Interventions to Reduce the Impact of Client Death on Home Care Aides: Employers’ Perspectives

2021 ◽  
pp. 073346482198985
Author(s):  
Emma K. Tsui ◽  
Emily Franzosa ◽  
Jennifer M. Reckrey ◽  
Marita LaMonica ◽  
Verena R. Cimarolli ◽  
...  
Keyword(s):  
New York ◽  
Home Care ◽  
Job Insecurity ◽  
Future Research ◽  
Supportive Services ◽  
Key Informant ◽  
Care Aides ◽  
Facilitators And Barriers ◽  
The Impact ◽  
Agency Action

For home care agencies and aides, the death of clients has important, yet often unrecognized, workforce implications. While research demonstrates that client death can cause grief and job insecurity for aides, we currently lack home care agencies’ perspectives on this issue and approaches to addressing it. This study uses key informant interviews with leaders from a diverse sample of eight New York City home care agencies to explore facilitators and barriers to agency action. We found that agencies engaged primarily in a range of informal, reactive practices related to client death, and relatively few targeted and proactive efforts to support aides around client death. While leaders generally acknowledged a need for greater aide support, they pointed to a lack of sustainable home care financing and policy resources to fund this. We recommend increased funding to support wages, paid time off, and supportive services, and discuss implications for future research.

Roundtable Discussion of the Impact of the 4th World Symposium on Pulmonary Hypertension

2009 ◽  
Vol 8 (2) ◽  
pp. 89-94
Author(s):  
Robyn J. Barst ◽  
Marc Humbert ◽  
Ivan M. Robbins ◽  
Lewis J. Rubin ◽  
Robyn J. Park
Keyword(s):  
New York ◽  
Pulmonary Hypertension ◽  
Vascular Diseases ◽  
Assistant Professor ◽  
Associate Professor ◽  
Future Research ◽  
Columbia University ◽  
School Of Medicine ◽  
Maryland School ◽  
The Impact

A discussion among attendees of the 4th World Symposium on Pulmonary Hypertension took place to share “an insider's look” into the current and future research and treatment implications in pulmonary hypertension. Myung H. Park, MD, guest editor of this issue of Advances in Pulmonary Hypertension, Assistant Professor of Medicine and Director, Pulmonary Vascular Diseases Program, Division of Cardiology, University of Maryland School of Medicine, Baltimore, moderated the discussion. Participants included Robyn Barst, MD, Professor Emerita, Columbia University, New York; Marc Humbert, MD, PhD, Universite Paris-Sud, French Referal Center for Pulmonary Hypertension, Hopital Antoine-Beclere, Assistance Publique Hopitaux de Paris, Clamart, France; Ivan Robbins, MD, Associate Professor of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee; and Lewis J. Rubin, MD, Clinical Professor, Department of Medicine, University of California, San Diego.

scholarly journals Pre-Existing Inequality: The Impact of COVID-19 on Medicare Home Health Beneficiaries

2021 ◽  
Vol 33 (2) ◽  
pp. 130-136
Author(s):  
William Cabin
Keyword(s):  
Mental Health ◽  
New York ◽  
Home Care ◽  
Population Based ◽  
Home Health ◽  
Physical And Mental Health ◽  
Convenience Sample ◽  
Medicare Population ◽  
Home Health Agencies ◽  
The Impact

There is significant data on the adverse impact of COVID-19 on persons who were poor, minorities, had compromised physical or mental health, or other vulnerabilities prior to the COVID-19 pandemic. A significant portion of the overall Medicare population has such vulnerabilities. The Medicare home health beneficiary population is even more vulnerable than the overall Medicare population based on gender, race, income level, living alone status, and number of chronic conditions. A literature review indicates there is only 1 study on the impact of COVID-19 in Medicare home health on home care workers and none on the impact on home health beneficiaries. The current study is a qualitative study based on interviews of a convenience sample of 48 home care nurses from 9 different home health agencies in New York City between April 1 and August 31, 2020. Six major themes emerged: need for social service supports increased; loneliness and depression increased among patients; physical and mental health conditions became exacerbated; substance use and abuse increased; evidence of domestic violence against patients increased; and there was a limited amount of staff and equipment to care for patients.

