Biomedical subjects

Michael N Kane

Publications and source records attributed to Michael N Kane.

6 recordsLinked to original sources

PubMed2006

Social work students' perceptions about incompetence in elders.

Graduate and undergraduate social work students (N = 172) were surveyed to investigate their perceptions concerning memory impairment in elders. Approximately 70% of those surveyed did not strongly disagree with the perception that all elders are memory impaired. In further analysis, significant correlations were found to exist between this variable and several other variables, including perceptions of elders' behaviors (r = .602, p = .000) and perceptions of communicating with elders (r = .630, p = .000). In a standard multiple regression, three significant predictor variables accounted for 53.4% of the model's adjusted variance. These predictor variables included: (a) perceptions of elders' behaviors, (b) perceptions of communicating with elders, and (c) having taken courses in gerontology.

Adult↗

PubMed2003

Investigating correlates of clinical social workers' attitudes toward managed care.

In a state-wide survey of Florida licensed clinical social workers (N = 260), this study investigated the correlates of attitudes toward managed care. Seven predictor variables were identified from the standard regression model that account for 25.9% of the variance: (a) misdiagnosis (Beta = -.28, p = .000), (b) familiarity with practice strategies recommended by HMOs and insurance companies (Beta = .25, p = .000), (c) skills to advocate for clients in managed care environments (Beta = -.20, p = .002), (d) classroom educators prepare practitioners for a career in the real world (Beta = .17, p = .003), (e) documentation ensures agency reimbursement (Beta = -.14, p= .013), (f) service delivery has changed dramatically (Beta = -.12, p = .034), and (g) using brief/solution-focused therapies (Beta = .12, p = .029). Secondary analysis found overall negative attitudes toward managed care from this sample of licensed clinical social workers. Implications are discussed.

Attitude of Health Personnel↗

PubMed2003

Investigating the factor structure of an instrument to measure attitudes and preparedness to work with elders with Alzheimer's disease.

This study investigated the factor structure of an instrument to measure attitudes and preparedness of social work students to work with memory-impaired elders. Exploratory statistical procedures to reduce data through principle component analysis identified three factors with eigenvalues greater than 1.0 and a cumulative variance of 65.520%. These factors include general belief in the efficacy of psychotherapeutic services for elders with memory impairment; self-perceived adequacy to provide services to elders with memory impairment; and belief in the efficacy of other ancillary services to elders with memory impairment. Recommendations are made for utilizing this brief self-report instrument in training and assessing students and other practitioners for their attitudes toward and greater preparedness to work with memory- impaired elders.

Aged↗

PubMed2002

Investigating factor structure of an instrument to measure social work students' preparedness for managed care environments.

This study investigated the factor structure of an instrument to measure social work students' perceptions of preparedness to enter managed care environments. Exploratory statistical procedures to reduce data through principle component analysis identified nine factors with eigenvalues greater than 1.0. These factors include: perceived understanding of agency financial agendas, managing personal risk and liability, perceived understanding of agency documentation requirements, awareness of ethical and value conflicts in documentation, classroom preparation for documentation, understanding the fit between client advocacy and managed care agendas, worrying about law suits in employment settings, perceived understanding of managed care gatekeeping and service authorization, and perceptions of field preparation for documentation. Recommendations are made for utilizing this brief self-report instrument in training students for managed care settings.

Attitude of Health Personnel↗

PubMedDate not supplied

Measuring preparedness to address patient preferences at the end of life.

This study investigated the factor structure of an instrument to measure preparedness perception among Florida licensed clinical social workers for work with elders 'end-of-life care. In a principle component analysis with varimax rotation, three factors were identified with eigenvalues greater than 1.0 and a cumulative variance of 66.982 percent. These factors include: 1) knowledge of end-of-life care, 2) knowledge of resources for elders, and 3) attitude toward elder assisted suicide. The development of this type of instrument may be useful for future research and for determining future educational needs of social workers and other professionals.

Aged↗

PubMedDate not supplied

Awareness of ageism, motivation, and countertransference in the care of elders with Alzheimer's disease.

This article focuses on the importance of a practitioner's awareness of ageism, motivation, and countertransference in working with elders with dementia. These factors have the capacity to significantly affect a professional's performance. Additionally, they may also affect the type and quality of services a memory-impaired client receives. Ageism is discussed at the micro, mezzo, and macro level, and practitioners are urged to develop an increased awareness of the effects of ageism on client/service options and as well as practitioner's beliefs. Monitoring professional motivation and being aware of countertransference are important considerations in practitioner-client relationships. Professionals are encouraged to incorporate personal introspection and consultation or supervision to ensure that clients receive the most appropriate service available. Case examples are provided to illustrate concepts.

Aged↗