The aim of this study is to explain the effect of arousal on consumer’s attitude towards a direct service in terms of evaluation extremity. An important element within consumer behavior is the attitude that consumers have towards products and services. After the conceptual framework was developed through an extensive literature review on arousal, attitude and services, a hypothesis was formulated stating that: Arousal has an effect on consumer's attitude towards a direct service in terms of their evaluation extremity.  An experiment was carried out within various lectures of a university in Sweden, whereas the sampling used was a convenience sample of university students. The total amount of respondents who participated in the experiment were 154, whereof 102 were valid respondents. The experimenttriggerused to influence their level of arousal was caffeinated coffee, while the control trigger was decaffeinated coffee. The Fishbein model was used to measure attitude translated into a questionnaire which was administered at the experiment, while the three adjective scale was utilized to measure the level of arousal for control. The collected data was imported into the statistics program SPSS for analysis and discussion. Quality criteria and ethics standards were adhered to  during the entire research process. At the conclusion of the research, the hypothesis was accepted. However, it should be taken into consideration that the caffeine did not have the desired effect on the level of arousal, and the study mainly used the control questions for arousal to find a significance level. The study was deemed successful though, in that after calculating positive pretests for validity, the results showed that the aroused participants had a significantly more extreme attitude than the non-aroused participants. In that the experiment and results are original, it allows for further related research. Finally, to insure the validity of the results of this study, it is pertinent that the experiment’s results are replicated by future studies.

As required by the Government Performance Results Act of 1993, the use of performance measurements in social service organizations to measure outcome data has increased expectations of efficient outcomes in service delivery. This study addressed the problem of inefficient service delivery in nonprofit human service organizations from the perspective of direct service staff responsible for service provision. The purpose of this qualitative phenomenological study was to explore how direct service staff in nonprofit organizations perceive their individual contributions to the overall goal of providing efficient quality service. Principal agent theory framed the inquiry regarding how direct service staff working in nonprofit human service organizations perceive the nature and value of using performance measurements as required by law. Data were collected from 5 direct service workers through semi-structured interviews and analyzed for content themes using Ethnograph software. The results of this study indicated direct service workers perceive organizational efficiency related to how well they do their jobs and not overall at the organizational level. In addition, participants identified job training and more open communication with management to understand how organizational level goals would be valued to do their jobs effectively. This study contributes to social change by informing those who develop nonprofit human services policy and practice of the potential for further staff training curriculum and improvements to the organizational accountability culture.

