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- Creators: Wang, Lili
- Creators: Arizona State University
- Status: Published
Description
For more than twenty years, clinical researchers have been publishing data regarding incidence and risk of adverse events (AEs) incurred during hospitalizations. Hospitals have standard operating policies and procedures (SOPP) to protect patients from AE. The AE specifics (rates, SOPP failures, timing and risk factors) during heart failure (HF) hospitalizations are unknown. There were 1,722 patients discharged with a primary diagnosis of HF from an academic hospital between January 2005 and December 2007. Three hundred eighty-one patients experienced 566 AEs, classified into four categories: medication (43.9%), infection (18.9%), patient care (26.3%), or procedural (10.9%). Three distinct analyses were performed: 1) patient's perspective of SOPP reliability including cumulative distribution and hazard functions of time to AEs; 2) Cox proportional hazards model to determine independent patient-specific risk factors for AEs; and 3) hospital administration's perspective of SOPP reliability through three years of the study including cumulative distribution and hazard functions of time between AEs and moving range statistical process control (SPC) charts for days between failures of each type. This is the first study, to our knowledge, to consider reliability of SOPP from both the patient's and hospital administration's perspective. AE rates in hospitalized patients are similar to other recently published reports and did not improve during the study period. Operations research methodologies will be necessary to improve reliability of care delivered to hospitalized patients.
ContributorsHuddleston, Jeanne (Author) / Fowler, John (Thesis advisor) / Montgomery, Douglas C. (Thesis advisor) / Gel, Esma (Committee member) / Shunk, Dan (Committee member) / Arizona State University (Publisher)
Created2012
Description
Short-term medical volunteer work via a nongovernmental organization is a popular tool for students in the health care field to gain experience, while further providing communities that normally lack health care options the opportunity to receive free care. One such organization, VIDA Volunteer Travel, has been successful in implementing this model in Central America. However, organizations of this form have not been evaluated for effectiveness or improvement. This exploratory study examines the effectiveness of VIDA based on six qualifying characteristics that make up a successful NGO. The researcher conducted in-depth, semi-structured interviews with 21 individuals, including VIDA staff members in Costa Rica and Nicaragua, health professionals working for VIDA, local community leaders, and volunteers participating in VIDA's programs. Summaries and quotes of these interviews were uploaded and analysed using Atlas.ti to identify common words and themes from the interviews. Informants frequently identified the organization as sustainable, both from a fiscal and ecological standpoint. The organization also successfully managed volunteers, although post-trip follow-up was lacking. Adherence to the mission statement and distribution of supplies allowed for improved organization and successful structure of the organization. Education and health promotion was also emphasized, although implementation of this education into the communities was lacking. Collaboration with the community and volunteers allowed for stringent, successful treatment to be given to patients, and ethical guidelines set up by the organization allowed for self-governance and improvement of the NGO. This study suggests future research opportunities for the organization, to evaluate its own impact and opportunities for improvement. Furthermore, suggestions are addressed that allow the organization to improve upon its well-implemented infrastructure, and allow for future organizations to use VIDA as a model for improvement.
ContributorsPearson, Presley Kyle (Author) / Yoshioka, Carlton (Thesis director) / Wang, Lili (Committee member) / Larsen, Dale (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor)
Created2013-05
Description
The purpose of this study is to assess the factors that motivate and influence 18-24-year-olds, compared to those of other age groups, to volunteer, specifically in local hospitals. Volunteers play an integral role towards sustaining nonprofit organizations (NPOs). For this reason, volunteers have the potential to impact the success and effectiveness of local NPOs including nonprofit hospitals such as Banner Health, Mayo Clinic, and HonorHealth. These hospitals rely on the services provided by volunteers to help facilitate their patient care and achieve their missions. An important component of the hospitals’ volunteer programs must focus on the recruitment and retention of volunteers. According to the Bureau of Labor Statistics, volunteer rates are lowest among 20-24-year-olds. Since most college students encompass the 18-24 age range, understanding the factors that motivate and influence them could indicate why there is a low number of hospital volunteers in this age group. ASU students were surveyed regarding their volunteer history, volunteer motivations, and volunteer constraints. Their responses were compared to survey results from local hospital volunteers to look for significant differences or similarities which are highlighted in this study. A total of 183 ASU students between the ages of 18 and 24 completed the survey, and 58 of those students identified as a prior or current hospital volunteer. Three ASU students participated in a focus group. Out of the five Arizona nonprofit hospitals contacted, only one participated in the study. Banner Thunderbird Medical Center (BTMC) had 34 active hospital volunteers complete the survey. The BTMC volunteers who participated in the study were between 14 and 83 years old with the most common age being 69 years old.
