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Examining The Influence Of Personal And Environmental Factors On Treatment Outcomes In Opioid Dependent Medication-Assisted Treatment Patients., Vierne Placide
Examining The Influence Of Personal And Environmental Factors On Treatment Outcomes In Opioid Dependent Medication-Assisted Treatment Patients., Vierne Placide
Electronic Theses and Dissertations
Opioid abuse has become a global epidemic and is now a huge public health concern here in the US. Non-medicinal use of opioid prescription drugs is at the forefront of the epidemic and considered the "gateway" drug to other illicit opioid use. As opioid prescribing has increased over the last decade in the US, so has opioid-related deaths, surpassing car accidents and suicide as the leading cause of injury-related deaths. Medication assisted treatment (MAT) is fundamental in decreasing opioid abuse overdose and mortality. Therefore, the research study aims to determine if counseling adherence, opioid abstinence, and retention in MATs are …
Determinants Of Hospital Efficiency And Patient Safety In The United States, Madhu Shettian
Determinants Of Hospital Efficiency And Patient Safety In The United States, Madhu Shettian
Electronic Theses and Dissertations
Hospitals engage in undertakings on a continual basis to enhance IT capabilities, diffusion of innovations, hospital-physician integration, and standardization to improve their performance. This empirical study explored the interdependence of three macro-level structural factors and their independent impact on the hospital performance measures efficiency and patient safety, with standardization as an important mediator. The researcher conducted a cross-sectional analysis of multiple data sets from public user files on the acute care hospital industry. The theoretical underpinnings of the study included the structure-process-outcome theory and institutional isomorphism theory. The statistical analysis comprised confirmatory factor analysis (CFA) and covariance structural equation modeling …
Social Media And Stakeholders' Relationship In Nonprofit Organizations, Wanzhu Shi
Social Media And Stakeholders' Relationship In Nonprofit Organizations, Wanzhu Shi
Electronic Theses and Dissertations
Social media tools, as the advanced technology, have penetrated into nonprofit management field prevalently. Nonprofit organizations adopt social media tools, such as Facebook, Twitter, YouTube, and Pinterest for attracting potential supporters, raising advocacy, and running fundraising campaigns. Social media tools break the limitation of time and space through the Internet. They change the way of how people communicate and interact with each other. The philanthropy industry hopes that social media tools could bring them the new opportunities to engage with their stakeholders, such as donors, volunteers, and customers. However, since this technology is still developing, the studies of using social …
Factors Influencing Hypoglycemia Care Utilization And Outcomes Among Adult Diabetic Patients Admitted To Hospitals: A Predictive Model, Waleed Kattan
Factors Influencing Hypoglycemia Care Utilization And Outcomes Among Adult Diabetic Patients Admitted To Hospitals: A Predictive Model, Waleed Kattan
Electronic Theses and Dissertations
Diabetes Miletus (DM) is one of the major health problems in the United States. Despite all efforts made to combat this disease, its incidence and prevalence are steadily increasing. One of the common and serious side effects of treatment among people with diabetes is hypoglycemia (HG), where the level of blood glucose falls below the optimum level. Episodes of HG vary in their severity. Nevertheless, many require medical assistance and are usually associated with higher utilization of healthcare resources such as frequent emergency department visits and physician visits. Additionally, patients who experience HG frequently have poor outcomes such as higher …
The Impact Of Automation And Stress On Human Performance In Uav Operation, Jinchao Lin
The Impact Of Automation And Stress On Human Performance In Uav Operation, Jinchao Lin
Electronic Theses and Dissertations
The United States Air Force (USAF) has increasing needs for unmanned aerial vehicle (UAV) operators. Automation may enable a single operator to manage multiple UAVs at the same time. Multi-UAV operation may require a unique set of skills and the need for new operators calls for targeting new populations for recruitment. The objective of this research is to develop a simulation environment for studying the role of individual differences in UAV operation under different task configurations and investigate predictors of performance and stress. Primarily, the study examined the impact of levels of automation (LOAs), as well as task demands, on …
Jail Mental Health Innovations: Factors Influencing Mental Health Services Innovations For Jails, Orville Clayton
Jail Mental Health Innovations: Factors Influencing Mental Health Services Innovations For Jails, Orville Clayton
Electronic Theses and Dissertations
The U.S. is recognized for uniquely high incarceration rates. Over recent decades, there has been a concurrent dramatic increase of jail detainees with mental disorders. Provision of adequate mental health services for jail inmates is constitutionally mandated, and has legal, ethical, quality of care, and fiscal implications for jails, families, communities, and detainees. Significant variation exists in the provision of mental health services across jails, and increased understanding of the factors that influence the adoption of such services may help guide jails to implement beneficial services, and ensure that such services reflect, reflect quality standards. This study used a mixed …
Assessment Of Tattoo And Silicone Wounds In Terms Of Time Of Treatment And Perceived Treatment Quality, M Pettitt
Electronic Theses and Dissertations
