

Type of Document Master's Thesis Author Aguillard, Amber E URN etd-0410103-065154 Title Barriers When Implementing the Continuity-of-Care Organizational Structure in Infant and Toddler Child Care Settings Degree Master of Science (M.S.) Department Human Ecology Advisory Committee
Advisor Name Title Sarah H. Pierce Committee Chair Diane C. Burts Committee Member Joan H. Benedict Committee Member Keywords
- child care setting
- continuity of care
- early childhood
Date of Defense 2003-03-21 Availability unrestricted Abstract The purpose of the study was to provide descriptive information about barriers that directors encounter when they attempt to implement the continuity-of-care organizational structure in child care centers. The study focused on four research issues: 1) child care directors’ definitions of continuity of care, 2) directors’ implementations of continuity of care, 3) if the directors’ practices violate their definitions what is the directors’ perceptions of the reason(s), and 4) if the directors’ practices violate their definition what is the reasons for the violations as perceived by an outside observer. The sample consisted of 4 child care directors who direct highquality, state-licensed child care centers. The participating centers care for children ranging from birth to 12-years-old.The present study used a set of interview questions whose purpose was to guide the four participating directors through an interview about continuity of care. The interview questions consisted of two parts: 1) several open-ended questions, and 2) a movement chart for each child in the study (n=52), on which the researcher recorded information about the specific movements of each child from one caregiver to another.
The study found that caregivers and the business of child care are not the dominant barriers to implementing continuity of care that the directors perceive them to be. The empirical data indicated that even though the directors have professed themselves dedicated to the continuity-of-care practices, they are still attached to many traditional child care practices.
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