ContributorsFasani, Sophia Maria (Author) / Wang, Lili (Thesis director) / Lyons-Mayer, Michelle (Committee member) / School of Community Resources and Development (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
Research has examined the many motivations of international volunteers (voluntourists), but there is limited research about how volunteers are reached, as well as differing perceptions between travelers who have and have not traveled before. This study examines the preferences and perspectives of college-age, western backpackers. The general terms "backpacker" and "traveler" are used throughout the paper for simplicity, but it is important to note that these backpackers are specifically from the college-age, western demographic. First, the study addresses which recruitment avenues are the most successful, as well as which avenues could be utilized to increase the number of foreign, short-term volunteers. In addition, this study examines the differences between backpacker perceptions - specifically the differences in potential volunteering motivations and concerns. Data was collected through an anonymous online survey distributed to self-identified travelers between the ages of 18 and 25 in the United States and travel destinations in Vietnam and India. According to traveler responses, personal recommendations and hotels/hostels are important resources when making travel plans. Despite the importance of both resources, personal recommendations drew more travelers to volunteer than hostels/hotels (none of the travelers surveyed learned about their last volunteer opportunity through a hostel), revealing a potential avenue of recruitment. A small number of organizations have reported successfully utilizing the hostel-partnership model, which implies that successful partnerships are possible. Further, potential motivations to volunteer were similar between those who have and those who have not volunteered, however, potential concerns between the two groups differed. Those who had volunteered before reported to be considerably more concerned about adherence to cultural norms, as well as communication barriers, while those who had not volunteered were much more concerned about safety. These findings lead to several theoretical implications for nonprofits with respect to utilizing hostels for volunteer recruitment, as well as addressing concerns of those who have volunteered before differently from those who have not.
ContributorsWorkman, Hunter (Co-author) / Pfeiffer, Nicholaus (Co-author) / Wang, Lili (Thesis director) / Salamone, Damien (Committee member) / Louis, Arulraj (Committee member) / School of Human Evolution and Social Change (Contributor) / School of Molecular Sciences (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Problems with recruiting and retaining older volunteers have resulted in less than one-quarter of older adults participating in volunteer activities (BLS, 2016). Much emphasis on volunteer motivations have been placed to enhance volunteer engagement among late-midlife and older adults (e.g., Davis et al., 2003). Although career motivations have not been shown to predict late-midlife and older adults’ volunteer participation (Planalp & Trost, 2009), there is some empirical evidence supporting the relevance of career domains in later life (Greller, 2006). By reframing volunteering as a compensatory strategy, the purpose of the current study was to evaluate factors, including career-related interests, that affect volunteer satisfaction and commitment among late-midlife and older volunteers.
A series of hypotheses were posited to examine contributions to volunteer satisfaction and to future volunteer commitment, including volunteer motivation and congruence between career interests of volunteers and characteristics of the volunteer activities (volunteer-activity congruence). The online survey contained measures for study variables, including the Volunteer Functional Inventory (volunteer motivations) and Personal Globe Inventory (career interests). Participants (N = 167) were recruited from community and government volunteer programs with the average age of volunteers being 68.65 years old (SD = 9.36; range 50 to 90 years). The majority of volunteers were female (54.5%), White or Caucasian (90.4%), married (58.2%), reported some college experience (96.5%) and were retired (68.9%).
Results from the current study indicated that time volunteering, volunteer motivations, and volunteer-activity congruence did not significantly predict volunteer satisfaction, accounting for 9.2% of the variance. In contrast, the final model did significantly predict volunteer commitment and accounted for 13.1% of the model variance, with altruistic values remaining a significant contributor to volunteer commitment. Findings from the current study highlight inconsistencies noted in previous research regarding volunteer motivations, satisfaction, and commitment. Possible generational influences on altruistic values and volunteerism were also noted. Although volunteer-activity congruence alone was not predictive of volunteer satisfaction or of commitment, results from the study warrant additional investigations in career interests and volunteering among late-midlife and older adults. Limitations of the current study and implications for volunteer recruitment and retention were also discussed.
A series of hypotheses were posited to examine contributions to volunteer satisfaction and to future volunteer commitment, including volunteer motivation and congruence between career interests of volunteers and characteristics of the volunteer activities (volunteer-activity congruence). The online survey contained measures for study variables, including the Volunteer Functional Inventory (volunteer motivations) and Personal Globe Inventory (career interests). Participants (N = 167) were recruited from community and government volunteer programs with the average age of volunteers being 68.65 years old (SD = 9.36; range 50 to 90 years). The majority of volunteers were female (54.5%), White or Caucasian (90.4%), married (58.2%), reported some college experience (96.5%) and were retired (68.9%).
Results from the current study indicated that time volunteering, volunteer motivations, and volunteer-activity congruence did not significantly predict volunteer satisfaction, accounting for 9.2% of the variance. In contrast, the final model did significantly predict volunteer commitment and accounted for 13.1% of the model variance, with altruistic values remaining a significant contributor to volunteer commitment. Findings from the current study highlight inconsistencies noted in previous research regarding volunteer motivations, satisfaction, and commitment. Possible generational influences on altruistic values and volunteerism were also noted. Although volunteer-activity congruence alone was not predictive of volunteer satisfaction or of commitment, results from the study warrant additional investigations in career interests and volunteering among late-midlife and older adults. Limitations of the current study and implications for volunteer recruitment and retention were also discussed.
ContributorsKeaveny, Maureen Kim (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Tracey, Terence J G (Committee member) / Kinnier, Richard T (Committee member) / Arizona State University (Publisher)
Created2016