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Tesi sul tema "Client staff"

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Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 30 gennaio 2023

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1

Stewart, Rose E. "Borderline personality disorder from both sides : staff and client perspectives". Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/51658/.

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The difficulties faced by individuals attracting a diagnosis of Borderline Personality Disorder (BPD) are multiple and varied. Whilst the psychological difficulties characteristic of this diagnosis have a significant impact on these clients’ everyday lives, they also contend with others’ attitudes and responses to their diagnosis, which has proved both controversial and stigmatising. Chapter one concentrates on the stigma that surrounds the BPD label by presenting a systematic review of the literature relating to professionals’ attitudes and responses to individuals diagnosed with BPD. This highlights the predominantly negative perceptions of this client group, the strength of countertransference experienced by professionals working with this client group, and the ways in which clinicians respond to this. Chapter two concentrates on the perspectives of clients with BPD by reporting an empirical study investigating the lived experiences of parenting for mothers with BPD. The experiences of six mothers are explored using a phenomenological approach and the themes emerging from their interviews are discussed in detail. The findings are considered in relation to the existing literature and the implications in terms of providing support for mothers with BPD are discussed. Chapter three continues the theme of motherhood by presenting a reflective paper focussing on the analysis of parenting–related dreams experienced by the author during the course of the research. The personal and professional implications of the dream analysis and research completion are considered.

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2

Russell, Daniel Craig. "Educating staff at Fulton State Hospital regarding client spirituality issues". Theological Research Exchange Network (TREN), 2002. http://www.tren.com.

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3

Wright, Sharon Elizabeth. "Confronting unemployment in a street-level bureaucracy : jobcentre staff and client perspectives". Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/259.

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This thesis presents an account of the roles played by social actors in the implementation of unemployment policy in the UK. Lipsky’s (1980) theory of street-level bureaucracy has been adopted, updated to the contemporary context of the managerial state (Clarke & Newman, 1997) and developed in the specific case of the Jobcentre. The analysis is based on data collected during an ethnographic investigation of one case study Jobcentre office in Central Scotland. The methods consisted of six months of direct observation, interviews with 48 members of Jobcentre staff, semi-structured interviews with 35 users and analysis of notified vacancies and guidance documents. The argument is that front-line workers re-create policy as they implement it. They do so in reaction to a series of influences, constraints and incentives. Users therefore receive a service that is a modified version of the official policy. Users do not necessarily accept the policy that they are subjected to. They do not identify with the new managerialist notion of customer service because as benefit recipients they are denied purchasing power, choice and power. Unemployment policy is not delivered uniformly or unilaterally because front-line staff are active in developing work habits that influence the outcomes of policy. Policy is accomplished by staff in practice by categorising users into client types. This is significant because staff represent the state to the citizen in their interaction. Users are also active in accomplishing policy, whether they conform with, contest, negotiate or co-produce policy. Understanding what unemployment policy actually is, and what it means to people, depends on understanding these social processes by which policy emerges in practice.

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4

Meson, Tracy. "An exploration of the staff variables on helping behaviour : a pilot study of the staff-client interactive behaviour inventory". Thesis, University of East Anglia, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.554260.

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Background. Previous research examining staff responses to clients with a learning disability and challenging behaviour have focused on behavioural models, and Weiner's (1980) helping behaviour model. More recently, Willems et al. (2010) considered the interactional nature of the staff-client interaction using Benjamin's Structural Analysis of Social Behaviour (1974). This was considered novel to this study. They developed the Staff Client Interactive Behaviour Inventory (SCIBI) on the basis of this model. Aims. The aim of the current study was thus twofold: to pilot the SCIBI in a British population, investigating possible relationships between staff responses ('helping behaviour') and the SCIBI factors, and to assess the psychometric properties of the SCIBI. Method. The SCIBI was originally piloted in a Dutch sample, and thus the language composition was adjusted initially. This study recruited frontline support staff in community settings for adults with a learning disability and challenging behaviour (N = 67). All participants completed the SCIBI, Intrex questionnaire (Benjamin, 1983,2000) and measure of helping behaviour in response to an identified target client. The factors of the SCIBI were correlated with staff helping behaviour to explore possible relationships. The psychometric properties of the SCIBI were also assessed (internal consistency, test-retest reliability & concurrent validity). Results. A significant positive relationship was found between helping behaviour and assertive control on the SCIBI. The results of this study found poor reliability for the SCIBI in a British sample. The concurrent validity of the SCIBI was only found to be good enough for the hostility factor of the SCIBI. Conclusions. To conclude the results of this study found little support for a relationship between the SCIBI factors and helping behaviour. Further, the pilot data investigating its psychometric properties in a British population demonstrated poor reliability and validity. The SCIBI in this study had several limitations.

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5

Crawford, Grace Edith. "Associations Between Staff Willingness to Help and Client Challenging Behaviour; The Role of Staff Attributions, Emotions and CHent Perceptions of their Relationship with Care Staff". Thesis, University of Manchester, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.525920.

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6

Smith, Terry L. "Staff knowledge of client rights in West Virginia institutions for the developmentally disabled". Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/53585.

