The framework presented in this dissertation seeks to provide a comprehensive view of long-term care that can serve as a unifying structure. Under this framework, the context of long-term care is defined by the "reality structure," "client system determinants," and "mediating variables". Each of these elements represents a cluster of variables that may impact on the specific long-term care situation under consideration. / The reality structure includes those influences that may be conceptualized as values. These stem from the culture in which one lives, organizational structures, and the idiosyncratic experience of each individual. Client system determinants include those factors that operate at the level of the long-term care client system including demographic variation, impairment level, and individual subjectivity. Mediating variables include social resources, economic resources, formal system resources, and environmental moderators. These four subgroups--social resources, economic resources, formal service resources, and environmental mediators--form the larger block of mediating variables. Under the influence of the reality structure, the mediating variables interact with the client system determinants to provide an explanation for the multitude of formal and informal service patterns through which long-term care needs may be met. / In order to operationalize a portion of the reality structure used in this framework, a scale was developed to assess one's Attitude Toward the Provision of Long-term Care (ATPLTC). The reliability of this scale was established to be.86 using Cronbach's alpha. In addition, initial validation for the scale was demonstrated through the use of a variety of correctional techniques and factor analysis. / The ATPLTC was used to assess the relationship between caregiver attitude and several other characteristics. The relationships between attitude and caregiver status, educational level, race, employment status, subjective burden and relationship between caregiver and care receiver were found to be significant. / Source: Dissertation Abstracts International, Volume: 49-06, Section: A, page: 1579. / Major Professor: Michael L. Frumkin. / Thesis (Ph.D.)--The Florida State University, 1988.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_76304 |
| Contributors | Klein, Waldo Curtis., Florida State University |
| Source Sets | Florida State University |
| Language | English |
| Detected Language | English |
| Type | Text |
| Format | 365 p. |
| Rights | On campus use only. |
| Relation | Dissertation Abstracts International |
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