808/jhhsa.45.3.1
Bryan Burton, Diana Sun, P. Jesilow, H. Pontell
There is scarce information about the institutional mechanisms creating the demographic portrait of sanctioned doctors published in the U.S. Office of Inspector General's (OIG) List of Excluded Individuals and Entities (LEIE). The current study examines the demographic characteristics of 1,289 physicians who appeared in the LEIE during a five-year period from 2008 to 2013. The results of a multivariate logistic regression found that sex, country of medical school training, and medical specialty were associated with being excluded by the OIG for a quality of care matter. Findings suggest the demographic portrait of doctors in the LEIE reflects the interplay between the doctors' behaviors and the actions of various agencies. A demographic portrait of physician violators,if one considers the mechanisms generating the list, can be useful for public policy recommendations and action.
美国监察长办公室(OIG)《被排除个人和实体名单》(LEIE)中公布的关于创建受制裁医生人口统计画像的体制机制的信息很少。目前的研究调查了2008年至2013年五年期间参加LEIE的1289名医生的人口统计学特征。多元逻辑回归的结果发现,性别、医学院培训国家和医学专业与因护理质量问题被OIG排除在外有关。研究结果表明,LEIE中医生的人口统计画像反映了医生的行为和各个机构的行动之间的相互作用。如果考虑到生成名单的机制,医生违规者的人口统计画像可能有助于公共政策建议和行动。
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引用次数: 0
The Administrative Burden of Public Sector Death Management 公共部门死亡管理的行政负担
Q4 Medicine Pub Date : 2022-12-15 DOI: 10.37808/jhhsa.45.3.2
Staci M. Zavattaro
Administrative burdens emerge in citizen-state interactions, and one area with burdens for both providers and users is deathcare. Death managers deal with dirty work daily, so often suffer stigmatization. They also are often low resourced and face incredible burnout and stress. Families and loved ones face the burden of death-related paperwork and burial. This research draws on U.S. deathcare professionals’ knowledge to introduce dirty work costs to the existing administrative burden framework, while also offering a research agenda to uncover and ideally reduce administrative burdens for both citizens and death managers.
行政负担出现在公民与国家的互动中,其中一个对提供者和使用者都有负担的领域是死亡护理。死亡管理人员每天都要处理肮脏的工作,因此经常遭受污名化。他们也常常资源匮乏,面临着难以置信的倦怠和压力。家人和亲人面临着与死亡有关的文书工作和葬礼的负担。本研究借鉴了美国死亡护理专业人士的知识,将肮脏的工作成本引入现有的行政负担框架,同时也提供了一个研究议程,以揭示并理想地减少公民和死亡管理人员的行政负担。
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引用次数: 0
Psychological Costs and Administrative Burdens Produce Systemic Service Avoidance among People Experiencing Homelessness 心理成本和行政负担在无家可归者中产生系统性的服务回避
Q4 Medicine Pub Date : 2022-12-15 DOI: 10.37808/jhhsa.45.3.4
Tiffany Hoang, Jennifer K. Felner, S. Flanigan, M. Carroll
How do people experiencing homelessness make decisions about accepting or avoiding social services and health care? The study presented here seeks to answer this question by drawing on remotely-gathered surveys (n=244) and in-depth interviews (n=57) with unhoused people during the first wave of the COVID-19 pandemic. In this paper, we explore service-seeking behaviors and processes to understand how to best support people experiencing homelessness during current and future public health disasters. We find that homelessness services systems are often fragmented, increasing administrative burdens such as learning costs (Herd & Moynihan 2018, 2020) and driving unhoused people away from seeking the support they actually need. Four organizing themes centered on temporary housing, health care and medical racism, precarious employment, and self-preservation became apparent within the broader systems challenges. Findings provide insight into the survival strategies of people experiencing homelessness, including how and why people avoid services. Findings point to systems-level recommendations for better aligning homelessness-serving systems with the actual needs of unhoused people themselves. Lastly, the research approach described here offers lessons learned regarding doing social science research with people experiencing homelessness during public health disasters.