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Analysis of staff knowledge of client rights in West Virginia institutions for the developmentally disabled was undertaken in this study. Even with the identification of guaranteed rights for institutionalized individuals through federal and state legislation, standards, policies, and judicial decisions, whose findings have shown that violation of client rights continues to occur in most institutions. A review of the literature indicated that one possible cause for the continuation of rights violations may be the staff limited understanding of client rights. The literature also has revealed few studies have attempted an investigation in this area. This study involved 644 full-time staff who were representative of one of six different job categories. The staff were employed in one of three West Virginia institutions for the developmentally disabled. It was hypothesized that if differences in staff knowledge of client rights were identified, this information could be used to direct staff training and policy-making decisions and perhaps minimize the continuous violations of client rights. That significant differences in knowledge of client rights did exist when different job categories of staff were compared within each institution as well as across institutions. It was found that significant relationships in knowledge of client rights exist between staff with different job longevity rates, but the correlation was too low to be considered a reliable predictor of limited value. No significant differences in staff knowledge of client rights were found between the three institutions. The implication of these research findings and the future need for research in this area are discussed.
Ed. D.

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7

Gillespie, Morna. "Clients engagement with assertive outreach services : a comparison of client and staff perceptions of engagement and its effect on later engagement". Thesis, University of Birmingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269552.

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Volume I of the thesis comprises the research component, which consists of two papers: a review paper and a main empirical paper. The review paper explores to what extent engaging with services may be beneficial or detrimental to people with severe and enduring mental health problems. The paper examines the impact of therapeutic alliance, duration of untreated psychosis and assertive outreach services. The potential negative impact of engagement with services is also addressed by reviewing studies looking at stigma, labelling and racial discrimination. The paper concludes that engaging with services has the potential to be beneficial to people with severe and enduring mental health problems, once barriers such as stigma and racial discrimination have been addressed, and services are acceptable to the people using them. The main empirical paper explores clients' engagement with assertive outreach services, comparing client and staff perceptions of engagement and its impact on later engagement. The study's findings highlight differences and similarities between client and statT perceptions of engagement and suggest possible reasons for these. The clinical implications of these findings are discussed and future directions for research are suggested The final section of Volume I consists of a set of appendices. Appendix 1 is a public domain briefing paper that summarises the review paper and the main empirical paper. The remaining appendices contain information relevant to the main paper but not recorded within it. This information includes copies of questionnaire measures, demographic and clinical characteristics, information and consent forms, ethical approval and instructions to authors for journal submission. Volume II of the thesis consists of the five clinical practice reports completed during the course, which reflect work carried out on clinical placement. These reports include: a case study of a three and a half year old girl with a phobia of opening her bowels, formulated from three different theoretical perspectives; a study investigating community mental health team users' views on assertive outreach and services; a case study using exposure therapy to treat a man with a learning disability, who had a fear of visiting his G.P.; a single case experimental design of a staff intervention for an older adult with challenging behaviour; and a presentation of a shared formulation of a client with delusional beliefs in an assertive outreach team.

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8

Elliott, Teresa. "Service organisation, staff performance and client outcomes in services for people with learning disabilities". Thesis, University of Kent, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399603.

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9

Stairs, Mary E. "Dialectic tension of emancipation and control in staff/client interaction at shelters for battered women". Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1020184.

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This study investigates the dialectic of emancipation and control in the relationship between staff and clients at shelters for battered women. The dialectic of emancipation and control represents the tension shelter workers feel in trying to empower their clients while, at the same time, maintaining control over the programs and domestic order of the shelter. Past research has introduced this dialectic, but no studies exist which view it in the context of the staff/client relationship. Additionally, very little communication research exists exploring the interaction that takes place in shelters for battered women.Four employees of four different shelters were interviewed by this researcher. Their accounts were recorded, transcribed, and analyzed using the constant comparative review method consistent with grounded theory. The workers' accounts indicated that the nature of their profession requires them to be dominant over their clients in five areas. Additionally, the workers discussed four contradictory aspects of their work which reflect the existence of the dialectic of emancipation and control in their interaction with clients.
Department of Speech Communication

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10

Cameron, David. "The level of expressed emotion in staff client relationships of the severe and chronic mentally ill". Thesis, University of Ulster, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246898.

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11

Charlesworth, Phil. "Staff emotional reactions, self-efficacy and management of client aggression in a treatment and recovery service". Thesis, University of Leicester, 2004. http://hdl.handle.net/2381/31189.

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The aim of the research was to explore the emotional reactions of nursing staff to patient aggression within a psychiatric setting. More specifically, it aimed to investigate a number of factors associated with staff emotional reactions, including their perceived self-efficacy in dealing with such behaviour. The study additionally aimed to investigate the association between the negative emotions experienced by nursing staff and the intended management of aggressive behaviour.;Method. Sixty-six staff working within a NHS Treatment and Recovery Service completed a self-report questionnaire. Participants rated their emotional reactions and perceived self-efficacy after reading a vignette of patient aggression directed towards them. Staff then rated how likely they would manage the incident of aggression. Finally, demographic, support and training information was elicited.;Results. Significant associations were found between staff emotional reactions and perceived self-efficacy. Associations were found between various dimensions of emotional reactions and experience and support variables. Regression analyses revealed that perceived self-efficacy was a negative predictor of the fear/anxiety dimension of negative emotional reactions. For the depression/anger dimension, perceived self-efficacy was a negative predictor and support from the team leader was a positive predictor. Perceived self-efficacy was associated with various experience variables and training in breakaway techniques. Correlational analysis highlighted that negative emotional reactions were linked to more punitive, firm and avoidant management strategies.;Conclusion. The results are consistent with much of the literature surrounding staff emotional reactions to challenging behaviour and are discussed in relation to previous research. Clinical implications of the research are explored, and it is concluded that different interventions are needed to address staff negative emotional reactions to patient aggression. Further, measures could be adopted to increase perceived self-efficacy and support. Directions for future research are suggested and final conclusions made.