scholarly journals Parenting Satisfaction Among Homeless Caregivers

2018 ◽  
Vol 40 (1) ◽  
pp. 33-47 ◽  
Author(s):  
Binta Alleyne-Green ◽  
Alex Kulick ◽  
Kendra P. DeLoach McCutcheon
Keyword(s):  
New York ◽  
Parenting Stress ◽  
Future Research ◽  
Homeless Families ◽  
Black Parents ◽  
Parenting Satisfaction ◽  
Stress Study ◽  
Urban Sample ◽  
The Impact ◽  
Homeless Parents

This study explored the impact of parenting satisfaction and shelter comfort on depression and parenting stress among an urban sample of homeless caregivers residing in New York City. This research provides a new understanding of the impact that parenting satisfaction and shelter comfort has on depression and stress on homeless parents ( n = 201). Linear regression results indicated that parenting satisfaction and shelter environment were the biggest influencers of homeless families experiencing more or less parenting stress. Black parents reported significantly lower rates of parenting stress than their non-Black counterparts. Results also indicated that, as parents become more satisfied with their parenting and feel more comfortable at the shelter, they experienced fewer depressive symptoms. We also found that when parents were satisfied with their parenting, they experienced less parenting stress. Study limitations and future research are also discussed.

Evaluating the Impact of “Old” Criminal Conviction Decision Guidelines on Subsequent Employment and Arrest Outcomes

2016 ◽  
Vol 54 (3) ◽  
pp. 379-408 ◽  
Author(s):  
Megan Denver
Keyword(s):  
New York ◽  
Labor Market ◽  
Job Applicants ◽  
Causal Effects ◽  
Future Research ◽  
Threshold Values ◽  
Background Check ◽  
Criminal Background ◽  
Market Benefits ◽  
The Impact

Objectives: Redemption scholars estimate that after an average of 7-10 years pass without a new arrest or conviction, a person’s criminal record essentially loses its predictive value. This article provides the first labor market and recidivism estimates of implementing a criminal background check decision guideline based on this redemption research. Methods: The sample consists of provisionally hired job applicants in New York State’s healthcare industry with at least one prior conviction. A “10 years since last conviction” guideline situated within a highly formalized criminal background check process plausibly creates conditional random variation in clearance decisions, which allows for a regression model to estimate causal effects. Results: Individuals cleared to work because of the 10-year guideline experience meaningful improvements in employment and earnings, but not recidivism on average. However, men do experience reductions in subsequent arrests, which appears to be driven by more complex factors beyond simply time since last arrest. Conclusions: For some individuals, receiving clearance to work even a decade after their last conviction can have not only labor market benefits, but also important recidivism implications. Future research should explore the employment opportunity/recidivism trade-off in adjusting guideline threshold values and consider alternative redemption strategies.

The impact of representation media on customer engagement in tourism marketing among millennials

2019 ◽  
Vol 53 (9) ◽  
pp. 1988-2017 ◽  
Author(s):  
Kim Willems ◽  
Malaika Brengman ◽  
Helena Van Kerrebroeck
Keyword(s):  
New York ◽  
Purchase Intentions ◽  
Customer Engagement ◽  
Future Research ◽  
Target Market ◽  
Content Type ◽  
Tourism Marketing ◽  
Tourism Information ◽  
Travel Industry ◽  
The Impact

Purpose As online travel marketing is evermore gaining importance, in particular regarding the pre-purchase presentation of travel destinations, it is imperative to examine how various media can engage consumers. The purpose of this paper is to identify how three prominent virtual representation media in tourism marketing differ regarding their potential in engaging customers. In particular, the authors examine whether they differ in the levels of interactivity, vividness and telepresence they elicit; and the impact of these dimensions on flow, enjoyment and online purchase intentions. The authors hereby focus specifically on millennials, who represent an important target market for the travel industry and are hard to reach via traditional media. Design/methodology/approach This study presents a between-subjects experimental design comparing three virtual representation media portraying New York City, namely, photographs, 360° video and virtual reality (VR). The findings are analysed with ANCOVA analysis and PLS path modelling. Findings The findings reveal that various media indeed generate different levels of customer engagement. In particular, VR scores the highest on all dimensions, with interactivity having the largest effect on consumers’ perception of telepresence. Such higher levels of telepresence in turn positively affect purchase intentions via mediation through flow and enjoyment. Research limitations/implications Future research should examine whether these findings are impacted by moderators, like consumer characteristics (e.g. socio-demographics, personality traits) and destination types. Practical implications This study provides guidelines for tourism providers seeking to promote their sites in innovative and effective ways, in the anticipatory stage of the customer journey. Originality/value This study identifies interactivity as the most important driver for consumers’ perception of telepresence in the context of pre-travel tourism information. Moreover, the findings also reveal the mechanisms behind enhanced customer engagement via various media.

