title: Gerontological social workers' perceived efficacy for influencing client outcomes.
abstract: Using a sample of practitioners (n = 269) from the 2004 National Study of Licensed Social Workers, this article employs a quality assurance structure-process-outcome model to examine factors at the practitioner, workplace, and service delivery levels that influence the perceived efficacy of licensed gerontological social workers to affect client outcomes in the context of a highly challenging health care environment. A regression model accounted for 33.9% of the variance (adjusted R (2) = .291) in perceived efficacy with 3 aspects of service delivery satisfaction having significant effects: ability to address complex/chronic care, to influence the design of services, and to help clients navigate the system.
authors.affiliation: School of Social Work, Arizona State University, Phoenix, AZ, USA. robin.bonifas@asu.edu
authors.forename: Robin
authors.initials: R
authors.lastname: Bonifas
authors.forename: Denise
authors.initials: D
authors.lastname: Gammonley
authors.forename: Kelsey
authors.initials: K
authors.lastname: Simons
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000592:standards; D017598:Efficiency, Organizational / Q000592:standards*; D006299:Health Services for the Aged / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D062526:Patient Navigation / Q000592:standards; D011785:Quality Assurance, Health Care; D012947:Social Work / Q000458:organization & administration / Q000592:standards / Q000706:statistics & numerical data; D013192:Staff Development; D014481:United States; D017132:Workplace / Q000523:psychology / Q000592:standards