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12

Held, Alexandra N. "EFFECTS OF PUBLIC REVIEW AND POSTING OF CLIENT PROGRESS ON STAFF IMPLEMENTATION OF FUNCTIONAL COMMUNICATION TRAINING". Master's thesis, Temple University Libraries, 2017. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/431986.

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Applied Behavioral Analysis
M.S.Ed.
Three interventions using public posting and review of client data in order to increase the effectiveness of staff implementation of functional communication training (FCT) within a school setting were compared. These interventions included: public review and posting of client data, public review and posting of client data paired with a coded shape for each staff member, and public review and posting of client data paired with a coded shape for each staff member with added reinforcement incentives. There were three student participants and three staff participants. For two student participants, FCT increased from baseline through intervention phases and staff were more likely to implement functional communication training during the final phase where reinforcement was added for the staff. Added reinforcement increased staff implementation of FCT paired with public review and posting of client data. For the third participant, results varied, but staff implemented the most during the public review and posting phases compared to baseline and reached a mean of 10 responses per session. There was also a negative correlation between functional communication responses (FCR) and challenging behaviors for two participants. This supports previous research and demonstrates the value of functional communication training as a behavior intervention tactic.
Temple University--Theses

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13

Ching'andu, Bruno Mubanga. "Client-centric strategy in South African banks: perceptions of bank employees as staff members and as bank customers". Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/59802.

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Client-centric strategy has been viewed by many authors as a winning strategy to gains and satisfy customers as products and services get more commoditised. Aside from commoditisation of services, the global banking sector has the additional problem of loss of trust and high dissatisfaction post the global financial crisis. Silo structures have also been found to hamper client-centricity in banks. In the South African banking sector, all banks have stated that client-centricity would form a key part of their strategies to win over and service customers. However, the prevalence of client-centricity in their strategies remains unexplored. This research set out to measure the extent of client-centric practices used in South African banks from and triangulate these with customer perceptions. The study looked at four pillars of client-centricity from the available literature. These pillars were targeting, value proposition development, metrics and collaboration. The research also investigated the presence of some benefits of client-centricity, namely, trust, customer satisfaction, positive word of mouth, cross selling and customer loyalty were investigated in this research. The study was conducted on one of the major South African banks. It was a mixed methods approach with a sample 57 senior bank officials to provide insights on the strategy and 394 other staff members who were surveyed as bank customers. The results show that while the bank states client-centricity as a key imperative, targeting and definition of their market is mostly segment driven and not client driven. As such, customers are not used in the product development process and metrics used in the bank are primarily product based with relationship and engagement metrics used to a lesser extent. Cross departmental collaboration is lacking despite a belief among senior bank staff that other departments are willing and able to improve value propositions to clients. While the client-centric practices were not used in the bank, customers in the survey indicated that they trust their bank, are satisfied, say positive things about their bank, are likely to use the bank for future needs and are loyal to their bank. The results did show that while the benefits were realised, over a third do not believe the bank they work for is not client-centric.
Mini Dissertation (MBA)--University of Pretoria, 2017.
ms2017
Gordon Institute of Business Science (GIBS)
MBA
Unrestricted

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14

Buxton, Helen L. "The effects of running a validation therapy group on staff-client interactions in a day centre for the elderly". Thesis, University of East Anglia, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320814.

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15

Fell, Elizabeth. "A qualitative study exploring the support experienced by staff members following client related violence in inpatient mental health units". Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/19833/.

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Aim: To explore mental health inpatient staff members’ experiences of the support they have received following client related aggressive incidents. Background: Mental health inpatient staff members are exposed to verbal and physical violence and aggression from their clients. It is important to understand how staff make sense of their experiences, the support they receive and what support they would prefer following future aggressive incidents. Design: A single-cohort study employing qualitative, in-depth interviews. Qualitative thematic analysis was conducted within a social constructionist perspective. Methods: A qualitative study using semi-structured interviews conducted in 2013 in the North West of England. Fourteen mental health inpatient unit staff were recruited using purposive sampling. Findings: Thematic analysis identified five overarching themes: opportunities for reflection, making sense, staff self-esteem, feeling valued, and avoidant coping strategies. A thematic map was created to demonstrate the relationships between these themes, and their relevant subthemes. Conclusion: Inpatient mental health staff requested opportunities to reflect as a source of support after incidents of violence and aggression, and for management to acknowledge these difficult experiences. Participants suggested that their professional self-esteem and interaction with clients could be positively affected if they were given an opportunity to reflect after violent and aggressive incidents. Staff self-esteem was further influenced by feeling valued by management and other teams. If opportunities for reflection and managerial support are not provided there may be an increased risk that staff will rely on avoidant coping strategies. Further research could explore the relationships between the concepts of support described in this study.

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16

McFarland, Mary Joanne 1946. "Staff use of the problem and needs assessment questionnaire (PNAQ) in client placement and intervention decisions: A process evaluation". Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/558229.

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17

Meyer, Keirstin V. "Staff Interactions and Affect in Persons with Dementia: an Observational Study of a Memory Care Unit". DigitalCommons@USU, 2016. https://digitalcommons.usu.edu/etd/4701.