The Impact of Counsel at First Appearance on Pretrial Release in Felony Arraignments: The Case of Rural Jurisdictions

2019 ◽  
Vol 31 (6) ◽  
pp. 833-856
Author(s):  
Alissa Pollitz Worden ◽  
Reveka V. Shteynberg ◽  
Kirstin A. Morgan ◽  
Andrew L. B. Davies
Keyword(s):  
New York ◽  
Future Research ◽  
Pretrial Release ◽  
Court Reform ◽  
Upstate New York ◽  
Rural Counties ◽  
Mixed Support ◽  
The Impact ◽  
Expected Outcomes

This article examines the impact of early provision of counsel on judges’ pretrial release and bail decisions in two rural counties in upstate New York, in cases involving felony charges. This study builds upon previously reported research on misdemeanor cases. We note that although the stakes are higher in felony cases, few studies have investigated the dynamics of first appearance decisions at either level. We investigate the hypotheses that when defendants are represented by attorneys at their first appearances in court, (a) judges are more inclined to release on recognizance or under supervision, (b) judges impose less restrictive bail amounts, and (c) as a consequence, defendants spend less time detained prior to disposition. We find mixed support for these hypotheses, although some evidence that counsel at first appearance (CAFA) produces the expected outcomes. We conclude that the implementation of programs intended to ensure CAFA may be tempered by courthouse cultures, and that future research on court reform should include the study of rural jurisdictions.

Perspective: The Community Barometer: A Breast Health Needs Assessment Tool for Community-Based Organizations

2006 ◽  
Vol 33 (5) ◽  
pp. 558-573 ◽  
Author(s):  
David Lounsbury ◽  
Bruce Rapkin ◽  
Lisa Marini ◽  
Elizabeth Jansky ◽  
Mary Jane Massie
Keyword(s):  
New York ◽  
Needs Assessment ◽  
Assessment Tool ◽  
Academic Community ◽  
Future Research ◽  
Breast Health ◽  
Cancer Awareness ◽  
Community Based ◽  
Community Based Organizations ◽  
The Impact

This article presents findings from the ACCESS Project focusing on the impact of an outreach initiative that used “data sharing” as a mechanism to establish a wide variety of academic–community partnerships for cancer awareness. The Community Barometer, a brief needs assessment tool developed for this purpose, was used to collect data from clients, and sometimes staff members, of a variety of community-based organizations in New York City. Over a 5-year period, Barometer data were collected from 1,001 women who were affiliated with 20 community-based organizations. Analysis of these data supported our hypothesis that community-based organizations are more likely than chance to serve women with similar needs and preferences for breast health education and screening and that customized or tailored programs were warranted. Four case studies are presented. Limitations of the instrument and its administration in community settings as well as future research objectives are discussed.

Unexpected Arrivals

2016 ◽  
Vol 38 (4) ◽  
pp. 692-713 ◽  
Author(s):  
Emilyn Ruble Whitesell ◽  
Leanna Stiefel ◽  
Amy Ellen Schwartz
Keyword(s):  
New York ◽  
Public Schools ◽  
Urban Areas ◽  
English Language ◽  
Future Research ◽  
Negative Effects ◽  
Heterogeneous Effects ◽  
Eighth Grade Students ◽  
Short Run ◽  
The Impact

Across the country and in urban areas in particular, many students change schools during the academic year. While much research documents the impact of changing schools on the academic achievement of mobile students themselves, less research explores whether new arrivals have negative spillovers on stable classmates. The lack of research on impacts of mid-year entry is problematic, as poor, minority, and low-achieving students are disproportionately exposed to mid-year entry. In this study, we use a rigorous causal identification strategy and rich longitudinal data on fourth- through eighth-grade students in the New York City (NYC) public schools to estimate the impact of exposure to mid-year entry on the achievement of stable students. We analyze heterogeneous effects of mid-year entrants by origin (arriving from other NYC public schools, from other U.S. school systems, or from other countries), determine the extent to which mid-year entrants’ characteristics mediate the impact of mid-year entry, and explore the moderating influence of stable students’ characteristics. We find small negative effects of mid-year entry on both math and English language arts test scores in the short run. These impacts are not driven by mid-year entrant characteristics and are somewhat larger for Asian students and those who do not qualify for free or reduced-price lunch. Finally, results suggest mid-year entry continues to negatively influence the math performance of stable students beyond the year of exposure. We discuss the relevance of results and conclude with recommendations for future research.

