Perceptions Of Administrators Research Articles

Perceptions of Administrators of Fee-based Homes for the Elderly Regarding the Effect and Feasibility of Interventions to Prevent Potentially Avoidable Emergency Transfers and Hospitalizations

Perceptions of Administrators of Fee-based Homes for the Elderly Regarding the Effect and Feasibility of Interventions to Prevent Potentially Avoidable Emergency Transfers and Hospitalizations

Staff and Administrator Perceptions of Fall Risk Management in Home- and Community-Based Service Settings

Older adults who receive home- and community-based services (HCBS), such as home-delivered meals and personal care assistance, are at particular risk for falls due to their extremely high prevalence of fall risk factors. HCBS organizations and their staff are well-positioned to implement fall risk screens with HCBS clients and then refer older adults to fall prevention services as needed; however, the extent to which HCBS organizations manage fall risk has yet to be systematically examined. The purpose of this qualitative study was to explore the barriers to and facilitators of implementing fall risk screens and fall prevention service referrals in HCBS organizations. A total of 26 HCBS staff members and administrators participated in semi-structured interviews and focus groups. Qualitative data were examined using directed content analysis guided by the Consolidated Framework for Implementation Research. HCBS staff expressed that strong rapport with clients allowed for them to address fall risk proactively but were concerned that their lack of fall prevention training precluded them from effective fall risk management. HCBS administrators perceived their organization to have reliable internal communication procedures which enhanced fall prevention care coordination but believed their limited connections with fall prevention service providers served as a barrier to referring at-risk clients to appropriate care. Accordingly, HCBS stakeholders are encouraged to develop strategies, such as providing fall prevention coaching and building a network of fall prevention service providers, that account for these barriers and facilitators in future efforts to support effective fall risk management with HCBS clients.

Curriculum Implementation Facilitating and Hindering Factors: The Philippines Context

This study focuses on the perceptions of Filipino teachers and school administrators of the different facilitating and hindering factors in curriculum implementations based on their practices and the challenges they have experienced. Using descriptive research employing quantitative design, 324 respondents were surveyed using self-made questionnaires anchored on Ecological System Theory (EST) by Bronfenbrenner (1979). The respondents from the grade school, junior high school, and senior high school expressed their agreement on the identified factors that facilitate and hinder curriculum implementation in the microsystem and chronosystem, while respondents from the college expressed their strong agreement on the two levels under the mesosystem and exosystem. At the macrosystem level, all of the respondents strongly agreed on all the items, but the highest level of agreement was evident with the respondents from the senior high school. A comparison of one-way ANOVA results revealed the respondents’ level of agreement on the facilitating and hindering factors of curriculum implementation based on the five levels of EST. Scrutiny on the facilitating and hindering factors in the curriculum implementation processes provides a springboard for leaders in the education sector to align programs and policies anchored on experiences and practices in the classroom along with research-based inputs.

It takes a village: examining social capital effects of parental and community agency involvement on school delinquency

ABSTRACT Research indicates the importance of parental and community agency involvement for the reduction of adolescent delinquent behavior. However, few studies specifically examine the role of parental involvement within the physical school context, and many neglect to examine this issue based on school administrator perceptions. This study, a cross-sectional secondary data analysis of the 2008 School Survey on Crime and Safety, examines the impact of parental and community agency involvement in schools on student delinquency among a representative sample of 2,331 schools. Findings show that parental involvement in schools is predictive of decreased delinquency, while formal community agency involvement in schools by agencies such as law enforcement and social services is predictive of increased delinquency. Results suggest that based on school administrator perceptions, stimulating parent involvement in schools may reduce delinquency and serve as a preventative measure, allowing schools to rely less on reactive punishment. Furthermore, additional work should be done to determine how the involvement of both formal and informal community agencies impact student behavior.