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By the year 2050 it is expected that the number of older adults living with dementia will triple. With 42% of persons with dementia living in residential care, it is vital that we better understand how to maintain high psychosocial well-being for this population, in this setting. The objective of this study was to better understand psychosocial well-being in persons with dementia. The research team observed affect in clients with dementia (n = 22), as well as staff interactions with clients in a residential memory care unit for a total of 6999 minutes. The first purpose was to examine overall proportions of client affect and staff interaction types, both for the whole sample, and in more detail (assessing inter/intraindividual differences) for the five most observed clients. The second purpose was to identify whether proportions of positive affect in clients differed based on staff interaction type. The third purpose was to examine themes emerging from a review of field notes when staff interactions and/or client affect were noted. Analyses identified that the most observed affect type was neutral affect (53.1% of all minutes observed). The most common interaction type was neutral or no interaction (81.1% of all minutes observed). Positive affect accounted for 44.5% of observations, and positive staff interactions for 18.1% of the observations. There was very little negative affect (2.4%) and negative interactions (.8%) observed. When staff had neutral/no/negative interactions, clients were positive 36% of the time, whereas when staff had positive interactions, clients were positive 81% of the time (z = 28.84, p < .001). The review of the field notes identified themes and subthemes related to behavioral problems and other client problems, and the staff either responding to or ignoring these problems. The review also identified occasions when staff engaged clients beyond what was required of them. While quantitative analyses suggested low rates of negative staff interaction, the field notes highlight that sometimes no interaction (ignoring a client) is also problematic. This study suggests that positive social interactions between staff and clients may be important in maintaining positive affect and overall wellbeing in persons with dementia.

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18

Berglund, Jennie, e Erika Patron. "Psykiatripersonalens arbete med patienter som har barn : Analyser av psykiatripersonalens muntliga framställningar". Thesis, Linnéuniversitetet, Institutionen för pedagogik (PED), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-52755.

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The purpose of this study was to investigate psychiatric staff’s descriptions of working with children of the clients and furthermore to analyse recollections on how the staff supports their clients in their parenting role. We’ve taken inspiration from a hermeneutic approach and conducted interviews with four individuals in closed psychiatry. The interviews was carried out using a semistructured conversation methodology. The analysis of staff depositions in our study shows that the work with the children happens both direct and indirect. It also shows that staff feel that they must have the ability to see their clients individual needs of emotional support, but also that their working to strengthen the clients self trust. The staff has to be aware that their work indirectly have an impact on the client’s children. As psychiatric staff it’s important to support the client in their current situation. As a professional, you should also be able to see everyone’s equal value, independent of diagnosis or committed crimes.

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19

Brunetti, Antonella Luisa. "The effect of an attribution of control to a self-harming client on mental health staff attitudes and choice of clinical management strategies". Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405527.

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20

Karlsson, Nina. "De professionella främlingarna : En kvalitativ studie kring hur konsulter upplever sin position på kundföretag och maktrelationen mellan konsulter och ordinarie personal". Thesis, Södertörns högskola, Institutionen för samhällsvetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-29242.

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Syftet med denna uppsats är att undersöka hur uthyrda konsulter upplever sin position på kundföretag samt hur de upplever den eventuella maktrelationen mellan konsulter och den ordinarie personalen. För att besvara detta syfte har en kvalitativ metod tillämpats, där fem konsulter i Stockholmsområdet intervjuats. Studien har visat konsulternas arbetssituation på många sätt är otillfredsställande. Studiens resultat visar att konsulterna upplever ett visst utanförskap på sitt nuvarande uppdrag, dock inte i den utsträckning som tidigare forskning och teoretiska ramverk antydde. De faktorer som påverkade graden av utanförskap var konsulternas anställningsform (heltid/deltid), uppdragets längd samt åldersfördelningen på arbetsplatsen. De konsulter som arbetade deltid på sitt nuvarande uppdrag upplevde ett starkare utanförskap och upplevde att de hade svårare att komma in i den etablerade arbetsgruppen medan de konsulter som arbetade heltid kände en starkare samhörighet med kundföretaget och dess anställda. Uppdragets längd visade sig även i viss utsträckning påverka graden av utanförskap. De konsulter som arbetat på ett kundföretag en längre period upplevde en starkare samhörighet med kundföretagets personal, medan de konsulter som arbetat kortare tid på sitt uppdrag inte upplevde att kundföretaget och dess personal litade på att de utförde sitt arbete korrekt och att de skulle stanna på kundföretaget. Resultatet från denna undersökning visar att ju längre tid konsulterna arbetat på sitt aktuella uppdrag desto mindre betydelse hade anställningsformen. Ålder visade sig också vara en bidragande faktor till hur integrerade konsulterna upplevde sig vara på kundföretaget. På konsulternas arbetsplatser rådde en kraftig åldersskillnad och att det påverkade i sin tur relationsbygget på arbetsplatsen.

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21

Connelly, David. "General medical staff attitudes towards decision making in client care and their own involvement in organisational planning : development of an instrument based on the theory of planned behaviour and a comparison of different professional groups". Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325818.

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22

Ivens, Mary. "Learning disability staff and aggression from clients". Thesis, University of Plymouth, 1993. http://hdl.handle.net/10026.1/1829.