At the point of injury, critical medical tasks include locating and identifying an injury as well as applying the appropriate initial care. Over the past decade, to increase the fidelity of wound representation and ultimately the quality of medical care, a considerable amount of research and development has occurred to improve simulated wounds during training, primarily at the point of injury. As material and techniques mature and as more relevant data is collected on tissue properties, examining what fidelity is required for training at the point of injury is crucial. The main objective of this effort was to assess a …
Use Of Performance Information By Local Government Administrators: Evidence From Florida, Tamara Dimitrijevska-Markoski
Use Of Performance Information By Local Government Administrators: Evidence From Florida, Tamara Dimitrijevska-Markoski
Electronic Theses and Dissertations
This study examines the factors that facilitate and hinder the use of performance information by public administrators in local governments in Florida. Acknowledging the incompleteness of many theoretical and conceptual models in previous performance management studies and the absence of theory on the use of performance information; this study utilizes a grounded theory approach to develop and test a model analyzing the use of performance information. The research focuses on cities and counties, members of the Florida Benchmarking Consortium (FBC), and surveys public administrators whose tasks are related with the collection and/or reporting of performance information. The study examines three …
Dimensions Of State Fragility: Determinants Of Violent Group Grievance, Political Legitimacy, And Economic Capacity, Jason Christensen
Dimensions Of State Fragility: Determinants Of Violent Group Grievance, Political Legitimacy, And Economic Capacity, Jason Christensen
Electronic Theses and Dissertations
State fragility has severe political implications. In the literature, fragile states have been referred to as "chaotic breeding grounds" for human rights violations, terrorism, violent extremism, crime, instability, and disease (Patrick 2011, 3-4). International organizations have also expressed concern regarding the potential of "fragile states" to disrupt collective security as threats such as transnational terrorism and human displacement from violent conflict have the potential to permeate borders (Patrick 2011, 5). This research project aims at extending our understanding of state fragility by examining three distinct dimensions of state fragility proposed in the literature: i) state authority, ii) state legitimacy, and …
Local Health Department Adoption Of Health Information Technology And Its Impact On Population Health, Tina Yeung
Local Health Department Adoption Of Health Information Technology And Its Impact On Population Health, Tina Yeung
Electronic Theses and Dissertations
Since the enactment of the HITECH Act in 2009, the US has invested billions in building a robust health information technology (HIT) infrastructure that is secure, capable of the electronic transfer of data and allows for real-time access of patient medical data, among others. This empirical study explored the driving forces (coercive, mimetic, and normative) in the adoption of HIT (i.e. EHRs and HIEs) by local health departments (LHDs) and how it has impacted the population health of counties in the US. The researcher conducted a cross-sectional, quantitative study using secondary data sources. The study included data on 505 local …
The Effects Of Social Support And Working Alliance On Latino-American Male Combat Veterans, Lloyd Duran
The Effects Of Social Support And Working Alliance On Latino-American Male Combat Veterans, Lloyd Duran
Electronic Theses and Dissertations
The negative effects of traumatic combat experiences on combatants' psychological functioning is well documented in the literature. The Global War on Terrorism (GWOT) has resulted in many veterans returning from deployments with mental health conditions related to trauma exposure, such as posttraumatic stress disorder, depression, general anxiety, and suicidality. Past researchers found significant ethnic differences in psychological functioning, with Latino-American veterans reporting more symptoms of PTSD. Furthermore, Latino-American cultural values place importance on collective orientation and secrecy of mental health concerns which may affect treatment. Thus, this study built on limited research about Latino-American male combat veterans by focusing on …
The Diffusion And Performance Of The Accountable Care Organization Model, Yi-Ling Lin
The Diffusion And Performance Of The Accountable Care Organization Model, Yi-Ling Lin
Electronic Theses and Dissertations
Background: Unity in pursuit of the Triple Aim: better health, better care, and lower per capita cost, can be achieved through a well-designed health care delivery system. The accountable care organizations (ACOs) model is considered a key component of health care delivery system improvement because the model fosters better coordination of care through clinical integration and financial accountability. Within the six Centers for Medicaid & Medicare Services (CMS) ACO programs, the Medicare Shared Savings Program (MSSP) ACO has the largest size with a total of 432 ACOs formed; the service subjects of the MSSP ACO are the fee-for-service beneficiaries. Recently, …
Variations In Health Services Utilization By Patients With Prostate Cancer, Roberta Mckee
Variations In Health Services Utilization By Patients With Prostate Cancer, Roberta Mckee
Electronic Theses and Dissertations
Among men living in the United States, prostate cancer is the second leading cause of cancer death, and, excluding skin cancers, it is the cancer diagnosed most frequently. While incidence and mortality rates have been declining, the American Cancer Society estimated that there were 220,800 men diagnosed with prostate cancer and more than 27,500 prostate cancer deaths in 2015. Various patient-level and community-level factors have been shown to influence the differential patterns of diagnosis, care, and outcomes for men with prostate cancer. Detailed information regarding the utilization of health services by prostate cancer patients, particularly those with higher propensity for …