Barriers to Adolescent Health Care in Maternal and Children's Healthcare Hospitals: Based on a National Survey in China

PurposeAdolescence is a critical period for physical and psychological development; therefore, health interventions at this phase may be especially beneficial. In this study, we aim to describe the distribution of the adolescent health care system in China and to compare the perceived barriers of running an adolescent clinic (AC) proposed by hospitals with corresponding government entities. MethodsA nationwide online survey was launched by the National Health Commission of China in December 2015, among 116 Maternal and Children's Healthcare (MCH) hospitals located across 24 randomized selected provinces. The online survey included management questionnaires filled out by health administrators from local health commissions and service questionnaires filled out by adolescent care providers from MCH hospitals. ResultsAmong the surveyed provinces, only 7% have special funding for adolescent health care, 13% have a supporting policy, 8% have guidelines/service standards, and 16% provide adolescent health care based in MCH hospitals. Among the 116 MCH hospitals investigated, 31 (27%) had a functioning AC and 15 (13%) used to have an AC. Compared with the MCH hospitals that never have an AC, those that previously had an AC were more likely to perceive demand as a barrier (odds ratio = 8.02; p value < .05) but less likely to perceive guidelines/service standards as a problem (odds ratio = .09; p value < .01). The perceptions of health administrators and adolescent health care providers differed markedly on demand and profits: both were ranked highly by supply side (health providers) but ranked low by the health administrators. ConclusionsThis national survey, for the first time, presents a whole picture of adolescent health care in MCH hospital settings in China. Among the surveyed MCH hospitals, major areas of discordance between administrators and health care providers were barriers in demand and profits, which health administrators tend to overlook. A number of strategic priorities are proposed to best guide the development of the adolescent health care system in China, including improved linkage between health and education and community systems, comprehensive approaches move beyond sexual and reproductive education, as well as the workforce development and capacity-building.

The perceptions of school administrators concerning "merit" concept: A metaphor study

The aim of this study is to evaluate the perceptions of school principals and teachers about the concept of merit by means of metaphors. Metaphor has been used as a data collection method. The research data were obtained from 185 administrators working in public primary and secondary schools in five central districts of Antalya/Turkey. Easily accessible case sampling, one of the purposeful sampling methods, was used to determine the study group. The data were subjected to inductive content analysis by using metaphorical analysis. One hundred and nine metaphors produced by the participants were used in the analysis process. The findings show that the participants mostly likened the concept of merit to scale, tree, mother, ant, driving license, dress, ladder, car, and water. As a result, it is seen that the participants consider the concept of merit in the context of their hierarchical status and associate them with the features that managers should have. On the whole, school administrators explained the concept of merit in terms of suitability to the task, being capable, fair, indispensable, open to development, diligent, integrative, original and visionary, and being focused on career steps. In particular, it is important that competent managers are seen as people who give confidence to their environment, make the right decisions, and act as mentors. In addition, the perception of merit as a means of promotion in career steps is another important result of the study.

Sexual Assault Prevention With Student-Athletes: Exploring Perceptions of the Campus Climate and Awareness of Sexual Assault Policies and Resources.

Increasing awareness of school sexual assault policies and resources is a central component of sexual assault prevention. Research suggests that the state of the campus climate impacts an individual's level of awareness, particularly for at-risk groups like student-athletes. The purpose of this study was to examine how macro factors such as participation in sexual assault prevention, perceptions of the institutional response to addressing sexual assault, and perceptions of campus staff (i.e., campus police, athletic staff, and administration) are associated with awareness of sexual assault policies and resources. Student-athletes at five National Collegiate Athletic Association (NCAA) schools participated in a web-based survey to assess their perceptions of the campus climate and awareness of sexual assault policies and resources. The results from an ordinary least squares multiple regression model revealed that past participation in sexual assault prevention, more positive perceptions of the institutional response, and more positive perceptions of campus police and administration were associated with a greater awareness of sexual assault policies and resources while controlling for race, ethnicity, and gender. Perceptions of athletic staff was not significantly related to awareness of policies and resources. These findings demonstrate that delivering consistent messaging and engaging campus staff in sexual assault prevention provides a foundation for building a positive campus climate which, in turn, may reduce campus sexual assault.

