Search

Your search keyword '"Vance, Billie"' showing total 22 results
Start Over Author "Vance, Billie"
22 results on '"Vance, Billie"'

8. The Relative Effectiveness of Observing Response vs. Predifferentiation Pretraining on Children's Discrimination Learning.

Author

Pittsburgh Univ., PA. Learning Research and Development Center., Vance, Billie J., and Siegel, Alexander W.

Abstract

This study was designed to assess the relative effectiveness of four components of pretraining on a subsequent simultaneous discrimination and reversal: (1) making same-different judgments about the two stimuli; (2) making a specific observing response to the critical feature of the stimuli; (3) simple familiarization with the stimuli; and (4) developing a set to compare stimuli. Seventy-two first-grade children served as Ss. Two sets of stimuli were used: line drawings of cats and line drawings of children's faces. Although none of the pretraining conditions had a facilitating effect for Ss seeing the faces, there were significant facilitative effects for Ss seeing cats. Specifically, the three pretraining conditions involving same-different judgments facilitated both learning and reversal, whereas the effect of "observing response alone" pretraining had no such facilitative effect. (Author)

Published
1971

9. Visual and Haptic Dimensional Preference: A Developmental Study.

Author

Pittsburgh Univ., PA. Learning Research and Development Center., Siegel, Alexander W., and Vance, Billie J.

Abstract

Dimensional preference tasks in both visual and haptic modalities with three dimensional stimuli varying in form, size, color, or texture were presented to 64 children. There were 16 subjects at each of four grade levels: preschool, kindergarten, grade 1, and grade 3. On each trial, the subject was presented three stimuli and asked to tell the examiner which two were the same. The pattern of preference scores was essentially the same in both visual and haptic tasks. On both tasks, all age groups, except for the preschoolers, showed marked form dominance. Form was especially salient for the kindergarteners and seemed to decrease in salience after that point. Preschoolers showed no clear dimensional preference. However, color or texture preference was relatively low at all ages. The importance of type of stimuli and method of presentation used in assessing dimensional preference is discussed in an attempt to account for the discrepancies between the results of this and previous studies. Tables, charts, and references are included. (Author/WB)

Published
1969

12. Five‐year trend in healthcare access and patient‐reported health outcomes among women veterans.

Author

Vance, Billie, Alhussain, Khalid, and Sambamoorthi, Usha

Subjects
*CHI-squared test, *CONCEPTUAL structures, *CONFIDENCE intervals, *FEDERAL government, *HEALTH services accessibility, *HEALTH status indicators, *HEALTH insurance, *VETERANS, *MEDICAL quality control, *MEDICAL care costs, *HEALTH policy, *HEALTH outcome assessment, *QUALITY of life, *RESEARCH funding, *RISK-taking behavior, *SELF-evaluation, *WOMEN'S health, *MULTIPLE regression analysis, *CROSS-sectional method, *RETROSPECTIVE studies, *DATA analysis software, *DESCRIPTIVE statistics, *ODDS ratio
Abstract

Background: This study aimed to describe the five‐year trend in healthcare access, health‐related quality of life (HRQoL), and health outcomes in women Veterans. Methods: A retrospective, pooled, cross‐sectional study design was employed. Five‐year trend was assessed using 2013 and 2017 Behavioral Risk Factor Surveillance System (BRFSS) data. Bivariate, multivariable logistic regression, and ordinary least squares regression analyses were conducted. Results: A total of 6561 women Veterans, aged 18 to 64 years (3534 in 2013 and 3027 in 2017) were included. Compared to 2013, more women Veterans in 2017 reported increased healthcare insurance and decreased cost as a barrier to care. Women Veterans with health insurance were less likely to report cost as a barrier to care. There were no statistically significant differences in HRQoL in bivariate or ordinary least squares regression analyses between BRFSS years. Conclusion: Federal policy and Veterans Health Administration expansion have had an impact on improving healthcare access to women Veterans. However, increased healthcare access alone does not translate into improved HRQoL or health outcomes for women Veterans. Future policies should not only focus on increasing healthcare access, but also improving health outcomes, especially HRQoL. The quality of the healthcare accessed must be a focus for future research and policy. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
View/download PDF

15. Care of veterans in a non‐veteran health administration hospital: What is the status of nursing practice after continuing education?