Tobacco Prevention And Cessation Policies And Youth Tobacco Use In Florida Public Schools, Amanda Terry
Tobacco Prevention And Cessation Policies And Youth Tobacco Use In Florida Public Schools, Amanda Terry
Electronic Theses and Dissertations
Tobacco use is the leading cause of preventable disease and premature death in the United States. In 2014, an estimated 16.8% of adults were current cigarette smokers, and 9.2% of high school students smoked cigarettes. Nearly 90% of smokers developed their habit as teenagers, and students' tobacco use in high school influences their behaviors later in adulthood. Smoking behaviors appear to be inseparable from the social environment, physical environment, small social groups, and cognitive and affective processes. Preventive strategies, such as advertising bans, clean indoor air laws, education programs, increased taxes, labeling limitations, mass-media campaigns, and youth access regulations, have …
The Impact Of Board Capital And Servant Leadership On Board Effectiveness: A Study Of Florida Community Foundations, Lauren Obyrne
The Impact Of Board Capital And Servant Leadership On Board Effectiveness: A Study Of Florida Community Foundations, Lauren Obyrne
Electronic Theses and Dissertations
Community foundations have considerable potential for positive social change in the communities they serve yet are understudied in nonprofit management and leadership literature. Recently, community foundations have become one of the largest avenues of organized philanthropy. The boards of community foundations frequently consist of a different composition of members than other nonprofit organizations, making a focus on individual characteristics of board members a worthwhile area of study. This exploratory study considers board capital through human capital, structural capital, and social capital and the impact this has on board effectiveness. In addition, it considers the impact of servant leadership on board …
Patient Violence And Aggression In Non-Institutional Health Care Settings: Predictors Of Reporting By Healthcare Providers, Colleen Campbell
Patient Violence And Aggression In Non-Institutional Health Care Settings: Predictors Of Reporting By Healthcare Providers, Colleen Campbell
Electronic Theses and Dissertations
This dissertation is conducted to examine the factors which contribute to the reporting of incidents of violence or aggression perpetrated by patients against health care providers in non-institutional health care settings. With a theoretical foundation grounded in community science, applying stress theory, broken windows theory and the theory of reasoned action, the following cross sectional study examines the contribution of characteristics of the healthcare provider, characteristics of the patient perpetrator and the form of violence to the providers' reporting or failing to report incidents. A self-administered survey was disseminated to a sample of non-institutional healthcare providers to test the research …
Social Disorganization And Florida Public High School Academic Performance, David Kanaan
Social Disorganization And Florida Public High School Academic Performance, David Kanaan
Electronic Theses and Dissertations
Failing public high schools are a perpetual limitation to community sustainability. Conversely, economically disadvantaged communities more often produce schools with reduced academic performance. Unfortunately, comprehensive community-based remedies are generally outside the scope of a school district's control. Social disorganization theory attributes variations in crime and delinquency to a breakdown in communal structure and relationships. Applied in a similar manner, social disorganization has also been associated with lower student achievement. This research examined how social disorganization is associated with Florida public high school academic performance in a two phase analysis at the community and school district levels. In addition, the research …
The Missing Middle: Understanding The Effects Of Social Enterprise On Nonprofit Performance, Angela White-Jones
The Missing Middle: Understanding The Effects Of Social Enterprise On Nonprofit Performance, Angela White-Jones
Electronic Theses and Dissertations
The 2008 financial recession has seen increased poverty, job loss, and homelessness as well as decreased spending in health care, education, sanitation, and housing. These factors can lead to tensions across a number of sectors and underscore the need for innovation in for-profit, nonprofit and government organizations. One area of innovation in the nonprofit sector to supplement revenues is by adding social enterprise activity. Social enterprise is the pursuit of earned income activities for an organization that is driven by a community mission or value. Because financial and social problems are becoming increasingly intertwined, this study seeks to understand the …
The Hammer Or The Anvil: Developing Operational Adaptability Through Simulations At The Tactical Level, Michael Mccarthy
The Hammer Or The Anvil: Developing Operational Adaptability Through Simulations At The Tactical Level, Michael Mccarthy
Electronic Theses and Dissertations
Operational Adaptability is a vital characteristic identified by senior Army leaders in today's military force. The U.S. Army is struggling with the definition and training of operational adaptability at the tactical level. In order to be a critical enhancement to the operational mission, operational adaptability needs to be trained through a training model that supports current U.S. Army doctrine. To develop a base foundation of operational adaptability, Soldiers must train as a collective unit in a simulated operational environment in order to apply characteristics of operational adaptability.
