<p> The purpose of this study was to compare and contrast four age cohorts to determine: (a) if they have any preexisting knowledge about The Blue Zones Power 9 lessons for longevity, (b) if they are currently practicing any of the Power 9 lessons, and (c) to what extent they intend to adopt all or some of the Power 9 lessons in the future. The Transtheoretical Model of Behavior Change (DiClemente &amp; Prochaska, 1982) guided exploration of the respondents&rsquo; adoption of the Power 9 lessons. There were four significant findings in this study. Physical activity and stress relief had similar results in that both the youngest and oldest age cohorts&rsquo; expressed higher frequencies than the two middle age cohorts. Wine consumption and adoption/intention to adopt the Power 9 also had similar results, demonstrating that as age increased, so did the frequency of wine consumption and adoption/intention to adopt the Power 9.</p>

<p> A healthy working environment has been an area of interest for occupation health providers. There is anticipation that a safe working environment improves patient safety, which is associated with reduction in clinical nurse errors. Issues with medication errors and poor working environment pose a greater risk to patient safety. The aim of this qualitative study was to provide a broad understanding on nurses&rsquo; perceptions on the processes that influence a healthy working environment and the impacts of a healthy working environment on patient safety. An interpretive grounded theory methodology was used in this study to evaluate nurses&rsquo; perceptions in acute care settings. The study was carried out in a large city of Southern California and the participants consisted of a community-based purposive population of registered nurses (RNs) in a telemetry. A total of 10 participants with three years working experience in surgical units were recruited and tiered scheduled approach was used for the analysis and refinement of interview questions. The participants were all female registered nurses with three years working experience in acute care settings. The majority of the nurses had a bachelor&rsquo;s degree (44%), masters degree (22%) and 11 % had associate degree. Grounded theory method was used to identify the relevant themes from the interview responses. The transcripts revealed nurses&rsquo; perceptions on the process that facilitate a healthy working environment and HWE impacts on patient safety. The findings of the study showed that communication, teamwork and collaboration within healthcare environment are the most important factors for the development of a healthy working environment. The findings also showed the influence of a health care working environment on medication errors. Nurses reported that lack of communication, nurse shortages and micromanagement increases the chances of medical errors. Nurses reported that effective communication with the nurse leaders, managers and patients provide a stress-free working environment that result in a better care for patients. Enough nursing staff s well as teamwork and collaboration also influences patient safety.</p>

<p>The need for home health care is a growing need in the United States due to the shift of the &ldquo;baby-boomers&rdquo; into the post retirement years. However, there is a growing niche market within this aging population: the lesbian, gay, bisexual and transgendered (LGBT) elders who have lived their adult lives &ldquo;out of the closet&rdquo; and who are facing difficulty receiving care which is compassionate and culturally sensitive at the same time. The mission of Hand-In-Hand Home Health Care is to provide exceptional home health care with a team of professionals that provide patient-centered care which is culturally sensitive and compassionate, achieved with employee training developed by SAGE (Services &amp; Advocacy for GLBT Elders). Hand-In-Hand Home Health Care will achieve economic viability within the first year through optimal cash flow management with Axxess client software and the initial capital assistance with a 7a Small Business Loan. </p>

<p> Employee job satisfaction is an ongoing concern in the field of social work. High caseloads, low compensation, and the lack of job security are sources of job dissatisfaction for novice and seasoned social workers in managed care settings. Specifically, the purpose was to determine if there is a correlation between high caseloads, the lack of job security, and low compensation and job dissatisfaction among novice (<i>n</i> = 24) managed care social workers and seasoned (<i>n</i> = 86) social workers in Texas and the surrounding areas. The emphasis of these factors, if not recognized and addressed through interventions by health care administrators, can lead to novice or seasoned managed care social workers&rsquo; dissatisfaction and within their position and careers with an ending result of desirable professional leaving the field of social work. Herzberg&rsquo;s two-factor theory guided the study. The independent variables were selected for use in a multiple regression analysis at the .05 level of significance. No correlation was found between high caseloads and job dissatisfaction among novice social workers or between low compensation and job dissatisfaction among novice and seasoned social workers. High caseloads were correlated with job dissatisfaction among seasoned social workers. A correlation was found between the lack of job security and job dissatisfaction between novice and seasoned social workers. The research study collected data used in sealing the gap in the health care community by providing valuable information and directions for health care administrators to focus on in an attempt to reduce turnover, increase productivity, and improve the quality of patient care.</p>