Author

Maiocco, Gina, Stroupe, Lya M., Rhoades, Anthea, and Vance, Billie

Subjects
NURSING psychology, INDUSTRIAL safety, VETERANS, RESEARCH methodology, VIOLENCE against medical personnel, MENTAL health, NURSES' attitudes, NURSING, CONTINUING education of nurses, PSYCHIATRIC nursing, SELF-evaluation, SURVEYS, DATA analysis, CULTURAL values, CULTURAL competence, DATA analysis software
Abstract

Aims and objectives: To identify how civilian nurses are caring for military veterans following mandatory continuing education on veterans' mental health needs and to describe challenges nurses are facing in provision of that care. Background: Veterans and military personnel experience mental health conditions at a high rate and are increasingly receiving care in civilian healthcare facilities. Nonmilitary providers may not be prepared to address this population's challenging needs. Military culture may influence the presentation of mental health conditions; thus, critical assessment points by nonmilitary medical personnel may be missed. Education is touted internationally as a means to address deficits, but research is lacking to support that statement. Methods: Adhering to research reporting guidelines, 115 of a proposed 322 civilian nurses in a tertiary hospital volunteered to complete a one‐time online survey that contained quantitative and demographic questions. Forty of 115 nurses went on to complete the qualitative query. Descriptive statistics summarised quantitative results, and constant comparative analysis was applied to qualitative responses for theme identification. Results: The study was stopped early due to reports of violence from veterans upon nurses. Results showed continuing education did not change documentation of military status. Following mandatory continuing education, civilian nurses continued to describe uncertainty in how to adapt care, on how to interact with veterans and in how to deal with violence. Conclusion: The status of care to veterans remains insufficient, but nurses are asking critical questions on how to update practice. Additional support and research in the clinical setting is needed to promote a safe caring environment. Relevance to clinical practice: Continuing education alone may not advance care of the veteran. A multipronged approach to include mandatory documentation of military status and coaching of providers by those experienced with the military way of life may be used to augment staff preparedness. [ABSTRACT FROM AUTHOR]

Published
2019
Full Text
View/download PDF

17. Women Veterans’ Descriptions of the Patient-Provider Interaction with Civilian Providers

Author

Vance, Billie S

Subjects
Women Veterans, Interaction Model of Client Health Behavior, Civilian Providers, Family Practice Nursing, Other Nursing
Abstract

BACKGROUND: Women veterans require care for unique gender, and war-related health issues. Concerns exist regarding non-Veterans Health Administration (VHA), civilian healthcare providers’ preparedness to deliver care to the veteran population. Health outcomes are influenced by the quality of care provided to patients. There is a significant gap in the literature with regard to woman veterans’ perspectives about the quality of the patient-provider interaction between women veterans and non-VHA, civilian providers. PURPOSE: The purpose of this study was to describe women veterans’ perspectives about interactions between themselves and civilian providers and to critically analyze the veterans’ data to further inform the use of the Interaction Model of Client Health Behavior. METHODS: A qualitative descriptive methodology was employed. A purposive sampling plan was used to recruit 13 women veteran participants who exclusively obtained care from non-VHA, civilian healthcare providers. Data collection and analysis was guided by directed content analysis. RESULTS: Six themes surrounding the four factors that comprise the patient-provider interaction element of the model emerged and were coherent with the model. Affective support is knowing me as a person by hearing my story and being attentive to my needs. Professional-technical competence is recognizing and acknowledging women are veterans, comprehending the military experience, and being thorough and accepting accountability for attending to a health concern. Information giving is uncomplicated explanation that facilitates decision making. Decisional control is collaborating by seeking input, providing options, and supporting decisions. CONCLUSIONS: The themes indicate that among non-VHA, civilian providers, there is an absence of consistent screening for military service in female patients, a deficit in knowledge regarding the role and experiences of women during military service, and the need for additional training about military-related health conditions. Further, the themes highlight the importance of the woman veteran’s story, as well as the need to recognize and acknowledge the service of women veterans. Finally, the themes inform the use of the IMCHB to guide research, practice, and policy related to the care of women veterans who obtain care from non-VHA, civilian providers.

Published
2020

21. Women Veterans' Descriptions of Interactions With Civilian Health Care Providers: A Qualitative Inquiry.

Author

Vance BS and Carpenter R

Subjects
Humans, Female, Middle Aged, Adult, United States, Professional-Patient Relations, Aged, Health Behavior, Women's Health, Veterans psychology, Qualitative Research
Abstract

Women veterans often obtain care for unique gender- and military-related health issues from civilian health care settings. There is a gap in the literature surrounding woman veterans' perspectives about the care they receive. The purpose of this study was to apply the Interaction Model of Client Health Behavior framework to study the patient-provider interaction described by women veterans. A qualitative descriptive methodology, using directed content analysis, was employed. Six themes were identified. Consistent screening, provider knowledge about service roles and experiences of women veterans, and familiarity with military-related health conditions support holistic care. Further research in this area is warranted., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results