The influence of client, staff and workflow characteristics on immunization clinic encounter time
AuthorDallabetta, Pamela Kay
KeywordsImmunization Programs -- utilization.
Community Health Centers -- organization & administration.
Committee ChairEffken, Judith
MetadataShow full item record
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractUsing a conceptual framework derived from contingency theory and Verran and Shaw's (1986) Nursing Technology Model, this exploratory descriptive, comparative study examined the effect of clients' dominant language and degree of acculturation, staff's dominant language, and workflow variability on the time required to preconference clients at one immunization clinic in Southern Arizona. An investigator-developed tool was used to classify clients into three dominant language groups (English-only, Spanish-only, and bilingual), three levels of acculturation (low, moderate , and high), and assess workflow variability (low, moderate, high). Nursing staff conducting the preconferencing session were categorized by self-report into three dominant language groups (English-only, partial Spanish, and bilingual). It was expected that clinic encounter time would increase when miss-matches between client's and staff's dominant language required the use of a translator, with decreased levels of client acculturation and with increased levels of workflow variability (i.e., with more exceptions to standard procedures). The results of the research failed to support these hypotheses. Analysis of variance revealed no significant differences between the mean scores for any of the variables measured. However, some variables did order as predicted (e.g., encounters done by bilingual staff took less time than encounters using a translator). The high variability in the scores suggests the need for researchers to consider other factors in addition to those measured here when determining the predictors of encounter time.
Degree ProgramGraduate College