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This study was designed to investigate whether provision of information, in the form of a leaflet, about issues surrounding aggression and violence at work would lower anxiety about aggression and increase confidence in dealing with aggression, in care staff working in learning disability. A brief evaluation of the leaflet was carried out, and measures taken to establish whether information was assimilated from the leaflet. Also investigated were other feelings that care staff had about aggression at work. An information leaflet entitled "Preventing and coping with an aggressive incident involving a client in your care", and a questionnaire entitled "Aggressive incidents involving a client at work" were constructed. The questionnaire incorporated a scale for measuring 'Confidence in dealing with aggression'. 53 care staff, working in residential homes for people with learning disabilities, completed pre and post-intervention Spielberger State-Trait Form Y-1 questionnaires, and "Aggressive incidents involving a client at work" questionnaires. Results were analysed using analysis of variance, t-tests and Pearson's product moment correlation. No differences were found in levels of anxiety or confidence in dealing with aggression between two experimental groups and a control group, pre and post-intervention, but a significant difference was found in levels of anxiety within the groups pre and post-intervention. The leaflet was evaluated positively, but information was not assimilated. These and other findings are discussed in relation to present practice and implications for future research.

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23

Leggett, Janice Audrey. "Working with violent clients : staff explanations and actions". Thesis, City University London, 2004. http://openaccess.city.ac.uk/8442/.

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The series of studies presented in this thesis test an attribution-emotion behaviour model of helping versus violent retaliation (after Weiner, 1995) in professional groups at high risk of encountering violence in the workplace. Weiner's model predicts that staff who perceive violent incidents as within the control of the client will be more likely to experience anger and demonstrate a retaliatory response. Conversely, staff perceiving causes as uncontrollable by the client are more likely to feel sympathetic and exhibit helping behaviour. Emotional responses are seen to mediate between attributions and behavioural responses. A direct link between attributions of control and behaviour is also proposed. These predictions are tested in relation to violent incidents encountered by nursing staff working with detained patients in a psychiatric secure unit, and police firearms officers' in shoot-don't shoot training scenarios. Previous research investigating healthcare staff s perceptions of the causes of challenging patient behaviour reports mixed support for Weiner's (1995) model. Such research could be criticized for its' almost total reliance on the use of hypothetical scenarios, questionnaire methods, and lack of attention to the potential influence of client gender. The studies presented here are unique in that they not only assess spontaneous attributions and reported emotions of staff concerning their management of actual violent incidents, but also take gender into account. An initial pilot was followed by three studies, the first two of these included samples of healthcare staff working with detained patients in a secure unit, whilst the third examined firearms officers in training. The Leeds Attributional Coding System (LACS) was used to code 1) attributions made by healthcare staff in documentation concerning physical restraint of patients, 2) verbatim transcripts of interviews concerning real violent incidents in which heafficare staff had been involved, and 3) firearms officer debriefing interviews following simulated shoot-don't shoot scenarios. The findings from the first two studies suggest that different cognitive processes operate dependent on the gender of the client. In terms of the model tested, the proposed direct association between attributions of control and behaviour was supported, but for males only. Thus, where males were concerned, perceiving the client to have high control was associated with retaliation, and perceiving them to have low control was associated with helping. The role of emotion as a mediator was not supported for males or females. Some further support for the direct relationship between attributions of control and behaviour was found in the third study; police firearms officers' perceptions of high control for suspect were associated with increased frequency of shooting. It is concluded that attributions for client behaviour should be investigated in context, with consideration given to gender. Attributional models of helping/retaliation cannot be applied rigidly across different groups; it is necessary to consider the nature of the population and the circumstances under consideration. Possible explanations of the gender differences found are discussed.

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Friday, Colleen. "Nursing staff attributions towards clients with a personality disorder". Thesis, University of East Anglia, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432444.

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Britton, Emma. "Exploring boundary violations between staff and clients in healthcare and forensic settings". Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/33231/.

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Thesis Aim: Boundary violations are committed when a professional crosses the emotional, physical, spiritual or sexual limits of another, thus disrupting the relationship between staff and clients. This thesis explores this issue in the context of healthcare and forensic settings. It identifies boundary violation risk and protective factors for staff working with forensic healthcare patients. The thesis also investigates reasons why staff under-report and may not whistleblow their concerns in these areas. Methods: A mixed method approach was used to explore multiple elements of this topic. A systematic review was used to identify risk factors associated with staff committing boundary violations in healthcare and forensic settings. This was then expanded, through a regression, to specifically look at risk and protective factors in the forensic healthcare settings. A thematic analysis was carried out to explore staff’s perceptions of whistleblowing and boundary violating behaviours. A case study and several psychometrics (including the Exploitation Index) were also used to investigate this topic in more depth and assess the impact that boundary violating can have on the patients involved. Findings: The setting and environment were shown, through the systematic review, to be key when exploring this topic, as they not only impact on the definition of boundary violating along with what factors protect or put staff at risk of boundary violating. The regression identified risk factors, including staff feeling they had no one to turn to and working alone with patients. There were also factors which protected staff from committing boundary violations, such as having good social support and receiving training about boundaries. The thematic analysis found that people did not raise concerns of colleagues’ boundary violating due to concerns about anonymity, feeling that nothing would be done, and feeling that personally intervening (not management) would be a more effective method. Conclusions: It is of great importance to explore this topic and develop a greater understanding of boundary violations, as the impact of and harm caused by this behaviour are wide ranging. This thesis can aid the identification of professionals at risk, and create strategies to prevent or manage this destructive behaviour. These findings can also help create a more open and honest arena for concerns about boundaries to be raised and managed.

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Snow, Elizabeth Margaret. "Investigating staff attributions towards clients with mild learning disablilities who self-injure". Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.396731.