无家可归的人如何决定接受或避免社会服务和医疗保健?本文提出的研究试图通过对新冠肺炎第一波大流行期间无家可归者的远程收集调查(n=244)和深入采访(n=57)来回答这个问题。在本文中,我们探讨了寻求服务的行为和过程,以了解如何在当前和未来的公共卫生灾难中最好地支持无家可归的人。我们发现,无家可归者服务系统往往是分散的,增加了学习成本等行政负担(Herd&Moynihan 20182020),并使无家可归者无法寻求他们真正需要的支持。围绕临时住房、医疗保健和医疗种族主义、不稳定的就业和自我保护的四个组织主题在更广泛的系统挑战中变得显而易见。研究结果深入了解了无家可归者的生存策略,包括人们如何以及为什么逃避服务。研究结果指出,系统层面的建议可以更好地将无家可归者服务系统与无家可归者自身的实际需求相结合。最后,这里描述的研究方法提供了在公共卫生灾难期间对无家可归者进行社会科学研究的经验教训。
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引用次数: 1
"We All had to Respond to the Pandemic and our Patient Needs": Social Workers' Perspectives of Integrated Healthcare Agencies' Response to COVID-19 Pandemic “我们都必须应对疫情和患者需求”:社会工作者对综合医疗机构应对新冠肺炎疫情的看法
Q4 Medicine Pub Date : 2022-11-15 DOI: 10.37808/jhhsa.45.2.2
Suzie S. Weng, J. Barreras, Stacey Nguyen, Sara Nourazari
The COVID-19 global pandemic imposed many challenges to healthcare systems. Integrated health agencies deployed their own strategies to accommodate the drastic changes; however, the perspectives of essential workers in these settings are scant. This study focused on understanding how integrated health agencies responded to the pandemic in its earlier months from the perspectives of social workers providing services in these settings, as they are instrumental to the delivery of behavioral health care. A qualitative study was conducted using constant comparison analysis and the data interpreted from a social constructivist approach. Four main themes emerged: pandemic impact on continuity of service delivery, services, patient interaction, and areas of improvement. Findings from this study can assist in understanding how unique healthcare settings with a systematic coordination of general and behavioral health care responded to the COVID-19 pandemic crisis, and highlights opportunities to improve preparedness for future similar events.
新冠肺炎全球大流行给医疗系统带来了许多挑战。综合卫生机构部署了自己的战略,以适应急剧变化;然而,在这些环境中,重要工作者的观点却很少。这项研究的重点是从社会工作者在这些环境中提供服务的角度,了解综合卫生机构在疫情前几个月是如何应对疫情的,因为他们对提供行为健康护理有帮助。使用持续比较分析和社会建构主义方法解释的数据进行了定性研究。出现了四个主要主题:疫情对服务提供连续性的影响、服务、患者互动和改进领域。这项研究的结果有助于了解独特的医疗环境如何通过全面和行为医疗的系统协调来应对新冠肺炎大流行危机,并突出了改善未来类似事件准备的机会。
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引用次数: 0
Accreditation in Public Child Welfare: Exploring the Relationship between the Council on Accreditation (COA) and Structural Factors 公共儿童福利鉴定:鉴定委员会(COA)与结构性因素的关系探讨
Q4 Medicine Pub Date : 2022-11-15 DOI: 10.37808/jhhsa.45.2.1
Madeline Y. Lee, Kya Barounis, A. Hazen, G. Aarons, Danielle L. Fettes
Accreditation could potentially improve an under-resourced, overburdened child welfare system. As the first study to use national-level data to focus on the Council on Accreditation (COA) in public child welfare, this research note explores: 1) the landscape of accreditation and 2) how accreditation is related to agencies' structure (environment of care, organizational capacity). According to COA data from 2018, 29 child welfare agencies in the U.S. were accredited-four state-administered, two counties in state-administered systems, eight counties in one hybrid system, and 15 county-administered. Data from the second National Survey of Child and Adolescent Well-Being (NSCAW II) found that, while accredited and non-accredited agencies were comparable on most structural factors, participation in Title IV-E waiver demonstration projects and less collaboration with substance abuse treatment providers were associated with accreditation. This research note sets the foundation for further evaluating accreditation's impact in child welfare.
认证有可能改善资源不足、负担过重的儿童福利制度。作为首个使用国家级数据来关注公共儿童福利认证委员会(COA)的研究,本研究报告探讨了:1)认证的现状;2)认证与机构结构(护理环境、组织能力)的关系。根据COA 2018年的数据,美国共有29家儿童福利机构获得认证,其中4家为州立机构,2家为州立系统,8家为混合系统,15家为县管理。来自第二次全国儿童和青少年福祉调查(NSCAW II)的数据发现,虽然认证机构和非认证机构在大多数结构性因素上具有可比性,但参与第四章- e豁免示范项目以及较少与药物滥用治疗提供者合作与认证有关。本研究报告为进一步评估认证对儿童福利的影响奠定了基础。
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引用次数: 0
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Journal of health and human services administration
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