TITLE: SEXUALITY WORKPLACE ISSUES AMONG DIRECT SERVICE PERSONNEL WORKING WITH POPULATIONS WHO ARE INTELLECTUALLY DISABLED IN COMMUNITY INTEGRATED LIVING ARRANGEMENTS: A CASE STUDY MAJOR PROFESSOR: Dr. Roberta Ogletree Background: The purpose of this study was to explore DSP workplace experiences, preparation, employee training, emotions, and perceptions in regards to types of sexual and affectionate behaviors exhibited by intellectually disabled adults in their care in the CILA setting. The study focused on analyzing these topics in relation to sexuality/affectionate behaviors experienced in the CILA workplace using a qualitative case study method. This analysis provided an understanding of what ideas and values DSPs brought to their roles of guiding the sexuality/affectionate behaviors of residents in their care and identified additional training needs from the DSP perspective to help them better do their jobs. Methods: Principles found in qualitative evaluation research were used to examine the influence of sexuality and affectionate behaviors and training within its naturally occurring world. The case was comprised of DSPs from the selected organization, located in a rural college town of approximately 25,000 people. Nine DSPs from five different CILA homes participated in the study. Data were generated using semi-structured interviews, observation of behaviors on interview video tapes, observation of emotional verbal cues on interview audio tapes, document analysis, and field notes. Results: Major themes were identified from data and organized around the research questions. Common categories under affectionate behaviors were dating, flirting, friendship/socialization, holding hands/hugging, media/technology, and problematic behaviors. Common categories under sexuality behaviors were groping, masturbation/females, masturbation/males, and problematic behaviors. Less common categories were affectionate behaviors-attention seeking/ego, sexuality behaviors – sexual intercourse, and sexuality behaviors – dating and marriage. Once data were categorized, each category’s responses were sorted to identify overarching theme areas for recommendations. The themes were Employee Training and Development, Socialization Needs (Affectionate Behaviors, Sexuality, and Relationships), and Language Issues (Positive, Negative, and First Person). Primary strengths identified included thinking of residents as family, the feeling of strong management support, and lack of significant conflict within the CILA homes. Elements that detracted from the DSP experience included low rate of hourly pay, employee turnover among DSP supervisors, lack of specific sexuality education for both staff and residents, limited retention of mandatory training topics, and lack of communication of sexuality policies and procedures. Conclusions were a need for additional training for DSPs and staff on the topics of human sexuality and affectionate behaviors in CILA homes; examining DSP training to increase knowledge retention in the staff; better communication of policies, procedures, and protocols regarding sexuality and affectionate behaviors that pertain to how situations are handled in CILA homes; and ensuring all training materials use first person language.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-06-16T12:06:51Z No. of bitstreams: 1 rogeriopinheironunes.pdf: 1834294 bytes, checksum: 9e40d1bb8f11aadc444547a7a54f78f9 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-07-13T14:12:52Z (GMT) No. of bitstreams: 1 rogeriopinheironunes.pdf: 1834294 bytes, checksum: 9e40d1bb8f11aadc444547a7a54f78f9 (MD5) / Made available in DSpace on 2016-07-13T14:12:52Z (GMT). No. of bitstreams: 1 rogeriopinheironunes.pdf: 1834294 bytes, checksum: 9e40d1bb8f11aadc444547a7a54f78f9 (MD5) Previous issue date: 2016-02-19 / A judicialização da saúde tem provocado discussões sobre a intervenção do Poder Judiciário na governabilidade e na gestão das políticas de saúde. O Poder Público vem sendo obrigado a garantir judicialmente procedimentos e serviços de saúde independentemente de sua cobertura ou incorporação pelo Sistema Único de Saúde, ou, quando cobertos, sem a observância às competências administrativas do gestor local de saúde num sistema público descentralizado e hierárquico. O objetivo desse trabalho foi estimar o custo direto das ações individuais no âmbito do SUS, em especial às competências administrativas do ente municipal, tomando como cenário o município de Juiz de Fora, MG. A amostra se constituiu de 575 processos judiciais (N = 575) que deram entrada num período de seis meses. As demandas judiciais ocorreram para garantia de internação hospitalar, fornecimento de medicamentos e de suplementos e complementos alimentares, além de exames e insumos de enfermagem. Estimou-se o custo pela perspectiva da Secretaria de Saúde de Juiz de Fora como gestora do SUS e compradora de serviço de saúde, totalizando R$ 3.506.701,95 para o período estudado, ou um custo mensal de R$ 1.016,44. Quanto às suas responsabilidades em ofertar tais serviços de acordo com a organização do Sistema Único de Saúde, estimou-se que 90,26% do custo dos pedidos judiciais para internação hospitalar correspondiam a ações que já eram de sua competência, em que a judicialização veio garantir ao cidadão serviços que já deveriam ser ofertados. Conquanto, os pedidos judiciais de medicamentos que não eram de sua competência fornecer ou dispensar representaram 99,70% do custo estimado para essa categoria, incluindo medicamentos de competência de outro ente federado, não cobertos pelo SUS ou em desacordo com os protocolos clínicos estabelecidos para a doença atestada. Ao final, analisando-se as maiores demandas judiciais contra o poder público municipal, pode-se afirmar que 75,28% do custo estimado para a judicialização se referiram a oferta de serviços que não eram da competência administrativa da Secretaria de Saúde de Juiz de Fora como gestora municipal do SUS. Tal fato levanta uma discussão sobre a judicialização no âmbito da saúde pública. Se por um lado busca a garantia do direito constitucional do cidadão, por outro impõe à esfera municipal o ônus de seu custo sem observar as responsabilidades comuns e privativas de cada ente federado na organização do Sistema Único de Saúde. / The judicialization of health has provoked discussions on the intervention of the judiciary in governance and management of health policies. The Government has been obliged to ensure court procedures and health services regardless of coverage or incorporation by the Unified Health System, or when covered, without complying with the administrative skills of the local health officer in a decentralized and hierarchical public system. The aim of this study was to estimate the direct cost of individual actions under the SUS, especially the administrative powers of the municipal entity, taking the backdrop of the city of Juiz de Fora, MG. The sample consisted of 575 court cases (N = 575) who were admitted within six months. The lawsuits occurred to hospitalization assurance, supply of medicines and supplements and food supplements, as well as examinations and nursing supplies. It estimated the cost from the perspective of Juiz de Fora Health Department as manager of the SUS and purchaser of health services, totaling R$ 3,506,701.95 for the period studied, or a monthly cost of R$ 1,016.44. As to their responsibilities in offering such services in accordance with the organization of the Unified Health System, it was estimated that 90.26% of the cost of judicial requests for hospitalization corresponded to actions that were already under its jurisdiction, where the legalization came assure citizens services that should already be offered. While the judicial requests for medications that were not within its competence to provide or dispense represented 99.70% of the estimated cost for that category, including competence of drugs from another federal entity, not covered by SUS or disagree with the clinical protocols established for attested the disease. Finally, analyzing the major lawsuits against the municipal government, it can be stated that 75.28% of the estimated cost for the legalization referred the provision of services that were not the administrative jurisdiction of the Health Department of Judge off as municipal manager of the SUS. This fact raises a discussion of legalization on public health. On the one hand seeks to guarantee the constitutional right of citizens, on the other requires the municipal level the burden of cost without observing the common and private responsibilities of each federal entity in the organization of the Unified Health System.

This dissertation originates in research project Potřeby a podpora pracovníků poskytujících paliativní péči v hospicích (FHS_P19_2014_068) (Paliative Hospices Care Staff Needs and Support) which was implemented in 2015. The dissertation deals with needs of hospices staff. These are derived from demands and requirements placed on the staff and correlate with their workload. I express management strategies and attitudes related to staff support. In the theoretical part of the dissertation I survey organization culture and ways and means of staff care. One of the care forms may be supervision. I⁠ focus on its possible form (shape) and supervisor's function. The empirical part of the dissertation is based on the research performed in two hospices. I focus on facility description and provided care. It is based on conversations with staff and management of these facilities. I try to depict the way management views the staff support, demanding situations they are exposed to and their idea of management support. Last but not least I⁠ focus on the supervision area, the way the staff perceives it, to what extent they see it as a contribution (benefit) and what do they expect of it. Powered by TCPDF (www.tcpdf.org)