The primary purpose of this study was to determine the impact of accreditation committee recommendations on graduate programs in health services administration from 1982 to 1988. A second purpose was to determine the extent of compliance by graduate programs in health services administration with the criteria-related recommendations made by visit committees. A third purpose was to determine whether the characteristics of graduate programs awarded accreditation for five years or longer differ from those awarded accreditation for three years or less. A content analysis of site visit reports and progress reports substantiated the following conclusions: (1) Graduate programs met a relatively high degree of the ACEHSA criteria. (2) Curricula-Related deficiencies presented the most problems for graduate programs. (3) Research and Program Evaluation were found to be relatively high priorities for visit committees and for the ACEHSA. (4) Visit committees made recommendations consistent with the premise that graduate programs located in business schools have qualities which came closest to satisfying the ACEHSA criteria. These programs received the fewest number of criteria-related recommendations. (5) Graduate programs auspicious to acquire the human and financial wherewithal from their respective universities and external funding sources received longer lengths of accreditation. These programs, at minimum, had substantial budgets, critical masses of faculty, and considerable bases of full-time students. (6) ACEHSA follow-up procedures fostered a relatively high degree of compliance by graduate programs with recommendations made by visit committees. (7) Graduate programs granted longer lengths of accreditation met more recommendations than those programs awarded shorter lengths of accreditation. (8) The ACEHSA criteria made little or no provision for differences / between traditional and non-traditional programs, United States and Canadian Programs, and programs by administrative locations. (9) ACEHSA granted lengths of accreditation consistent with the premise that schools of public health, medical schools and graduate schools came closest to meeting the ACEHSA criteria. These programs were granted the longest lengths of accreditation. / Source: Dissertation Abstracts International, Volume: 51-03, Section: A, page: 0754. / Major Professor: Allan Tucker. / Thesis (Ph.D.)--The Florida State University, 1990.

This study examined the relationship between the adoption of technological innovations and firm financial performance using Barney's (1991) framework of firm resource-based theory. It was hypothesized that there would be a significant and positive relationship between the adoption of technological innovations and firm financial performance. It was further hypothesized that this relationship would be moderated by the extent to which the technological innovations were simultaneously valuable, imperfectly imitable, and rare. The hypotheses were tested in the hospital industry. A sample of 189 Florida hospitals was used in the study. The results supported the hypotheses. A positive and significant relationship was found between the adoption of medical technological innovations and hospital financial performance, and the relationship was found to be strongest when the hospital's medical technologies were simultaneously valuable, imperfectly imitable, and rare. / Source: Dissertation Abstracts International, Volume: 55-12, Section: A, page: 3914. / Major Professor: James J. Hoffman. / Thesis (Ph.D.)--The Florida State University, 1994.

