Perceived Influences of Healthcare Reform on Attitudes and Behaviors within Healthcare Facilities

Perceived Influences of Healthcare Reform on Attitudes and Behaviors within Healthcare Facilities

Author: 
Carla Henderson
Program of study: 
D.M.
Abstract: 
The 2010 Healthcare Reform and Affordable Care Act has been a catalyst for change within healthcare facilities and their leadership who have had to adapt to new philosophies and methods of business. Explored in this study were perceptions of how the 2010 Healthcare Reform Policy may have influenced attitudes and behaviors of healthcare employees within clinics and effected healthcare leadership’s ability to provide quality patient care. This qualitative exploratory single case study consisted of interviews with 12 licensed and unlicensed healthcare personnel from three major hospital networks located in Indianapolis, IN. The data collected during this study revealed six major themes: (a) Previous attitudes and behaviors were positive (b) Recent influences perceived as negative (c) Personalization causing negativity (d) Changes resulted from Healthcare Reform (e) Shifts in organizational climate (f) Positive individual attitudes and behaviors maintained. New policies and increased workloads were most mentioned as being catalysts of growing frustrations that influenced the attitudes of healthcare workers. Also revealed was that even though attitudes had been influenced by the perceived negative changes, behaviors of personnel had not changed. According to the both licensed and unlicensed participants, their ethical beliefs are what drive their behaviors. The implications for healthcare leaders include an improved understanding of how writing reform policies and the development of non-validated measures may have a perceived influence upon the delivery of patient care in America.
Dedication: 
This dissertation is dedicated to my daughter, Christa Thomas, and my two grandsons Prince and Sonny, all of whom made this so important for me to complete. I would also like to dedicate this to my best friend Celia Trubey who provided me with unconditional support and Paramount Community Gospel Church who believed enough in me to pay for my education so many years ago. I would also like all of my friends and family members not mentioned to know that they as well are a part of this dedication. The completion of this project is my way of saying thanks for still being there for me despite my unintentional absence for the six years it has taken me to finish this. Please know that I love and appreciate you all and could not have done this without each and every one of you!! Thank you!!
Acknowledgements: 
There were so many people and groups who made this research possible and I would like to thank each and everyone one of them for their role with this project. I would like to first begin with expressing my gratitude to my doctoral committee members, Dr. Paul Ward, Dr. Sheila Schmitz, and Dr. Margaret Garberina, who all showed great patience and support throughout my doctoral journey. Special thanks must be given to Dr. Ward for all his guidance through my entire program. He chose me during the early infancy of my program and even went through an entire topic change. But, he never gave up on me and without whom, I do not believe, my study would have ever taken shape. I would also like to thank Dr. Charlene Romer who stepped in at the very last portion of my journey. I so appreciate what she did to assist me. Without her I could not have completed my program. I would also like to acknowledge all of the physicians and team members of Infectious Disease of Indiana, PSC. I would not have been able to complete my research study without every member’s support. I would also like to say thank you to the IRB boards of St. Vincent hospital, St. Francis hospital, and Community hospital all of which took the time to review my project, provided me with possible suggestions to increase the success of my project, and approved me to move forward with my project. Finally, I would like to thank all of my family and friends whom accepted the fact that I was absent from many important functions trying to complete this study. Thanks for your patience and I so love and appreciate each and every one of you.