Refugee Children from the point of School Administrators and Teachers’ Experiences

&lt;p style="text-align:justify"&gt;In the present study, perceptions of Turkish school administrators and teachers towards Syrian refugee children were examined through metaphors. 71 school administrators and 242 teachers from 27 different provinces of Turkey participated in the study. As a result of the study, the metaphors produced by school administrators were grouped into four categories: “child with cultural adaptation and belonging problems”, “fragile and needy child”, “child who is no different from other children” and “problematic child”. The metaphors produced by teachers were grouped into six categories: “child with cultural adaptation and belonging problems”, “child who is no different from other children”, “fragile and needy child”, “problematic child”, “child who can reveal her/his potential with interest” and “compatible child”. Participants' perceptions of refugee children were not related to gender but there was a significant relationship between professional seniority and the number of refugee children at school. Although school administrators and teachers have positive perceptions about refugee children, their negative perceptions are largely due to the lack of professional experience and the high number of students at school. Providing vocational support to teachers and administrators, planning the number of students in schools, and providing resources to schools will improve positive perceptions about refugee children.&lt;/p&gt;

Administrator Perceptions of Academic Advisor Tasks

As higher education leaders, chief academic officers are capable of affecting the ways advising is structured and performed on college campuses, but little is known about how they regard advising. This study investigated the perceptions of 181 chief academic officers at two- and four-year public and private institutions in the U.S. regarding advising tasks. Using a Likert-scale instrument built using the NACADA core competencies, we explored how chief academic officers' perceptions of advisor tasks represent the informational, relational, and conceptual areas of the core competencies. Results revealed small significant differences between institutional type in perceptions of advising roles and functions. This study lays the foundation for future inquiry into perceptions of chief academic officers and other key stakeholders of advising.

A Survey of the Characteristics and Administrator Perceptions of Family Councils in a Western Canadian Province

Family Councils are independent, self-determining groups composed of family members (inclusive of friends) who have assembled with the main purpose of protecting and improving the quality of life of those living in long-term care (LTC) homes. This study aimed to describe the prevalence and characteristics of Family Councils in British Columbia, Canada. We conducted a cross-sectional survey with administrators of 259 homes and received 222 usable surveys. Of the 151 LTC homes that had Family Councils, it was most common for the homes to be larger (>50 residents), accredited, privately owned, and located in urban areas. Perceived barriers to Family Councils included lack of interest, tendency to focus on individual complaints, and the transitory nature of families. Perceived benefits of Family Councils included enhanced communication between staff and families, peer support, and collective advocacy. Recommendations focus on enhancing accessibility, information sharing, and meaningfulness of Family Councils to improve family engagement.

Characterizing Physician Practice in Nursing Homes Using Claims-Based Measures: Correlation With Nursing Home Administrators' Perceptions.

Heterogeneity in physician practice within nursing homes (NHs) may explain variations in quality. However, data on physician practice organization in NHs are hard to obtain. We characterized NH physician practice using two claims-based measures: (a) concentration of NH care among physicians (measured by Herfindahl-Hirschman index of visits); and (b) physician NH practice specialization (measured by the proportion of a physician's visits to NHs). We examined the relationship between the measures and NH administrator perceptions of physician practice reported in the Shaping Long-Term Care in America (SLTCA) Survey. All 2011 Part B claims from 13,718 physicians who treated Medicare fee-for-service patients in 2,095 NHs in the SLTCA survey were analyzed. The median Herfindahl-Hirschman index was 0.44 (interquartile range [IQR] 0.28-0.70), and the median specialization was 38.1% (IQR 19.9% to 60.9%). NHs with higher physician specialization reported more frequent physician participation in care coordination activities. Claims-based measures could inform the study of NH physician practice.

Using the technology acceptance model to explore health provider and administrator perceptions of the usefulness and ease of using technology in palliative care

BackgroundStudies have shown that telehealth applications in palliative care are feasible, can improve quality of care, and reduce costs but few studies have focused on user acceptance of current technology applications in palliative care. Furthermore, the perspectives of health administrators have not been explored in palliative care and yet they are often heavily involved, alongside providers, in the coordination and use of health technologies. The study aim was to explore both health care provider and administrator perceptions regarding the usefulness and ease of using technology in palliative care.MethodsThe Technology Acceptance Model (TAM) was used as the guiding theoretical framework to provide insight into two key determinants that influence user acceptance of technology (perceived usefulness and ease of use). Semi-structured interviews (n = 18) with health providers and administrators with experience coordinating or using technology in palliative care explored the usefulness of technologies in palliative care and recommendations to support adoption. Interview data were analyzed using inductive thematic analysis to identify common, meaningful themes.ResultsFour themes were identified; themes related to perceived usefulness were: enabling remote connection and information-sharing platform. Themes surrounding ease of use included: integration with existing IT systems and user-friendly with ready access to technical support. Telehealth can enable remote connection between patients and providers to help address insufficiencies in the current palliative care environment. Telehealth, as an information sharing platform, could support the coordination and collaboration of interdisciplinary providers caring for patients with palliative needs. However, health technologies need to passively integrate with existing IT systems to enhance providers’ workflow and productivity. User-friendliness with ready access to technical support was considered especially important in palliative care as patients often experience diminished function.ConclusionParticipants’ perspectives of technology acceptance in palliative care were largely dependent on their potential to help address major challenges in the field without imposing significant burden on providers and patients.