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Albon, Helen. "What factors influence CMHT staff estimations of work-readiness in their clients?" Thesis, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542327.

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Yapes-walsh, Maria Caroline. "The long term prescription of opiates : clients and staff tell their stories". Thesis, University of East London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532415.

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This is an investigation into the beliefs and experience of a group of clients in a long term methadone prescribing programme and those of staff associated with this programme. The main aims of this study were: firstly, to identify the influence of contextual factors in participants' beliefs about methadone maintenance and their experience of being in that treatment programme; secondly, to investigate the impact of these beliefs on client-staff interactions and its significance for treatment. This study was conducted at a substance misuse clinic in London. Participants were involved with what it was known as "the long term prescribers group", ie. a treatment programme characterised by the regular prescription of opiates without leading to detoxification. Interviews were carried out with nine clients and nine members of staff. The content of interviews was analyzed using a Thematic Analysis approach according to Grounded Theory. The emerging themes suggested that clients and staff do not always share the same goals of treatment and this has negative effects in their interactions. It was also found that clients and staff regarded methadone maintenance with ambivalence. Thus, participants believed that it is helpful for achieving positive lifestyle changes, but at the cost of maintaining drug dependence. It was argued that differences in beliefs about the goals of treatment were a reflection of the different discourses about addiction existing in this society. It was also argued that the dominant discourse influencing participants' ideas is one characterised by a tendency to pathologise individual's behaviour. It was postulated that this causes negative consequences for client-staff interactions and limits the effectiveness of this treatment programme.

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Poll, Ray. "Non-attendance at drug service hepatitis C outreach clinics : clients and staff experiences". Thesis, Sheffield Hallam University, 2014. http://shura.shu.ac.uk/8756/.

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Non-attendance in the drug service hepatitis C outreach clinic means clients miss essential components of care: being offered lifestyle advice such as limiting their alcohol intake (to prevent further progression of liver disease);a discussion about ways to avoid transmission to others; and referral for hospital treatment, which can be curative. In the absence of much empirical evidence many suggestions have been given for missed appointments by hepatitis C patients. For example, they forget, lead ‘chaotic lifestyles’, the infection is ‘not a priority’ to them and they are ‘hard-to-reach’. This study was undertaken to investigate beneath these ‘surface’ reasons for non-attendance. Thus, a realist approach was taken. The study comprised three phases of theory development and testing that incorporated qualitative telephone interviews with clients followed by a national survey of staff. All 28 clients who participated gave ‘surface’ or ‘prima-facie’ reasons for non-attendance. However, the study revealed hidden underlying factors (mechanisms). These were categorised under the themes: (i) ‘client characteristics’ e.g. ‘priority’ to score drugs and the ‘cost of travel’ (ii) ‘hepatitis C’ e.g. ‘no symptoms’ and fear of treatment ‘side-effects’ (iii) ‘clinic service’ e.g. ‘distance’ to the clinic and difficulty with ‘reimbursement’ of travel expenses. These mechanisms were produced within a complex context of factors including addiction, welfare policy and stigma. They were often played out in different ways and linked to other mechanisms. 41 out of 142 (29%) drug services in England ran a hepatitis C outreach clinic. There was general agreement with clients about reasons for nonattendance. However, there was some discordance, notably difficulty with walking. This study revealed a complex picture for non-attendance in a hepatitis C outreach clinic and makes an original contribution to knowledge about the reasons for missed appointments. This in turn has informed changes to practice which may engage more people into care and treatment for example, arranging scans to be undertaken on the day of clinic appointments.

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Carter, Peter John. "Understanding reasons why nursing staff and care workers abuse patients and clients in their care". Thesis, University of Birmingham, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531654.

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MCINTOSH, DIANA. "TESTING AN INTERVENTION TO INCREASE SELF-EFFICACY OF STAFF IN MANAGING CLIENTS PERCEIVED AS VIOLENT". University of Cincinnati / OhioLINK, 2003. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1069786693.

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Ellis-Lake, Lisa. "An Observational Analysis of the Interactions between Institutionalized Mentally Retarded Clients & Direct Care Staff". TopSCHOLAR®, 1985. https://digitalcommons.wku.edu/theses/2317.