Emergency Room Utilization Disparities Among Older Adults Treated By Rural Health Clinics, Matt Bagwell
Emergency Room Utilization Disparities Among Older Adults Treated By Rural Health Clinics, Matt Bagwell
Electronic Theses and Dissertations
Examining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult Medicare patients treated by RHCs within the Department of Health and Human Services' (DHHS) Region 4. A prospective, multi-level, longitudinal design was employed to …
Falling Behind In Pay: A Longitudinal Test Of Equity Theory Among Florida Municipal Police Agencies' Salaries, Robert Lord
Falling Behind In Pay: A Longitudinal Test Of Equity Theory Among Florida Municipal Police Agencies' Salaries, Robert Lord
Electronic Theses and Dissertations
Prior research has found equity theory explains employee responses to falling wages in relation to other comparable workers. The present research attempts to contribute to the criminal justice literature by directly testing equity theory within the policing context, something no study has done to date. Applied to policing, equity theory predicts sworn officers employed by departments with falling or inequitable salaries (i.e., their salaries fail to keep up with those at other regional agencies) will reduce their work input (i.e., discretionary arrests) and/or quit in higher numbers than before (i.e., increase attrition). The present study also attempts to quantify how …
Political, Economic, And Health Determinants Of Tuberculosis Incidence, Ashley Rutherford
Political, Economic, And Health Determinants Of Tuberculosis Incidence, Ashley Rutherford
Electronic Theses and Dissertations
The epidemiologic transition has shifted major causes of mortality from infectious disease to chronic disease; however, infectious diseases are again re-emerging as a major global concern (Diamond, 1997; Karlen, 1995; McNeil, 1976). This research aimed to identify potential areas of infectious disease influence that are not health-related in order to help governments and policymakers establish new policies, correct current policies, or further address these issues in order to effectively prevent and combat infectious disease. This study employed a retrospective, cross-sectional, non-experimental design via structural equation modeling (SEM) and examined tuberculosis incidence rates at the country-level. Secondary data from open-source, international …
Analysis Of Alternative Convoy Route Patrol Procedures For Countering Improvised Explosive Devices Deployed During Asymmetric Warfare In Afghanistan-Like Rural Settings, Larry Baca
Electronic Theses and Dissertations
Improvised Explosive Devices (IEDs) are the greatest casualty producing and costly weapon system employed by the enemy on the asymmetric battlefield of today. Despite Billions of dollars spent on technological devices to counter the IED threat, IEDs are still responsible for roughly 50% of battlefield casualties. A tremendous amount of effort and resource has and continues to be levied in the pursuit of a technological solution to the IED problem. By contrast, little research has been done on Counter Improvised Explosive Device (CIED) procedures. This paper explores the potential of CIED procedures as a casualty reduction mechanism by comparing two …
Wounded Warrior Or War Hero? Or Maybe, Neither?: Resisting Common Tropes Of The Veteran And Developing Digital Literacy Practices Via Narrative Building And Identity Presentation In Social Networking Spaces, Cassandra Branham
Electronic Theses and Dissertations
This project reports on the results of a study that investigated the social networking use of student and non-student veterans, with a particular focus on the narrative building and identity presentation practices involved in this use. In this dissertation, I argue that stereotypical and exclusionary tropes of the veteran, such as the veteran as war hero and the veteran as wounded warrior, are damaging to our veterans and to others, in both the society and the classroom. However, through the detailed analysis of survey data and data collected from an interview and social networking profile tour with one student veteran …
Social Media Responsiveness In The Public Sector: A Study Of Social Media Adoption In Three Functional Departments Of U.S. Cities, Daniel Seigler
Social Media Responsiveness In The Public Sector: A Study Of Social Media Adoption In Three Functional Departments Of U.S. Cities, Daniel Seigler
Electronic Theses and Dissertations
Public administration research strongly supports the argument for administrator-citizen collaborations and shows that Web 2.0 social media tools have the potential to increase these collaborations. Some public managers have fully embraced the adoption of social media tools to their fullest collaborative potential while other managers have chosen to limit their full collaborative potential. This study examines four environmental influences to determine if they are the cause of the diverse levels of social media adoption among public administrators. A survey of 157 department managers from 261 large cities across the U.S. shows that 82% of the respondents are currently using some …
