Browsing by Author "Noblin, J. Leigh"
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Item PATIENT LENGTH OF STAY: PREDICTIVE VARIABILITY AMONG FORENSIC AND CIVIL PSYCHIATRIC UNITS AND POPULATIONS(2012-05) Noblin, J. Leigh; Paul, Gordon L.; Vincent, John P.; Mariotto, Marco J.Patient length of stay (LOS) in psychiatric inpatient services has become one of the most popular but least understood measures of treatment efficiency and total cost of care. The initiative to decrease LOS in an effort to reduce total treatment costs will ultimately be more costly, unless LOS predictors are appropriately applied and revised based on individual patient needs to decrease subsequent hospitalizations. Additionally, unit-specific variables such as staff/client ratio, unit size, and treatment approach have a direct impact on unit operations and should be expected to cloud LOS comparisons across facilities. These inherit differences make the prediction of LOS norms in advance more problematic. The present study investigated several patient demographic, clinic, and legal variables as predictors of LOS on forensic and civil psychiatric units at a major metropolitan public hospital. Data on 1,201 patients (forensic n = 767; civil n=434) were collected from the information in medical records routinely collected for quality assurance purposes at a single facility over a 10-year time span (1999-2008). A series of multiple regression analyses were then conducted to determine the best fit prediction equation for each psychiatric unit, and a cross validation approach was utilized to determine the generalizability of those equations.Item The Role of Cultural Worldview to Mortality Salience(2017-08) Noblin, J. Leigh; Walker, Rheeda L.; Vincent, John P.; Damian, Rodica I.; Hundt, Natalie E.Despite the magnitude of published research on mortality salience since the inception of Terror Management Theory, notable omissions persist in the available literature. The purpose of this study was to examine those gaps in the literature by assessing the effects of cultural factors, affect, and trauma history on mortality salience in a sample of undergraduate college students (N = 334). Measures of cultural worldview, self-construal, affect, trauma history, and death thought accessibility were administered to participants randomly assigned to one of four conditions. Death thought accessibility was not associated with any variable of interest in the current study regardless of whether or not participants received a mortality prime. Participants who reported a more materialistic worldview and an independent self-construal reported more negative affect than participants who reported a spiritual worldview and/or an interdependent self-construal. A significant trauma history was found to be associated with a materialistic worldview and independent self-construal. These findings provide some insight to the role of affect and cultural factors to mortality salience, an area which has largely been ignored in the mortality salience literature.