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Description

Agricultural and dairy work is among the most dangerous work in the US. In addition to the dangers of work, undocumented migrant workers may face additional stress as a result of the increase in antiimmigration enforcement and criminalization of undocumented status. The purpose of the study was to better understand

Agricultural and dairy work is among the most dangerous work in the US. In addition to the dangers of work, undocumented migrant workers may face additional stress as a result of the increase in antiimmigration enforcement and criminalization of undocumented status. The purpose of the study was to better understand how migrant dairy workers were impacted by the increase in restrictive immigration policies and immigration enforcement, as well as how they coped with any issues they faced. Interviews were conducted with fourteen migrant dairy workers following the passage of several anti-immigration bills across the US. Findings revealed four major categories; three were related to negative impacts of immigration policies and enforcement:

1. Fear.
2. Stress and anxiety.
3. Perceptions of discrimination.

An additional major category emerged that demonstrated the hope and resilience of participants in the face of an increasingly difficult socio-political environment. Implications for social service practice, policy, and research are discussed.

ContributorsBecerra, David (Author)
Created2020
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Description

The purpose of this paper was to examine the impact of perceived discrimination among Latino immigrants in the context of recent immigration policies and immigration enforcement strategies. Data for this study were drawn from a pilot study (n=213) of adult Latino immigrants living in Arizona during the summer of 2014.

The purpose of this paper was to examine the impact of perceived discrimination among Latino immigrants in the context of recent immigration policies and immigration enforcement strategies. Data for this study were drawn from a pilot study (n=213) of adult Latino immigrants living in Arizona during the summer of 2014. The results of multivariate OLS linear regressions indicated greater perceived discrimination was significantly related to reporting:

1. Avoidance of immigration officials.
2. Family has suffered.
3. Friends have suffered.

In addition, greater perceived discrimination was significantly related to lower confidence in a better future for the individual, their families, their children, and the children of today.

ContributorsBecerra, David (Author) / Castillo, Jason (Author) / Silva Arciniega, Maria Rosario (Author) / Ghosn Naddy, Michaela Bou (Author) / Nguyen, Van (Author)
Created2018
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Description

Latinas may be unlikely to report violent crime, particularly when undocumented. This research examines the impact of fear of deportation and trust in the procedural fairness of the justice system on willingness to report violent crime victimization among a sample of Latinas (N = 1,049) in the United States. Fear

Latinas may be unlikely to report violent crime, particularly when undocumented. This research examines the impact of fear of deportation and trust in the procedural fairness of the justice system on willingness to report violent crime victimization among a sample of Latinas (N = 1,049) in the United States. Fear of deportation was a significant predictor of Latinas perceptions of the procedural fairness of the criminal justice system. However, trust in the police is more important than fear of deportation in Latinas’ willingness to report violent crime victimization. Social workers can provide rights-based education and encourage relationship building between police and Latino communities.

ContributorsMessing, Jill (Author) / Becerra, David (Author) / Ward-Lasher, Allison (Author) / Androff, David (Author)
Created2015
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Description

This study examined the relationship between the fear of deportation and perceptions of law enforcement, the criminal justice system, and the willingness to report crimes among Latinos in the US. Understanding the relationship between increased immigration enforcement and fear of deportation may promote public safety by improving the relationship between

This study examined the relationship between the fear of deportation and perceptions of law enforcement, the criminal justice system, and the willingness to report crimes among Latinos in the US. Understanding the relationship between increased immigration enforcement and fear of deportation may promote public safety by improving the relationship between the police and Latino communities.

Multivariate ordinal logistic regression analyses of the data found that participants who had a greater fear of deportation reported:

1. Less confidence that police would not use excessive force (p<.01).
2. Less confidence that police would treat Latinos fairly (p<.05).
3. A lower likelihood of reporting crimes (p<.05).
4. Less confidence that the courts would treat Latinos fairly (p<.01).

ContributorsBecerra, David (Author) / Wagaman, M. Alex (Author) / Androff, David (Author) / Messing, Jill (Author) / Castillo, Jason (Author)
Created2017
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Description

This report examines how recent immigration policies and immigration enforcement strategies have impacted Latino immigrants in Arizona. Analyses examined the relationship between fear of deportation and the impact of immigration policies on various aspects of daily life of Latino immigrants as a result of US immigration policies. Results indicate that

This report examines how recent immigration policies and immigration enforcement strategies have impacted Latino immigrants in Arizona. Analyses examined the relationship between fear of deportation and the impact of immigration policies on various aspects of daily life of Latino immigrants as a result of US immigration policies. Results indicate that participants who reported a greater fear of deportation were also significantly more likely to report:

1. Trouble keeping a job.
2. Trouble finding a job.
3. Having been asked for immigration documents.
4. That friends have suffered.
5. That their family has suffered.
6. Lower confidence that police will treat Latino immigrants fairly.
7. Lower confidence that the courts will treat Latino immigrants fairly.
8. Lower confidence that they will have a better future.

