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Pub Date: |
2013-06-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Older Adults; Individual Needs; Disabilities; Patients; At Risk Persons; Hospitals; Probability; National Surveys
Abstract:
Purpose: This study determined whether returning to the community from a recent hospitalization with unmet activities of daily living (ADL) need was associated with probability of readmission. Methods: A total of 584 respondents to the 1994, 1999, and/or 2004 National Long-Term Care Surveys (NLTCS) who were hospitalized within 90 days prior to the interview and reported ADL disability at the time of the interview were considered for analysis. Medicare claims linked to the NLTCS provided information about hospital episodes, so those enrolled in Health Maintenance Organizations or Veterans Affairs Medical Centers were not included (n = 62), resulting in a total sample size of 522. ADL disability was defined as needing human help or equipment to complete the task. Unmet ADL need was defined as receiving inadequate or no help for one or more ADL disabilities. Disability that began within 90 days of the interview was considered new disability. Results: After adjusting for demographic, health, and functioning characteristics, unmet ADL need was associated with increased risk for hospital readmission (HR: 1.37, 95% CI: 1.03-1.82). Risk of readmission was greater for those with unmet need for new disabilities than those with unmet need for disabilities that were present before the index hospitalization (HR: 1.66, 95% CI: 1.01-2.73). Implications: Many older patients are discharged from the hospital with ADL disability. Those who report unmet need for new ADL disabilities after they return home from the hospital are particularly vulnerable to readmission. Patients' functional needs after discharge should be carefully evaluated and addressed.
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Author(s): |
Morton, Charlene A. |
Source: |
Action, Criticism, and Theory for Music Education, v11 n2 p20-41 Sep 2012 |
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Pub Date: |
2012-09-00 |
Pub Type(s): |
Journal Articles; Reports - Evaluative |
Peer Reviewed: |
Yes |
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Descriptors:
Music Education; Helping Relationship; Professional Occupations; Music Teachers; Teacher Attitudes; Teacher Role; Self Esteem; Females; Figurative Language; Ethics; Music; Teacher Burnout; Individual Needs; Role; Individual Development
Abstract:
In his book, Chris Higgins acknowledges the challenges of teaching associated with heavy workloads, increasing responsibilities, and often diminishing respect from the very public institutions that teachers serve. However, his purpose is not to deplore the external conditions of teaching but to raise concerns about its service culture. He argues that the first step in improving the overall well-being of teachers--and thus, promoting the good life of teaching--is to ask "How do we reconcile self-regard and concern for others?". In other words, the approach Higgins takes to improving the lives of teachers does not consider political action(s) to obtain better pay, benefits, and working conditions. Rather, his approach is to reconfigure questions about teacher identity, motivation, and development within a new ethics and "ethos" of teaching that would make a career in education more personally sustainable and, thus, more humane. In this article, the author undertakes a critical analysis of a wide range of the motivations that are shaped by the responsibilities of music educators not simply to teach but also to perform and to please. She explains how she understands what "self-cultivation" means in the context of music education, where it is pursued "in, through, and for" teaching music to students. The first section of this review helps identify what constitutes a lack of balance and becoming by examining the manner of self-sacrifice particular to music education as a sub-profession that is "coded female." The second section provides a critical interpretation of Kafka's "Hunger Artist" as an allegory for music teachers' passion to make music. As a cautionary tale about moral and artistic codes that advance asceticism and burn-out to the point of deadly self-sacrifice for one's art, the plight of the hunger artist alludes to similar consequences as well as motivations for teaching music. The third section introduces the phenomenon of the Hungry Ghost as an allegory to help understand the psychosocial relationship between a particular set of motivations stemming from an uncritical and insatiable passion for (teaching) music and a more common set of motivations stemming from the dynamics of consumerism. The last section underscores the merit of Higgins's recommendation to promote self-cultivation as a necessary element in professional development if music educators are to reconcile not only self-regard and a concern for others but also a passion for teaching music and an educative "vision of human flourishing, individually or collectively." (Contains 11 notes.)
