In the context of the most severe pandemic in over 100 years, this study examined public health behavior and public health messaging using the health belief model (HBM) and organization-public relationships (OPR) as frameworks. The study employed a cross-sectional survey of students (n = 288) and employees (n = 203) at a large public university in the southeastern United States. First, the study empirically tested the components of the HBM as determinants of engaging in health behaviors meant to mitigate the spread of COVID-19 and, supporting prior HBM research, found all components of the model to be significantly related to engaging in the health behaviors. Next, the study found the relationship between the university's public health messaging and OPR quality to be statistically significant. Additionally, findings indicated that OPR quality was significantly related to engaging in the health behaviors. This study contributes to both theory and practice with significant findings that provide a direction for further translational research utilizing the HBM and OPR to examine public health communication.
{"title":"Applying the Health Belief Model and Organization-Public Relationship Quality to Examine COVID-19 Health Behaviors and Public Health Messaging","authors":"Aaron Nichols","doi":"10.37808/jhhsa.45.2.3","DOIUrl":"https://doi.org/10.37808/jhhsa.45.2.3","url":null,"abstract":"In the context of the most severe pandemic in over 100 years, this study examined public health behavior and public health messaging using the health belief model (HBM) and organization-public relationships (OPR) as frameworks. The study employed a cross-sectional survey of students (n = 288) and employees (n = 203) at a large public university in the southeastern United States. First, the study empirically tested the components of the HBM as determinants of engaging in health behaviors meant to mitigate the spread of COVID-19 and, supporting prior HBM research, found all components of the model to be significantly related to engaging in the health behaviors. Next, the study found the relationship between the university's public health messaging and OPR quality to be statistically significant. Additionally, findings indicated that OPR quality was significantly related to engaging in the health behaviors. This study contributes to both theory and practice with significant findings that provide a direction for further translational research utilizing the HBM and OPR to examine public health communication.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42254901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Integrated healthcare facilities include medical and behavioral health services to meet the holistic needs of patients, particularly for those who are underserved. To maximize collaboration, professionals must be trained for their roles in integrated care, yet many counselor education programs are still not preparing trainees for this role. This article describes an integrated healthcare clinic and explores the role of counseling in the integrated care provided to patients through analysis of the perceptions and attitudes of counselor trainees and other health professionals at the clinic. Results indicate that counselors provide a valuable contribution to the integrated care team, however, expanded training to incorporate additional skills is needed to maximize success in these settings.
{"title":"A Qualitative Study of Perceptions and Attitudes of Counselor Trainees and Other Health Professionals About Including Counselors on Integrated Care Teams","authors":"Tammi F. Dice, Tony Dice, Mark C. Rehfuss","doi":"10.37808/jhhsa.45.1.1","DOIUrl":"https://doi.org/10.37808/jhhsa.45.1.1","url":null,"abstract":"Integrated healthcare facilities include medical and behavioral health services to meet the holistic needs of patients, particularly for those who are underserved. To maximize collaboration, professionals must be trained for their roles in integrated care, yet many counselor education programs are still not preparing trainees for this role. This article describes an integrated healthcare clinic and explores the role of counseling in the integrated care provided to patients through analysis of the perceptions and attitudes of counselor trainees and other health professionals at the clinic. Results indicate that counselors provide a valuable contribution to the integrated care team, however, expanded training to incorporate additional skills is needed to maximize success in these settings.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48065946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandi J. Lane, Trent J. Spaulding, M. McSweeney-Feld
Engagement of health care workers has been shown to have a positive impact on job satisfaction and organizational performance, but this relationship is unclear for direct care workers in long-term care facilities. A survey of direct care workers in North Carolina nursing homes was conducted in 2020 to investigate the factors contributing to their job satisfaction using the Benjamin Rose Nurse Assistant Job Satisfaction Survey. Extrinsic factors affecting direct care worker job satisfaction such as compensation, workplace environment and support from management were examined, as well as intrinsic factors of job satisfaction such as communication, recognition at work and training. Survey results indicated that extrinsic factors such as pay and communication with administrators, followed by the intrinsic factor of worker recognition, are the most important factors affecting direct care worker job satisfaction. Management practices related to compensation, engaging and valuing direct care workers must be examined in order to have a lasting impact on direct care worker job satisfaction levels.