Implications for social work practice, advocacy, and research are discussed.

ContributorsBecerra, David (Author)
Created2016
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Description
Background: Advance Care Planning (ACP) conversations are discussions between patients, providers, and loved ones addressing key care decisions in the event of incapacity. Nearly twothirds of US adults have not completed an Advance Directive (AD), yet ACP conversations rarely occur in practice. The objective of this quality improvement project was

Background: Advance Care Planning (ACP) conversations are discussions between patients, providers, and loved ones addressing key care decisions in the event of incapacity. Nearly twothirds of US adults have not completed an Advance Directive (AD), yet ACP conversations rarely occur in practice. The objective of this quality improvement project was to implement workflow changes with a reminder system to facilitate ACP conversations during Medicare Wellness Visits (MWV). Method: Social Cognitive Theory describes the complex relationship between variables that can influence an individual’s decision to address ACP. Providers in a primary care office in the Southwestern United States participated in an ACP education session and confidence survey. Patients presenting for the MWV were screened for ACP, and visual reminders were attached outside the exam room for provider review. Aggregate data were used to evaluate provider surveys. Descriptive statistics were used to evaluate patient characteristics and the Chi-square Test of Independence, and Fisher’s test was used to compare the pre-and post-intervention advance directive documentation. Results: Qualitative feedback from the survey indicates reminders and easily accessible resources may help facilitate ACP conversations. Of the 251 MWVs, 21 (8%) had an AD documented, significantly less than the nationally reported rate of 37.7% (p < 0.05, z = -2.39). Conclusions: Healthcare providers face multiple barriers preventing or delaying ACP conversations in practice. System-level changes and provider education can improve the rate of ACP conversations and impact patients’ care at the end of life.
Created2022-04-29
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Description
Medicare implemented a yearly Annual Wellness Visit (AWV) to improve quality patient care through early detection of declining health. However, there has been only partial provider participation since its inception, which potentially delays treatment and negatively impacts patient outcomes. The aim of this quality improvement project was to assess the

Medicare implemented a yearly Annual Wellness Visit (AWV) to improve quality patient care through early detection of declining health. However, there has been only partial provider participation since its inception, which potentially delays treatment and negatively impacts patient outcomes. The aim of this quality improvement project was to assess the feasibility of implementing a standardized electronic AWV template into private primary care practices to improve the consistency of delivery and documentation. The project designer utilized the theory of transitions (TOT) to facilitate the project execution. An electronic Excel-based template was designed to capture and calculate all aspects of the AWV, including billing codes, to allow for ease and consistency of use within a small primary care practice over two weeks. A provider performed the AWVs using the electronic template after completing a hands-on tutorial and reviewing an educational handout. Data were retrieved from a 7-question, 5-point Likert scale questionnaire given to the provider to assess the effectiveness of the electronic template versus a paper assessment. The results of this study indicated overall satisfaction with using leveraged technology to provide consistency of AWVs to improve patient outcomes, provider satisfaction, and increase revenue through uniform charting and billing. The outcomes of this project provide a basis of existing evidence for using standardized methods to perform and track Medicare AWVs.
Created2022-04-29
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Description
Background: An evidence-based project was performed to train and increase skills among healthcare providers to perform advance care planning. Training decreases barriers and improves attitudes and confidence to perform advance care planning. Advance care planning can include the Physician Order for Life-sustaining Treatment, an out-of-hospital order that directs emergency medical

Background: An evidence-based project was performed to train and increase skills among healthcare providers to perform advance care planning. Training decreases barriers and improves attitudes and confidence to perform advance care planning. Advance care planning can include the Physician Order for Life-sustaining Treatment, an out-of-hospital order that directs emergency medical services of a patient’s wishes. Internal evidence found that many providers are unfamiliar with the Physician Order for Life-Sustaining Treatment form. The Theory of Planned Behavior was used to guide the project. Objectives: To improve advanced care planning processes in a healthcare organization. Design: A quality improvement project was performed at a medical center with outpatient provider groups. Virtual training was provided by the Arizona Hospital and Healthcare Association on the Physician Order for Life-Sustaining Treatment. Participants completed a three-part survey to measure skills for advance care planning after a training event. Setting/Subjects: Five (n=5) American palliative and primary care providers at a medical center. Measurements: The East Midlands Evaluation Toolkit is a validated survey tool that measures confidence and competence in advance care planning after training. Results: Descriptive statistics, Friedman’s test, and the Kruskal-Wallis test were used for data analysis. Results provided evidence to the healthcare facility that there is a significant need to train their healthcare professionals on advance care planning. Conclusions: Recommendations are made to focus research on larger studies looking at the types of advance care planning, and differences in disciplines and specialties.
Created2022-04-29