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Author(s): |
Mendenhall, Amy N. |
Source: |
Journal of Child and Family Studies, v21 n4 p603-611 Aug 2012 |
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Pub Date: |
2012-08-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Emotional Disturbances; Psychotherapy; Regression (Statistics); Children; Drug Therapy; School Health Services; Mental Health; Depression (Psychology); Parent Attitudes; Place of Residence; Individual Needs; Predictor Variables; Help Seeking; Symptoms (Individual Disorders); Severity (of Disability); Mental Disorders; Parents
Abstract:
In this study, I investigated patterns and predictors of service utilization for children with mood disorders. The Behavioral Model for Health Care Utilization was used as an organizing framework for identifying predictors of the number and quality of services utilized. Hierarchical regression was used in secondary data analyses of the Multi-Family Psychoeducational Psychotherapy study (MF-PEP), a randomized controlled trial of 165 children aged 8-12 with mood disorders. The children were using an average of two services, with pharmacotherapy and school services as most frequent. Children with bipolar disorders used significantly more and higher quality services than children with depressive disorders. Parent knowledge of mood disorders, area of residence, and perceived need for treatment were all related to the number of services families were utilizing. Parent knowledge of mood disorders and treatment, child's age, and mood symptom severity were all predictors of the quality of services being utilized. Findings highlight the impact of non-need factors on service utilization and the potential to decrease disparities caused by these factors. For example, increasing efforts to educate both the general public and individual families coming in for treatment about children's mental health may improve service utilization patterns in this population.
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Pub Date: |
2012-07-00 |
Pub Type(s): |
Numerical/Quantitative Data; Reports - Research; Tests/Questionnaires |
Peer Reviewed: |
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Descriptors:
Females; Participant Characteristics; Veterans; Individual Needs; Comparative Analysis; Demography; Measures (Individuals); Surveys; Sampling
Abstract:
In 2011, CalVet and the California Commission on the Status of Women (the Commission) requested the California Research Bureau (CRB) conduct a second iteration of its 2009 survey of women veterans; identifying their needs, surveying their service utilization and gathering information on their demographics. This report provides the findings of the 2011 Survey. This report is organized into five chapters. In chapter one, the authors discuss the current state of research about women veterans by providing an overview of the literature. They then discuss the methodology used in conducting this survey. In chapter two, they provide the reader with information about the participant characteristics and compare these with a national sample and a sample taken by CRB in 2009. In chapter three, they examine the needs identified by women veterans. The authors provide a breakdown of these needs by service era, age, and other key variables. Chapter four reviews the service utilization pattern of women veterans. It discusses both state and federal services, their utilization, and women's knowledge of these services. Wherever possible, the findings are compared to those of national samples and of the 2009 CRB survey of women veterans. Chapter five includes the conclusions and suggestions for future iterations of this survey. Appended are: (1) Survey Instrument; (2) Scripting Tool; and (3) Works Cited. (Contains 34 figures and 18 tables.) [For "California's Women Veterans: Responses to the 2011 Survey. CRB Briefly Stated," see ED536751.]
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Pub Date: |
2012-00-00 |
Pub Type(s): |
Journal Articles; Reports - Research |
Peer Reviewed: |
Yes |
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Descriptors:
Teaching Experience; Rural Education; Foreign Countries; Professional Development; Interviews; Rural Schools; Demography; Incentives; Teaching (Occupation); Indigenous Populations; Teacher Persistence; Curriculum Design; Educational Assessment; Individual Needs; Student Needs; Interpersonal Communication; Interprofessional Relationship; Teachers
Abstract:
Teaching in remote schools can prove to be a challenging experience. Twenty three teachers from remote schools, located in Western Australia, were interviewed about their teaching and living experiences in isolated communities. The interview questions were designed to elicit information regarding three areas: demographic information; reasons for applying for a position in an isolated school and living in a remote community; and, professional factors impacting on the respondents. Interviews were conducted during a residential professional development session and involved twenty-three teachers with wide ranging ages and teaching experience. These teachers identified a number of affective factors including what attracted them to teach in remote communities, what they liked and disliked about their lifestyle and why they decided to stay in the community in which they lived and taught. Professional factors identified included teaching and learning issues; curriculum and assessment; catering for individual needs; liaising with Aboriginal Education Workers; engaging and managing students; pedagogical issues and professional development. Teachers also identified the professional benefits and challenges of teaching in remote communities. The article concludes with a short discussion on the paradoxes of living and teaching in isolated locations, followed by outlining three recommendations derived from the interview data.
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