Human papillomavirus vaccine acceptability among healthcare workers, parents, and adolescent pupils: a pilot study in public health centers of Bali, Indonesia.

Knowledge and acceptability of HPV vaccination should be identified for supporting the HPV vaccine program in public health centers. Qualitative research approach is one approach that can be developed for increasing the acceptance and use of HPV vaccines in the community. Perceptions of health workers, parents, teachers, and adolescents related to HPV immunization can be explored in depth. This study was performed to explore the perception and meaning of the HPV vaccine acceptability among healthcare professionals, parents, and adolescent pupils in Bali, Indonesia. A mixed method study was conducted among 176 elementary school children. In-depth interviews were performed with five of the parents and eight of the teachers. Then, four focus group discussions among 19 health professionals were performed for supporting data. A self-administered questionnaire was used to measure knowledge of HPV and acceptability of HPV vaccine among participants. An interview of standard guidelines was performed to identify the perception of the HPV vaccine. The study identified that perception about HPV knowledge and HPV vaccine was low among adolescents and teachers for all of the questions. However, knowledge on HPV and HPV vaccine among parents and healthcare professionals were higher. Meanwhile, the acceptability of the HPV vaccine and the personal experience of women were more positive for the healthcare professionals. Knowledge and perception regarding HPV and HPV vaccination among adolescents and teachers in Indonesia, particularly in Denpasar, Bali, are still insufficient. However, the perception of vaccine administration is acceptance for parents and healthcare professionals. Therefore, socialization of HPV vaccine programs in school and community are needed to improve health promotion about the importance of the HPV vaccine.

장애아통합어린이집 관리자의 장애유아 교육권 보장에 대한 인식

연구목적: 본 연구는 장애유아 교육권 확립과 내실 있는 교육권 보장을 목적으로 장애아통합어린이집의 관리자 인식을 알아보았다. 연구방법: 장애 통합 10년 이상의 경력을 가지고 있는 장애아통합어린이집의 관리자 4명을 대상으로 장애 유아 교육권 인식에 대한 심층면담을 실시하여 면담 자료를 전사하여 유목화한 자료는 147개의 개념과 51개의 하위범주, 15개의 상위 범주로 유목화 하여 4개의 주제를 도출하였다. 연구결과: 철학적 사고와 통합 교육에 대한 이해를 바탕으로 장애유아에게 경청하고 공감하는 노력은 장애유아 교육권의 시작이며, 정부 부처 간 협의와 정책적 지원과 규정의 재정비를 통해 교육권의 질을 향상시킬 수 있으며, 원내의 물리적․인적 환경은 장애유아의 교육권을 보장하는데 저해 요인으로 작용하므로 현실에 맞는 실효적 정책이 되도록 점검이 필요함을 인식하였다. 결론: 본 연구는 장애아통합어린이집 관리자의 인식을 통해 장애유아 교육권에 대한 이해와 노력이 어떠한지를 알아봄으로써 장애유아의 교육권 증진을 모색하였다는데 의의가 있다.

Why Become a Learning Organization: Measuring the Dimensions of Learning at the University of the Bahamas

In the 21st century, higher education institutions (HEIs) seek to remain relevant in a rapidly changing social and cultural landscape, knowing that innovation is critical to the ongoing viability of the organization. As a result, HEIs need to adapt to changes through continuous learning, thus fostering new regulatory paradigms which considerably grow among educational organizations. In this paper, a cross-sectional, data collection methodology utilized an adapted 21-item version of the Dimensions of Learning Organization Questionnaire (DLOQ). Furthermore, the selected instrument employed investigates the perception of university staff, faculty, and administrators in the organizational learning culture in a Bahamian higher education institution, namely the University of the Bahamas. The results illuminate some of the complexities and challenges of applying change management principles and processes derived from corporate management culture to the administration and governance of higher education in the Bahamas. Results indicate that when combining both staff and faculty responses compared to administrators, there was, in fact, organizational learning.