MODAS, an acronym for Method of Designing Action Systems (Ingham, 1972), was the method chosen for this action research project. This twelve step procedure was used to explain and control turnover (the dependent variable) of security specialists in a psychiatric hospital. / During the fiscal year 1988-1989, 34% of the security specialists voluntarily resigned from SFSH. The general resignation rate for the hospital was 24.1%. / The observed phenomena was classified as an instance of turnover. Knowledge statements from the Price and Mueller (1986) nurse turnover model were used to develop an explanatory system. Multiple methods (document analysis, survey questionnaires, interviews and observation) were used to determine which knowledge statements best explained turnover of security specialists at SFSH. The following independent variables were identified: Intent to leave, commitment, job satisfaction, distributive justice, and centralization. / A plan of action was developed, and exogenous variables identified (environmental opportunity, promotional opportunity, and general training). An evaluation mechanism was designed prior to the implementation of the plan of action. Stufflebeam's (1973) context, input, process and product approach to evaluation was selected. Pre-intervention and intervention measures (survey questionnaire) using a time-series model, coupled with monthly site visits and interviews of key hospital personnel, were the primary data gathering methods for the evaluation of the project. / The monthly intervention measures indicated the following trends: (a) increased turnover of security specialists was consistent with increased intent to leave and decreased commitment, and (b) increased job satisfaction was consistent with an increase in distributive justice, and decrease in centralization. It is possible that although commitment and job satisfaction were associated, they were also separate constructs that were influenced by independent events. / Recommendations were made in a revised plan of action to continue the action research project. Activities were designed to reinforce the developing job satisfaction and to reverse the trend of decreasing commitment. / Source: Dissertation Abstracts International, Volume: 51-08, Section: A, page: 2607. / Major Professor: Roy J. Ingham. / Thesis (Ph.D.)--The Florida State University, 1990.

Six factual series were unobtrusively telephoned to fifty-one U.S. academic health sciences libraries and hospital libraries. Previous unobtrusive studies of reference services in public and academic libraries have shown that the accuracy of short answers to factual queries is approximately 55 percent. In this study, the majority of the queries, 63 percent, were answered accurately. Referrals to another library or information source were provided for 25.2 percent of the queries. Eleven answers, 3.6 percent, were inaccurate, and no answer was provided for 7.8 percent of the queries. / No significant relationship was found between the accuracy of answers and either the type of health sciences library, the region in which the library was located, the size of the monograph collection or the number of subscriptions. There was a correlation between budget and the accuracy of answers provided. While no significant correlation was found between the accuracy of answers and the total number of library staff, there was a correlation between the number of accurate answers provided and the presence of at least one staff member with a master's degree in library and information science. There was a significant correlation between employing a librarian certified by the Medical Library Association and the accuracy of answers provided by the library. / Although some referrals were to unspecified libraries or individuals, the majority were to specific sources for which the librarian provided a name, address and/or telephone number. If these "helpful referrals" are counted with accurate answers as correct responses, they account for 76.8 percent of the answers. / Four libraries answered all queries accurately. In a follow-up survey, five libraries (9.8 percent) stated that accurate answers were not provided because they did not own the appropriate source. Staff related problems were given as reasons by 17.6 percent of the libraries, while 25.5 percent indicated that library policy prohibited providing answers to the public. / Source: Dissertation Abstracts International, Volume: 50-03, Section: A, page: 0565. / Major Professor: Gerald Jahoda. / Thesis (Ph.D.)--The Florida State University, 1989.

<p> On November 5, 1996, California became the first state in the US to legalize Marijuana for medical purposes through the enactment of the Compassionate Use Act of 1996. Later Marijuana for recreational use was also enacted through the Adult Use of Marijuana Act of 2016. Presently, 29 States in the U.S including the District of Columbia have legalized the use of marijuana for either medicinal or recreational purposes (Election 2016&ndash;Marijuana Ballot results). With the legalization of Marijuana, there have been tremendous higher rates of distribution, sales, and consumption of the drug in California. The use of Marijuana has not only been socially accepted but has also laid a foundation for more research about the social economic and health effects to the communities. Therefore this paper seeks to assess the detrimental and beneficial effects of marijuana use among the racial/ ethnically diverse population of northern California.</p><p>

<p> Self care is more than a requirement for life. Working in a high stress hospital environment lends itself to having many personal and professional stressors that go beyond medical professionals job requirements. The purpose of this study was to explore how hospitals support medical staff through self care programs. Data was collected through semi-structured interviews of five medical professionals who work in various specialties. Results of this study indicated that self care was represented in various unstructured formats. Additionally, this study demonstrates the need for more support in the medical field to allow for more opportunities for self care to take place. Furthermore, this analysis of self care explains the importance of this practice to be implemented by medical professionals as it helps to reduce the high rates of burnout and compassion fatigue.</p><p>