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The purpose of this study was to investigate the interactions between direct care staff and the mentally retarded (MR) clients that they served in an institutional setting. It was hypothesized that (a) most of the staff-client interactions, regardless of quality (i.e., positive or negative) and/or level of intellectual functioning, would be instructional rather than conversational or no response interactions; (b) there would be an insufficient amount (i.e., duration and frequency) of conversational interaction, regardless of quality, across intellectual functioning levels; and (c) there would be a greater number of negative no response interactions (i.e., ignoring an appropriate client verbalization) than positive no response interactions (i.e., ignoring an inappropriate client verbalization). The impetus for these specific hypotheses was a concern that overall, in institutional settings, insufficient stimulation through direct care staff-client interaction occurred for proper implementation of individualized habilitation plans across IQ levels. The subjects were 45 clients currently residing in an institutional setting in Kentucky. The criterion variable was IQ. The predictor variables were twelve possible combinations of type (i.e., conversational, instructional, and no response), quality (i.e., positive and negative), and amount (i.e., frequency and duration) of staff-client interaction. An experimenter-developed instrument was used to record the observational data of staff-client interactions. The experimenter-developed instrument yielded interobserver agreement, among six observers, ranging from .81 to 1.00; intraobserver stability, over a two-week period, ranged from .86 to 1.00 across the six observers. Subjects were observed four times for six minutes each on a varied schedule across four days. Data were analyzed using a stepwise multiple regression procedure to determine the most significant model of staff-client interaction for Predicting 10. Pearson product-moment correlation coefficients were also calculated between each of the 12 predictor variables and the. criterion (IQ) since the number of subjects (n = 45) was small in comparison to the number of predictor variables. Results of the data analyses supported the experimenter's hypotheses. The stepwise procedure indicated that the single significant predictor of IQ was duration of positive instruction. That is, a significant inverse relationship existed between level of intellectual functioning and duration of staff-client positive instructional interaction (F = 6.72, p <.01). A Pearson product-moment correlation coefficient (r = -.37) confirmed the results of the stepwise multiple regression procedure indicating a significant inverse relationship between IQ and duration of positive instruction (IPD). Pearson coefficients also indicated significant inverse relationships between IQ and frequency of positive instruction (r = -.35), frequency of negative instruction (r = -.33), and duration of negative instruction (r = -.32). Frequency of positive instruction (IPF), frequency of negative instruction (INF), duration of negative instruction (IND), and IPD shared significant amounts of variance indicating that instructional interactions, regardless of quality or amount, account for the only significant variance across IQ levels. Assuming linearity of the data, the hypothesis that negative no responses would exceed positive no responses across IQ levels was confirmed.

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Smithson-Sims, Patrick. "Coping and stress : unqualified direct-care staff working with challenging behaviour clients in learning disability residential settings". Thesis, University of Leicester, 1996. http://hdl.handle.net/2381/34692.

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Coping strategies employed by unqualified direct-care staff working in both hospital and community units for clients with challenging behaviours were investigated in relation to experienced stress. A 40-item Coping Questionnaire (developed and previously used in a psychiatric setting), adapted from the work of Lazarus and his co-workers, which claims to delineate problem-focused and emotion-focused strategies, was used to examine the coping strategies employed. The GHQ-12 was used to measure reported stress levels. As there was no reported assessment of the psychometric properties of the 40-item Coping Questionnaire the construct validity, and both the internal and external reliability were analysed. The findings demonstrated adequate validity and reliability. The 105 respondents were found to use both emotion-focused and problem-focused coping strategies when dealing with the demands of the workplace. A significant association was found between use of predominantly problem-focused coping strategies and lower levels of stress and incidence of stress caseness. Also, a significant association was found between use of predominantly emotion-focused coping strategies and higher levels of stress and incidence of stress caseness. This finding is discussed with particular reference to recent research that did not demonstrate an association between a scale based on problem-focused coping and distress. The potential differentiating factors of: work setting (i.e. hospital or community unit), level of contact with clients and the number of colleagues on duty were shown to differentiate between persons reporting higher or lower levels of stress. Respondents who were based in the community, those who spent higher proportions of their working day with challenging behaviour clients and those who worked with fewer colleagues reported significantly higher levels of stress. The overall findings are discussed in relation to broader issues of service provision with particular reference to staff turnover and quality of care. A model of stress and coping is provided and is compared with a model developed from research based on informal carers.

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McKenzie, Karen. "School crisis and staff preparedness /". Connect to title online (ProQuest), 2008. http://proquest.umi.com/pqdweb?did=1594960281&sid=1&Fmt=2&clientId=11238&RQT=309&VName=PQD.

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Thesis (Ph. D.)--University of Oregon, 2008.
Typescript. Includes vita and abstract. Includes bibliographical references (leaves 67-71). Also available online in ProQuest, free to University of Oregon users.

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Lin, Pei-Ying. "Consonance in Information System Projects: A Relationship Marketing Perspective". Kent State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=kent1299178833.

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Bissmire, Diane Jean. "How promoting are professional staff working within community learning disability teams of clients having sexual relationships, and what are the factors involved in this?" Thesis, Open University, 1998. http://oro.open.ac.uk/57734/.

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It was hypothesised that previous experience of working with issues concerning sexuality and clients with learning disabilities, knowledge, and overall experience of working with the client group would influence decisions professional staff made concerning sexuality and risk. A questionnaire was devised comprising the following four sections: 1. Demographic details. 2. Changes in levels of promotion / protection of clients since qualifying in a profession. 3. Knowledge questions concerning issues of sexuality. 4. Scenario based questions relating to sexuality and relationship issues- The questionnaires were completed by 78 professional members of community learning disability teams. A significant positive correlation was found between knowledge scores and scenarios cores, indicating that the more knowledgeable the individual is the more protective they are of clients. Additionally, a significant positive correlation was found between the amount of experience dealing specifically with sexual relationships and knowledge scores. A significant negative correlation was found between the amount of experience gained in dealing with clients experiencing heterosexual relationships and the score gained in the scenario concerning that issue. A significant negative correlation was also found between the amount of experience gained in dealing with sexual health issues and the score in the relevant scenario. This indicates that the more experience the participant has in dealing with heterosexual relationships and issues around sexually transmitted diseases, the more promoting they are when assessing the risks in a related scenario. A polarisation of views was noted in the scoring of some of the scenarios. The clinical implications are discussed as well as possible improvements in questionnaire design. Suggestions are made concerning directions for future research.

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MacKinlay, Lucille. "An analysis of the attributions and expressed emotion of care staff towards clients with learning disabilities and a history of sexual offending who display challenging behaviour". Thesis, University of East Anglia, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432446.