{"title":"Direct Care Worker Job Dissatisfaction in North Carolina Nursing Homes","authors":"Sandi J. Lane, Trent J. Spaulding, M. McSweeney-Feld","doi":"10.37808/jhhsa.45.1.4","DOIUrl":"https://doi.org/10.37808/jhhsa.45.1.4","url":null,"abstract":"Engagement of health care workers has been shown to have a positive impact on job satisfaction and organizational performance, but this relationship is unclear for direct care workers in long-term care facilities. A survey of direct care workers in North Carolina nursing homes was conducted in 2020 to investigate the factors contributing to their job satisfaction using the Benjamin Rose Nurse Assistant Job Satisfaction Survey. Extrinsic factors affecting direct care worker job satisfaction such as compensation, workplace environment and support from management were examined, as well as intrinsic factors of job satisfaction such as communication, recognition at work and training. Survey results indicated that extrinsic factors such as pay and communication with administrators, followed by the intrinsic factor of worker recognition, are the most important factors affecting direct care worker job satisfaction. Management practices related to compensation, engaging and valuing direct care workers must be examined in order to have a lasting impact on direct care worker job satisfaction levels.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48306578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rural seniors face many barriers to care, but faith community nurses (FCNs) could be a cost- effective partner in promoting wellness and managing chronic and post-acute care needs. In an exploratory study of faith community nursing in a rural area, the prevalence of such programs was assessed and information regarding characteristics, activities, and supports for and barriers to such programs were identified. Results suggest that seniors comprise a large proportion of FCNs’ clientele, and those interactions often include home visits. FCNs are knowledgeable about community resources, serve as advocates, and promote education about advance directives and death and dying. This paper suggests faith community nursing programs, in mutually beneficial partnership with long-term care providers, can offer an additional layer of support to meet rural seniors’ health and long-term care needs within a fragmented, and sometimes difficult to access health care system
{"title":"Faith Community Nursing: A Home-and-Community-Based Partner in Long-Term Care","authors":"J. Johs-Artisensi","doi":"10.37808/jhhsa.44.2.35","DOIUrl":"https://doi.org/10.37808/jhhsa.44.2.35","url":null,"abstract":"Rural seniors face many barriers to care, but faith community nurses (FCNs) could be a cost- effective partner in promoting wellness and managing chronic and post-acute care needs. In an exploratory study of faith community nursing in a rural area, the prevalence of such programs was assessed and information regarding characteristics, activities, and supports for and barriers to such programs were identified. Results suggest that seniors comprise a large proportion of FCNs’ clientele, and those interactions often include home visits. FCNs are knowledgeable about community resources, serve as advocates, and promote education about advance directives and death and dying. This paper suggests faith community nursing programs, in mutually beneficial partnership with long-term care providers, can offer an additional layer of support to meet rural seniors’ health and long-term care needs within a fragmented, and sometimes difficult to access health care system","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49444335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Williamson, K. Pearson, Amanda Burgess, Jennifer D. Lenardson, E. Ziller
Rural areas of the United States may be vulnerable to an HIV or hepatitis C (HCV) outbreak among persons who inject drugs. We conducted semi-structured interviews with 36 state and local public health professionals from six rural states to gain an understanding of the challenges rural communities face and strategies they are using to prepare for, identify, and respond to HIV and/or HCV outbreaks due to intravenous drug use. Key informants described inadequate funding, insufficient staffing, limited health care infrastructure, and other factors as limiting the public health capacity of rural areas. Promising prevention, surveillance, and treatment strategies in rural areas included the use of mobile treatment units, telemedicine approaches, and community education initiatives to overcome resistance to evidence-based harm reduction programs.