Gender And Social Capital: Implications For Women's Civic Engagement In Ecuador And Peru, Pamela Medina
Gender And Social Capital: Implications For Women's Civic Engagement In Ecuador And Peru, Pamela Medina
Electronic Theses and Dissertations
Civic engagement is a fundamental component of a healthy democracy, contributing to higher government accountability and overall improvement in "good governance". Civic engagement is particularly critical to subgroups which are under-represented in formal political structures, such as women, as it affords these groups the opportunity to voice their unique concerns. However, women participate less in many important forms of civic engagement. The United Nations and other international organizations have emphasized the importance of increasing women's voice and empowerment in an attempt to improve women's overall well-being, particularly in the developing world. Individual and contextual factors have demonstrated contributions toward influencing …
The Effect Of The Great Recession On Local Goverment Policy In Florida, Richard Levey
The Effect Of The Great Recession On Local Goverment Policy In Florida, Richard Levey
Electronic Theses and Dissertations
The length and depth of the Great Recession of 2008 provides an opportunity to examine the policy behavior of local governments unlike any window since the 1930's post Depression era. Utilizing Peterson's (1981) City Limits typology as a framework for local government policy allows for an evaluation of whether or not the economic downturn caused local governments to change their relative expenditures between policy categories. The City Limits typology has been widely used in the literature to explain how expenditures define a local government's role in economic development. The typology has had limited use in a pre-post natural experimental research …
From American Service To Disservice: An Exploration Of The Impact Of Military Experience Among An Incarcerated Population, Erika Brooke
From American Service To Disservice: An Exploration Of The Impact Of Military Experience Among An Incarcerated Population, Erika Brooke
Electronic Theses and Dissertations
This dissertation research examines the impact of military service among an incarcerated population. It addresses the gaps identified within the prior literature by taking a closer look at the association between service experience and criminal justice outcomes. Specifically, the present study explores whether branch type, combat exposure, age of entrance, service length, and discharge status impact the number of lifetime arrests, current offense type, and institutional misconduct. This research uses data from the U.S. Bureau of Justice Statistics* 2004 Survey of Inmates in State and Federal Correctional Facilities. Multivariate analyses indicate that different elements of military participation influence criminal and …
Influence Of Personal And State Level Variables On Perception Of State Emergency Management Network Resilience In 47 States, Victoria Jennison
Influence Of Personal And State Level Variables On Perception Of State Emergency Management Network Resilience In 47 States, Victoria Jennison
Electronic Theses and Dissertations
Emergency management coordination in the United States has fallen victim to over a century of strategies to organize, reorganize, consolidate, or decentralize disaster preparedness, planning and response. Regardless of the agency in charge at the federal level, individual citizens have been responsible for their own well-being immediately after any disaster or emergency event for more than 100 years because it takes time to mobilize and deliver aid. The system most often charged with managing that mobilization during an emergency event that exceeds the response capacity of local public safety agencies is the state emergency management network. Many entities in a …
The Impact Of Mobbing And Job-Related Stress On Burnout And Health-Related Quality Of Life: The Case Of Turkish Territorial State Representatives, Mehmet Yesilbas
The Impact Of Mobbing And Job-Related Stress On Burnout And Health-Related Quality Of Life: The Case Of Turkish Territorial State Representatives, Mehmet Yesilbas
Electronic Theses and Dissertations
Job-related stress occurs as one of the most serious issues in modern era in developed nations. It has direct and negative effects on employees' productivity and it may have negative impacts on employees' health. One of the potential results of prolonged stressors at work place is burnout and this response may lead to physical, emotional, and psychological exhaustion that can occur at both individual and organizational levels. Burnout is a job related threat that provokes social stress and can directly affect an individual's health. Health-related quality of life (HRQoL) is commonly used to measure an individual's overall/global health and quality …