Browsing by Subject "education and training"
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Item Open Access Mandated caregiver training in the Veterans Health Administration: Caregiver inquiry informs national dissemination.(The Gerontologist, 2022-11) Sperber, Nina R; Boucher, Nathan; Hughes, Jaime M; Bruening, Rebecca; Zullig, Leah L; Decosimo, Kasey; Tucker, Matthew; Christensen, Leah A; Allen, Kelli D; Hastings, Susan N; Van Houtven, Courtney HBackground and objectives
A minority of family caregivers receive training, with implications for their own and their recipient's outcomes. Federal policy has supported implementation and expansion of caregiver training and support. The Department of Veterans Affairs (VA) has developed a national Caregiver Support Program and collaborated with VA health services researchers to explore caregivers' acceptance of an evidence-based training program in preparation for system-wide dissemination.Research design and methods
This approach entailed a convergent mixed-methods design, which involved separate analyses of quantitative and qualitative data. Survey questions based on the Kirkpatrick model for training evaluation measured caregivers' reaction and learning and interview questions elicited caregivers' reports about the value of the program for them.Results
Most caregivers reported satisfaction with the training when responding to survey questions, although qualitative interviews revealed caveats suggesting need to hone the best timing and specific group of caregivers for maximal benefit.Discussion and implications
Our findings indicate that understanding program-user fit may be particularly critical when implementing training for caregivers as they come to the program at different points along their caregiving journey, needing differing types and intensities of support. While a general program may appeal to policymakers aiming to scale caregiver training within a large, heterogeneous system, there may be shortcomings in terms of end-user acceptance and subsequent downstream outcomes such as reach and ultimately program effectiveness. Good, iterative communication flow between program developers and policymakers facilitates this understanding and, in turn, decisions about scaling.Item Open Access Who Will Serve? Education, Labor Markets, and Military Personnel Policy(2007-09-28) Cohn, Lindsay P.Contemporary militaries depend on volunteer soldiers capable of dealing with advanced technology and complex missions. An important factor in the successful recruiting, retention, and employment of quality personnel is the set of personnel policies which a military has in place. It might be assumed that military policies on personnel derive solely from the functional necessities of the organization's mission, given that the stakes of military effectiveness are generally very high. Unless the survival of the state is in jeopardy, however, it will seek to limit defense costs, which may entail cutting into effectiveness. How a state chooses to make the tradeoffs between effectiveness and economy will be subject to influences other than military necessity. In this study, I argue that military personnel management policies ought to be a function of the interaction between the internal pressures of military mission and the external pressures of the national economic infrastructure surrounding the military. The pressures of military mission should not vary significantly across advanced democratic states, but the national market economic type will. Using written policy and expert interview data from five countries, this study analyzes how military selection, accessions, occupational specialty assignment, and separations policies are related to the country's educational and training system, the significance of skills certification on the labor market, and labor flexibility. I evaluate both officers and enlisted personnel, and I compare them across countries and within countries over time. I find that market economic type is a significant explanatory variable for the key military personnel policies under consideration, although other factors such as the size of the military and the stakes of military effectiveness probably also influence the results. Several other potential explanatory factors such as the ease of recruiting appear to be subordinate to market economic type in predicting policy.