{"title":"Voices from the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C","authors":"M. Williamson, K. Pearson, Amanda Burgess, Jennifer D. Lenardson, E. Ziller","doi":"10.37808/jhhsa.44.2.2","DOIUrl":"https://doi.org/10.37808/jhhsa.44.2.2","url":null,"abstract":"Rural areas of the United States may be vulnerable to an HIV or hepatitis C (HCV) outbreak among persons who inject drugs. We conducted semi-structured interviews with 36 state and local public health professionals from six rural states to gain an understanding of the challenges rural communities face and strategies they are using to prepare for, identify, and respond to HIV and/or HCV outbreaks due to intravenous drug use. Key informants described inadequate funding, insufficient staffing, limited health care infrastructure, and other factors as limiting the public health capacity of rural areas. Promising prevention, surveillance, and treatment strategies in rural areas included the use of mobile treatment units, telemedicine approaches, and community education initiatives to overcome resistance to evidence-based harm reduction programs.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Shaver, James Johnson, R. Greenhill, Sudha Nadimidla
In rural America, opioid use disorder (OUD) continues to adversely impacted familial, public, and economic systems, creating extraordinary societal and financial burden. This comparative analysis of state-level public health policy and practices in rural opioid use abatement promotes the development and implementation of contextualized evidence-based comprehensive policy initiatives. Policy analysis across select highly affected states (Indiana, Kansas, Kentucky, and West Virginia) and exemplar OUD policy response states (Colorado, Massachusetts, Ohio, and Vermont) was performed using a systematic review of literature, legislation, plans, and policies. Findings included close alignment between states’ OUD policies and public health best practice standards; minimized differences between exemplar and highly affected states policy responses; and resource driven gaps in opioid epidemic legislation, regulation, guidelines, strategic plans, and initiatives. Furthermore, it is advocated that public and private stakeholders committed to health equity must seek reductions in opioid related disease and mortality through increased resource allocation.
{"title":"Comparative Analysis of State Level Health Policy Support for Opioid Abuse Mitigation in Rural America","authors":"C. Shaver, James Johnson, R. Greenhill, Sudha Nadimidla","doi":"10.37808/jhhsa.44.2.3","DOIUrl":"https://doi.org/10.37808/jhhsa.44.2.3","url":null,"abstract":"In rural America, opioid use disorder (OUD) continues to adversely impacted familial, public, and economic systems, creating extraordinary societal and financial burden. This comparative analysis of state-level public health policy and practices in rural opioid use abatement promotes the development and implementation of contextualized evidence-based comprehensive policy initiatives. Policy analysis across select highly affected states (Indiana, Kansas, Kentucky, and West Virginia) and exemplar OUD policy response states (Colorado, Massachusetts, Ohio, and Vermont) was performed using a systematic review of literature, legislation, plans, and policies. Findings included close alignment between states’ OUD policies and public health best practice standards; minimized differences between exemplar and highly affected states policy responses; and resource driven gaps in opioid epidemic legislation, regulation, guidelines, strategic plans, and initiatives. Furthermore, it is advocated that public and private stakeholders committed to health equity must seek reductions in opioid related disease and mortality through increased resource allocation.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44211782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to the Symposium on Rural Health and Health Policy","authors":"Daniel Xu","doi":"10.37808/jhhsa.44.2.1","DOIUrl":"https://doi.org/10.37808/jhhsa.44.2.1","url":null,"abstract":"","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43955216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Religious congregations are community hubs of welfare and health services. They are known mostly for their spiritual and faith-based activities while being the largest providers of social care with the exception of social welfare services. Their leaders, the clergy, do not work alone. Members that work alongside clergy are essential for the congregation’s functioning but are under-researched, which limits our understanding of the inner workings of local religious congregations. In this exploratory study, we surveyed clergy to assess the characteristics possessed by their most trusted congregants—the valued members. This study helps to better understand the organizational behavior and an overall understanding of congregational members, who work most closely with clergy. We used an online survey of clergy across religious traditions within the United States (N=202), who provided personal data and described their valued members’ collective characteristics. Alongside our conceptual literature review, the findings identified five key groups: Personality, Prosperity, Priority, Productivity, and Piety. Overall, the valued members ranked highest were high on productivity and lowest on prosperity. We also found differences between clergy ranking based on their age, gender, and religion.
