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The Impact of Lived Experience Representative Bureaucracy on the Perceived Humanness and Deservingness of Clients: Analyzing First Responders’ Attitudes Toward People with Opioid Use Disorder
Title
The Impact of Lived Experience Representative Bureaucracy on the Perceived Humanness and Deservingness of Clients: Analyzing First Responders’ Attitudes Toward People with Opioid Use Disorder.
Creator
Lofaro, Ryan J., Sapat, Alka K., Florida Atlantic University, School of Public Administration, Dorothy F. Schmidt College of Arts and Letters
Abstract/Description
Representative bureaucracy theory has mainly been used to understand how identities related to race, ethnicity, and gender influence how bureaucrats administer public services. Although representation through lived experience has expanded the scope of the theory, this theoretical thread has mostly focused on the perspectives of management. In addition, the literature has generally analyzed the values, beliefs, and actions of minoritized bureaucrats rather than those of the racial and ethnic...
Show moreRepresentative bureaucracy theory has mainly been used to understand how identities related to race, ethnicity, and gender influence how bureaucrats administer public services. Although representation through lived experience has expanded the scope of the theory, this theoretical thread has mostly focused on the perspectives of management. In addition, the literature has generally analyzed the values, beliefs, and actions of minoritized bureaucrats rather than those of the racial and ethnic majority. The purpose of this dissertation is to employ lived experience and traditional representative bureaucracy theories to understand the influence of first responders’ experiences with addiction on their viewpoints regarding the humanness and deservingness of clients with opioid use disorder; examine how white first responders perceive clients of different races; and analyze the effect of lived experience on sentiments regarding clients of color. In this dissertation, I surveyed county- and municipal-level EMS-providers and law enforcement workers in the United States, utilizing a survey experiment and mediation models for the analysis. Results show that indirect and direct lived experiences—respectively, having a family member or friend who has experienced an addiction and feeling addiction has had a direct impact on respondents’ lives—predicted increases in client deservingness, mediated by ascribed humanness and driven largely by EMS-providers. However, responding to opioid overdoses and administering naloxone— on-the-job lived experiences—were associated with reduced deservingness and ascribed humanness in both law enforcement and EMS organizations. Regarding the race of the client, white police personnel had more positive views of white clients with opioid use disorder relative to Black and unidentified clients, with effects amplified by on-the-job and indirect experiences but blunted by direct experiences.
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/FA00014282
Subject Headings
Public health administration, Bureaucracy, Opioid Crisis
Format
Document (PDF)
Public health nurse managers' perception of Total Quality Management initiatives
Title
Public health nurse managers' perception of Total Quality Management initiatives.
Creator
Wright, Carol Ann., Florida Atlantic University, Ray, Marilyn A.
Abstract/Description
The purpose of this descriptive study was to explore public health nurse managers' perception of Total Quality Management (TQM) Initiatives in the practice setting. Data sources included interviews with six public health nurse managers. A conceptual model was developed and subsequently analyzed in relationship to Watson's (1988) Human Theory of Caring and Total Quality Management Theory. It was discovered that public health nurse managers described favorable experiences working with TQM...
Show moreThe purpose of this descriptive study was to explore public health nurse managers' perception of Total Quality Management (TQM) Initiatives in the practice setting. Data sources included interviews with six public health nurse managers. A conceptual model was developed and subsequently analyzed in relationship to Watson's (1988) Human Theory of Caring and Total Quality Management Theory. It was discovered that public health nurse managers described favorable experiences working with TQM implementation and the team process. Although the study's findings did not support a direct relationship between Watson's Theory and congruence with public health nursing practice and TQM initiatives there is an implied relationship to the universal nursing theories of caring with a strong emphasis on advocacy in guiding public health nursing practice. Recommendations for nursing administration, practice, education and research are presented.
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Date Issued
2000
PURL
http://purl.flvc.org/fcla/dt/12707
Subject Headings
Total quality management, Nurse administrators, Public health administration
Format
Document (PDF)
Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry
Title
Chief nursing officer sustainment in the continued practice of nursing leadership: a phenomenological inquiry.
Creator
Prestia, Angela S., Sherman, Rose O., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description
The highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning...
Show moreThe highly complex role of the Chief Nursing Officer (CNO) requires the refinement of a multitude of competencies and leadership skills in this unprecedented time of healthcare reform. As the senior most patient advocate in our medical centers the CNO is responsible for translating research into practice, policy development and implementation creating value based patient-centric strategies to transform health care. The ability to sustain and thrive in this role is essential in repositioning nursing as a knowledgeable discipline actively contributing to the redesign of healthcare. This exploratory descriptive phenomenological study was designed to explore and describe the elements that contribute to the sustainment of CNOs in their practice of nurse executive leadership. Ray’s (1989) Theory of Bureaucratic Caring, Authentic Leadership Theory (Wong & Cummings, 2009), and Resiliency Theory (Earvolino- Ramirez (2007) provided the theoretical lens through which this study was grounded. Semi-structured telephonic interviews were conducted with twenty CNOs all with two consecutive years experience in their current role. Six themes emerged after thorough content analysis which describes the lived experience of sustainment. Each theme was supported by several subthemes. Themes emerged as: Loving the Profession, Having a Broader Impact Reflecting on One’s Own Work, Learning to Manage Conflict, Maintaining Work/Life Balance Working with Supportive Leaders.
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Date Issued
2014
PURL
http://purl.flvc.org/fau/fd/FA00004320
Subject Headings
Health services administration, Leadership, Nurse administrators, Nursing ethics -- Philosophy, Nursing services -- Administration, Outcome assessment (Medical care), Public health personnel
Format
Document (PDF)
analysis of accountability in public-private health care programs serving vulnerable populations
Title
An analysis of accountability in public-private health care programs serving vulnerable populations.
Creator
Cleare, Thomas W., School of Public Administration, College for Design and Social Inquiry
Abstract/Description
References to accountability are common throughout public administration literature. However, a clear model to assess accountability in government programs is not fully developed. This research fills this gap and provides policymakers with a tool they can use to assess accountability in both public and contracted programs and enables them to make more informed contracting-out decisions. In addition, the Integrated Accountability Framework introduced in this research will serve as a guideline...
Show moreReferences to accountability are common throughout public administration literature. However, a clear model to assess accountability in government programs is not fully developed. This research fills this gap and provides policymakers with a tool they can use to assess accountability in both public and contracted programs and enables them to make more informed contracting-out decisions. In addition, the Integrated Accountability Framework introduced in this research will serve as a guideline for how public administrators can improve accountability in the programs they administer and oversee. For the public and private health care programs analyzed in this study, the findings indicate that the publicly delivered programs provided more accountability to the vulnerable populations served than the contracted-out health care programs.
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Date Issued
2011
PURL
http://purl.flvc.org/FAU/3169917
Subject Headings
Health services administration, Public administration, Moral and ethical aspects, Municiipal services, Contracting out, Administrative responsibility
Format
Document (PDF)