scholarly journals Understanding the Impact of Bipolar Disorder Experience from an Insiders' Perspective

2020 ◽  
pp. 1-5
Author(s):  
Sophie Favre ◽  
Hélène Richard-Lepouriel ◽  
Sophie Favre
Keyword(s):  
Bipolar Disorder ◽  
Clinical Practice ◽  
Lived Experience ◽  
Life Experience ◽  
Single Case ◽  
Real Life ◽  
Future Research ◽  
Type I ◽  
Key Informant ◽  
The Impact

Introduction: Bipolar disorder is characterized by recurrent episodes of depression and hypomania and is often associated with functional impairment even between mood episodes. A substantial proportion of patients experience inter-episode mood swings, making bipolar disorder a complex psychiatric disorder to manage. Patients’ perspectives can enhance clinical practice and research. The present study aimed to explore the impact of the bipolar disorder experience from a patient’s perspective to facilitate better understanding in clinical practice and future research. Method: We conducted a single case study with a key informant living with bipolar disorder (type I) for more than 20 years. The key informant constructed a chart of his mood disorder experiences. Subsequently, he commented on the chart and these comments were noted down by his therapist. Results: We present a chart of lived experience perception by a person living with bipolar disorder. The main axis was reality perception and it was related with mood, identity, and functioning. The comments on the chart provided a detailed and accurate description of a lived experience of functioning of bipolar disorder and its impact on a person’s life. Discussion: Globally, the experiences described by the key informant are consistent with previous literature. The principal finding was the meaning of the subjective experiences of reality perception, their relation with mood change, and impact on the person’s life. The perception of reality seems to be a key factor in the experience of bipolar mood swings. Not only did the disorder affect the self and the functioning, but at its extreme, reality “either did not matter or did not exist.” This feeling enhanced the sense of being disconnected from the world and the surroundings and led to the experience of extreme loneliness. Conclusion: The description in this study cannot be generalized, since it was conducted with only one subject. However, it provided a better insight into the detailed real-life experience that can be useful for clinicians treating persons living with bipolar disorder. Such descriptions obtained from a qualitative procedure can also be combined with quantitative data in patients' assessments and research. This study suggests that the experience of “disconnection” should be investigated further.

Job insecurity and compensation evaluations: the role of overall justice

2016 ◽  
Vol 54 (3) ◽  
Author(s):  
Jeffrey Joseph Haynie ◽  
Daniel J. Svyantek ◽  
Matthew J Mazzei ◽  
Virajanand Varma
Keyword(s):  
Organizational Justice ◽  
Design Methodology ◽  
Job Insecurity ◽  
Future Research ◽  
Pay Satisfaction ◽  
Overall Justice ◽  
The Impact ◽  
Practical Implications ◽  
Satisfaction Relationship

Purpose The present study examined the relations of job insecurity with pay and incentive satisfaction and the role of overall justice in these relationships. Design/methodology/approach The authors surveyed employees of an industrial equipment sales firm located in the Southeastern United States. Surveys were completed by 151 employees using instruments assessing job insecurity, overall justice, pay satisfaction, and incentive satisfaction. Findings The study results indicated job insecurity is negatively related to both pay and incentive satisfaction. Further, the study found that overall justice mediated the job insecurity to pay satisfaction relationship, but not the job insecurity to incentive satisfaction relationship. Research limitations/implications Because overall justice only explained the job insecurity-pay satisfaction relationship, future research should examine other potential mediators to better understand these disparate effects when compared with incentive satisfaction. Future research should also examine our model with a larger sample using a time-lagged design to further mitigate the limitations of the study. Practical implications The results of this study suggest that employees who contain a strong fear of job loss tend to experience reduced pay and incentive satisfaction levels. Managers should do what they can to limit the impact of job insecurity on these attitudes and provide additional training to employees in coping strategies so that they might better deal with the job insecurity stressor. Originality/value Integrating the literatures on stress appraisal and organizational justice, the empirical model provides understanding of how job stressors and perceptions of organizational justice influence pay and incentive satisfaction.

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