{"title":"Personality, Prosperity, Priority, Productivity, and Piety:\u0000Selecting Congregational Valued Lay Leaders","authors":"","doi":"10.37808/jhhsa.43.4.4","DOIUrl":"https://doi.org/10.37808/jhhsa.43.4.4","url":null,"abstract":"Religious congregations are community hubs of welfare and health services. They are known mostly for their spiritual and faith-based activities while being the largest providers of social care with the exception of social welfare services. Their leaders, the clergy, do not work alone. Members that work alongside clergy are essential for the congregation’s functioning but are under-researched, which limits our understanding of the inner workings of local religious congregations. In this exploratory study, we surveyed clergy to assess the characteristics possessed by their most trusted congregants—the valued members. This study helps to better understand the organizational behavior and an overall understanding of congregational members, who work most closely with clergy. We used an online survey of clergy across religious traditions within the United States (N=202), who provided personal data and described their valued members’ collective characteristics. Alongside our conceptual literature review, the findings identified five key groups: Personality, Prosperity, Priority, Productivity, and Piety. Overall, the valued members ranked highest were high on productivity and lowest on prosperity. We also found differences between clergy ranking based on their age, gender, and religion.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45217538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is extensive literature on the significance of substance use, misuse, and abuse among the elderly in the United States. A literature review indicates a paucity of information on the nature, significance, or impacts of the lack of substance use and abuse coverage in Medicare home health. This article presents background on the topic and an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 48 home care social workers between January 2013 and May 2015 in the New York City metropolitan area. Results indicate social workers believe substance use and abuse occurs frequently among Medicare home health patients; substance use and abuse is not assessed and treated professionally in Medicare home health; the lack of coverage in Medicare home health results in exacerbation of existing patient physical and mental health conditions, which, in turn, worsen substance use and abuse conditions; the homebound requirement and lack of coverage of transportation and personal care assistants limits home care patients ability to obtain outpatient substance use and abuse treatment; and lack of home-based assessment and treatment contributes to increased home care readmissions, re-hospitalizations, and increased caregiver burden.
{"title":"Painful Places: Medicare Fails Homebound Patients With Substance Abuse Disorders","authors":"","doi":"10.37808/jhhsa.43.4.5","DOIUrl":"https://doi.org/10.37808/jhhsa.43.4.5","url":null,"abstract":"There is extensive literature on the significance of substance use, misuse, and abuse among the elderly in the United States. A literature review indicates a paucity of information on the nature, significance, or impacts of the lack of substance use and abuse coverage in Medicare home health. This article presents background on the topic and an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 48 home care social workers between January 2013 and May 2015 in the New York City metropolitan area. Results indicate social workers believe substance use and abuse occurs frequently among Medicare home health patients; substance use and abuse is not assessed and treated professionally in Medicare home health; the lack of coverage in Medicare home health results in exacerbation of existing patient physical and mental health conditions, which, in turn, worsen substance use and abuse conditions; the homebound requirement and lack of coverage of transportation and personal care assistants limits home care patients ability to obtain outpatient substance use and abuse treatment; and lack of home-based assessment and treatment contributes to increased home care readmissions, re-hospitalizations, and increased caregiver burden.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46019918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Following on Felice Perlmutter's work on the managerial role of social workers in social services, this article contributes to the still limited knowledge on the role of social workers in middle-management positions in formulating new policies `on the ground`. The study expands knowledge about policies determined by team managers in local social service departments in Israel. It occurs in the nexus between street-level bureaucracy, professionalism and managerial positions. Semi-structured interviews with 28 team managers revealed that they formulated `new` policies with regard to the provision of psychosocial services and material assistance (who gets what, when and how). This occurs when they resist official policy, when it is vague or non-existent. Most of their policy decisions are not documented and draw upon consultations with colleagues and superiors though not with clients. The team managers perceive these policies as a means for achieving balance between clients' well-being and budgetary constraints. Yet their decisions lack transparency, are decided upon without public discourse and may lead to greater inequity between clients
{"title":"Team Managers in Local Social Service Departments in Israel as Bottom-Up Social Policy-Makers","authors":"","doi":"10.37808/jhhsa.43.4.1","DOIUrl":"https://doi.org/10.37808/jhhsa.43.4.1","url":null,"abstract":"Following on Felice Perlmutter's work on the managerial role of social workers in social services, this article contributes to the still limited knowledge on the role of social workers in middle-management positions in formulating new policies `on the ground`. The study expands knowledge about policies determined by team managers in local social service departments in Israel. It occurs in the nexus between street-level bureaucracy, professionalism and managerial positions. Semi-structured interviews with 28 team managers revealed that they formulated `new` policies with regard to the provision of psychosocial services and material assistance (who gets what, when and how). This occurs when they resist official policy, when it is vague or non-existent. Most of their policy decisions are not documented and draw upon consultations with colleagues and superiors though not with clients. The team managers perceive these policies as a means for achieving balance between clients' well-being and budgetary constraints. Yet their decisions lack transparency, are decided upon without public discourse and may lead to greater inequity between clients","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41835332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：