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Theses and Dissertations (Comprehensive)

Medicine and Health

2002

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Chaotic Patterns Of Restraining Power: The Dynamics Of Personal Decision Making In A Long-Term Care Facility, Sandra Loucks Campbell Jan 2002

Chaotic Patterns Of Restraining Power: The Dynamics Of Personal Decision Making In A Long-Term Care Facility, Sandra Loucks Campbell

Theses and Dissertations (Comprehensive)

This is a study of personal decision-making dynamics at multiple levels in an Ontario Home for the Aged, including managers, staff leaders, direct care workers, non-direct care workers and residents. Personnel dyadic units of differential decision-making power were postulated: managers/staff leaders, staff leaders/direct care workers and direct care workers/residents. Weber's bureaucracy, other organizational power literature and chaos theory provide the theoretical frame. Staff completed a self administered questionnaire package which included variants of the Staff Involvement in Decision Making scale (Kruzich, 1989), open-ended and demographic questions. Residents were assisted in completing a similar, but shorter, questionnaire. Cognitively impaired residents' decision …