EVALUATING THE IMPLEMENTATION OF THE PRISON RAPE ELIMINATION ACT (PREA): A “LESSONS LEARNED” APPROACH

The Prison Rape Elimination Act (PREA) was designed to address sexual violence in prison. While previous has focused on sexual violence occurring in correctional facilities, there has been a dearth of studies that document the expertise, experience, or reflections of program following the cimplementation of PREA- within a correctional system. The current study utilizes a “lessons learned” approach to discuss the impact of the PREA Demonstration Project on a state prison system that includes 19 correctional institutions. Results indicate the benefits of merging the philosophical orientation of key stakeholders, establishing benchmarks, and the need for partnerships with prosecutors. A comparison of the perceptions of correctional administrators, inmates, and front-line correctional officers regarding PREA is included. Also featured are the “lessons learned” from the implementation of PREA into four prison sites, along with the concept of building trust and the impact of lockdowns due to staff shortages.

What Do Patients Want? A Qualitative Analysis of Patient, Provider, and Administrative Perceptions and Expectations About Patients' Hospital Stays.

Patient experience is increasingly recognized as a measure of health care quality and patient-centered care and is currently measured through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The HCAHPS survey may miss key factors important to patients, and in particular, to underserved patient populations. We performed a qualitative study utilizing semi-structured interviews with 45 hospitalized English- and Spanish-speaking patients and 6 focus groups with physicians, nurses, and administrators at a large, urban safety-net hospital. Four main themes were important to patients: (1) the hospital environment including cleanliness and how hospital policies and procedures impact patients’ perceived autonomy, (2) whole-person care, (3) communication with and between care teams and utilizing words that patients can understand, and (4) responsiveness and attentiveness to needs. We found that several key themes that were important to patients are not fully addressed in the HCAHPS survey and there is a disconnect between what patients and care teams believe patients want and what hospital policies drive in the care environment.

Assessment of Perceptions of the Public Charge Rule Among Low-Income Adults in Texas

This survey study investigates perceptions of the Trump administration’s new public charge rule among low-income Texan adults.

E-16 Classroom Management in the Perspective of Teacher’s Preparedness

The student`s unbearable behaviors can abrupt classroom environment and can avert Instruction of taking place. In an elementary school, instructors are of lack of content knowledge and classroom management skills, so, that they could be able to deal with the erupting individuals in the surrounding of the institution. The classroom management deemed to be managed with adequate skills, if the teachers` perspective of managing class is with Islamic ADAB and IKHLAQ, it may result in better outcomes.The reason to which this research study was conducted was to explore teachers’ perceptions about their classroom management preparation and to investigate professional development opportunities, that had a great influence in strengthening their skills in classroom management. For conduction of this research study qualitative case study was put into the favour to explore perceptions of six instructors. The research questions inattentively count on teachers’ perceptions and experiences with effective classroom management practices, their perceptions of administrators’ classroom management expectations that may increase teachers’ classroom management skills. Findings from the data were gathered with semi-structured interviews, online journals, and document analysis. Three evolving themes were recognized from the data from beginning to end open coding; it had implicated classroom management strategies, a clear prospect. The results were validated throughout triangulation and member checking.&#x0D; It was observed that consequential project comprised of a 3 days specialized development program, planned to boost teachers’ awareness of proactive classroom management approaches. the effectual conduct to organize classrooms. The project had a great contribution to have positive social differencing by provision that teacher`s with these strategically planed motive to advance classroom management skills. enhanced classroom management skills that would lead to classroom circumstances that allow all learners to learn without abruption. (Powell, 2014)

Perceptions of Administrators on the Impact of Accreditation on Patient Safety in Gulf Cooperation Council Hospitals.

Perceptions of Administrators on the Impact of Accreditation on Patient Safety in Gulf Cooperation Council Hospitals.