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Downes, Dawn M. "Designing evaluation tools for the Differentiated Instruction Staff Development Initiative". Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 264 p, 2007. http://proquest.umi.com/pqdweb?did=1253510301&sid=2&Fmt=2&clientId=8331&RQT=309&VName=PQD.

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Millward, Melanie. "Addiction beliefs : do staff working in substance misuse and mental health services view clients with co-existing mental health and substance use problems in the same way?" Thesis, University of Leicester, 2010. http://hdl.handle.net/2381/8590.

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Previous research has indicated addiction beliefs differ in staff working in Mental Health and Substance Misuse Services, but limited attention has been paid to this in the UK. Given the reported prevalence of clients who present to both types of service with co-existing mental health and substance misuse problems, and recent government guidance on the management of these clients within existing NHS services, the current study was developed. The aim was to explore whether any differences in beliefs about addiction existed between staff working in NHS Mental Health and Substance Misuse services in the UK, and identify any barriers/levers to joint-working between services to support these clients. Staff working in Mental Health, Substance Misuse and Dual Diagnosis services across five NHS Trusts were recruited to participate in a survey study. Participants completed questionnaires designed to identify their beliefs about addiction to three substances (alcohol, cannabis and heroin) and were also asked to report their opinions about current/potential barriers/levers to these services working jointly to support clients with co-existing mental health and substance use problems. A significant difference between Mental Health and Substance Misuse staff ratings on the ‘Addiction Belief Inventory’ was observed; staff in each type of service held different views about addiction on the following subscales: ‘chronic disease’, ‘responsibility for actions’, ‘responsibility for recovery’ and ‘genetic basis’. Interaction effects between service type and demographic information were also explored. The hypothesis that staff would report significantly different beliefs about different substances was also supported. Staff comments about barriers and levers to joint-work were analysed thematically. Given that the current study suggested that addiction beliefs differ on a number of elements across services, and substances; the implications for intervention and joint-working are discussed in light of previous research and suggestions by clinicians. A full critical appraisal of the study was included.

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Flecknoe, Paul. "Understanding the factors which influence learning disability direct care staff to spend time in 'focused 1:1 work' with clients : an application of the theory of planned behaviour". Thesis, Open University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286961.

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41

Wilson, William T. Kennedy Virginia C. "The influence of staff and organizational characteristics on social environment in substance abuse treatment facilities /". See options below, 1992. http://proquest.umi.com/pqdweb?did=746763961&sid=3&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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42

Edwards, Kathleen Marie. "The effect of staff intervention practices on child behavior in special education day school settings". Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1722403341&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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43

Jennings, Lida Revere. "Women and college choice a comparison of staff and student perceptions at four women's colleges /". Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1621832601&sid=11&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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44

Seyler, Barnabas C. "Sino-American botanical exchange encouraging greater botanical collaboration through a mutually beneficial staff exchange program /". Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 254 p, 2009. http://proquest.umi.com/pqdweb?did=1889099021&sid=7&Fmt=2&clientId=8331&RQT=309&VName=PQD.

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45

Cole, Sandra L. "Differences in managers' and staff nurses' job satisfaction in public health offices in a rural state". Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1313920481&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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46

Baloga-Altieri, Bonnie L. "Comparison of staff nurse perceptions of nurse executive and nurse manager leadership in magnet and non-magnet hospitals". Click here for download, 2008. http://proquest.umi.com/pqdweb?did=1597607751&sid=1&Fmt=2&clientId=3260&RQT=309&VName=PQD.

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47

French, Susan. "A portfolio of academic, therapeutic practice and research work : including an exploration of the differences in beliefs, attitudes and behavioural intentions of two nursing staff groups towards clients who deliberately self-harm, working within an accide". Thesis, University of Surrey, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367686.

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48

Epp, Stephanie Ann Moss Rita Kay. "Conditions affecting Illinois National Board Certified Teachers' decisions to work in hard-to-staff schools". Normal, Ill. : Illinois State University, 2007. http://proquest.umi.com/pqdweb?index=0&did=1441197941&SrchMode=2&sid=9&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1216224113&clientId=43838.

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Thesis (Ed. D.)--Illinois State University, 2007.
Title from title page screen, viewed on July 16, 2008. Dissertation Committee: Kay Moss (chair), Paul Vogt, Thomas Crumpler, Lara Handsfield, Barnett Berry. Includes bibliographical references (leaves 150-163) and abstract. Also available in print.

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Harvey, Carolyn J. "Student achievement's relationship to teacher characteristics and teachers' perceptions of reading first literacy staff development /". Full text available from ProQuest UM Digital Dissertations, 2007. http://0-proquest.umi.com.umiss.lib.olemiss.edu/pqdweb?index=0&did=1801490561&SrchMode=1&sid=3&Fmt=2&VInst=PROD&VType=PQD&RQT=309&VName=PQD&TS=1258649345&clientId=22256.

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50

Ziniel, Curtis Edward. "Passive signals or active bureaucracy house members' use of staff to racially represent their constituents /". Diss., UC access only, 2009. http://proquest.umi.com/pqdweb?index=120&did=1907183701&SrchMode=1&sid=1&Fmt=7&retrieveGroup=0&VType=PQD&VInst=PROD&RQT=309&VName=PQD&TS=1270487883&clientId=48051.

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Thesis (Ph. D.)--University of California, Riverside, 2009.
Includes abstract. Includes bibliographical references (leaves 106-109). Issued in print and online. Available via ProQuest Digital Dissertations.

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