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PubMed2005

Comparing professions through actor-centred governance: community nursing in Britain and Germany.

Professions are increasingly studied from an international perspective, and understanding context is key to cross-national comparison of professions. This paper builds on studies of health service work in different countries and introduces actor-centred governance as a framework for comparing professions. The framework conceptualises context as institutions and, as such, offers a more systematic analysis of context and the interplay between context and actors. The framework is applied to a comparative study of community nursing in Britain and Germany, which includes a local case study of the governance of internal boundaries. Actor-centred governance helps to map out different actors and the interplay among them, to identify different types of institutions, and to trace how institutions relate to actors and vice versa. As such, actor-centred governance allows for a more systematic analysis of similarities and differences, and facilitates comparisons across different countries.

Community Health Nursing↗

PubMed1997

Male nurses--reasons for entering and experiences of being in the profession.

In order to illuminate male nurse teachers' and nurse students' reasons for choosing to become nurses, and their experiences and positions within the profession, all 13 males among a total of 184 nurse teachers and students at one nursing school in Norway were interviewed twice with a 10-year interval between the interviews. In a personal interview in 1984 all the interviewees emphasized that their desire to become nurses was connected with a wish to act in a woman's role and expressed feminine values. The interviewees' fathers disapproved while their mothers approved with their choices to become nurses. The subjects thought that female nurses did not accept that they were bedside nurses, and exerted pressure on them to adopt roles within nursing that were perceived to be male; i.e. teachers, or administrators. In a telephone interview in 1994 they were asked about their experiences and positions within the profession. Eight interviewees had worked as nurses within psychiatric care and ten had current senior positions. They stated that the most positive thing in the profession was the contact with the patients and meaning so much to someone. All said they would have made the same choice today and become nurses.

Adaptation, Psychological↗

PubMed1985

Ethics, advertising and the definition of a profession.

In the climate of concern about high medical costs, the relationship between the trade and professional aspects of medical practice is receiving close scrutiny. In the United Kingdom there is talk of increasing privatisation of health services, and in the United States the Federal Trade Commission (FTC) has attempted to define medicine as a trade for the purposes of commercial regulation. The Supreme Court recently upheld the FTC charge that the American Medical Association (AMA) has been in restraint of trade because of ethical strictures against advertising. The concept of profession, as it has been analyzed in sociological, legal, philosophical, and historical perspectives, reveals the importance of an ethic of service as well as technical expertise as defining characteristics of professions. It is suggested that the medical profession should pay more attention to its service ideal at this time when doctors are widely perceived to be technically preoccupied.

Advertising↗

PubMedDate not supplied

Occupational safety and health aspects of voice and speech professions.

A well-functioning voice is an essential tool for one third of the labour force. Vocal demands vary to a great extent between the different voice and speech professions. In professions with heavy vocal loading (e.g. school and kindergarten teachers), occupational voice disorders threatening working ability are common. Vocal loading is a combination of prolonged voice use and additional loading factors (e.g. background noise, acoustics, air quality) affecting the fundamental frequency, type and loudness of phonation or the vibratory characteristics of the vocal folds as well as the external frame of the larynx. The prevention and treatment of occupational voice disorders calls for improved occupational safety and health (OSH) arrangements for voice and speech professionals. On the basis of epidemiological and acoustic-physiological research, the presence of risk to vocal health can be substantiated. From the point of view of the physical load on the vocal apparatus, loading-related physiological changes (adaptation) may play a role in the occupational risk. Environmental factors affect vocal loading changes. In teaching professions, the working environment is shared with children, who benefit from amendments of OSH legislation concerning their teachers.

Adolescent↗

PubMed1983

The implications of developing a profession-wide code of ethics.

Current efforts by two professional health education associations to draft a code of ethics could lead to the establishment of a profession-wide code serving as the basis for awareness, inspiration, training, and professional conduct. Such a code would also serve the social functions of professional protection and control. A coordinated attempt to formulate a profession-wide code could more closely unite all existing national health education organizations through a process of cooperative effort and value clarification, with implications for centralization, enforcement, and licensure. Members of the Society for Public Health Education, Inc. (SOPHE) and the Association for the Advancement of Health Education (AAHE) are currently engaged in an attempt to formulate a health education code of ethics. This article explores the history and purposes of such codes. In addition, it compares current health education professional concerns with those of the American Medical Association during the last century. Finally, it discusses the implications of a profession-wide code for centralization, enforcement, and licensure.

Codes of Ethics↗

PubMedDate not supplied

Work-home conflict in the European nursing profession.

This study investigated predictors of the work-home conflict among registered nurses (n = 27,603) in eight European countries. Two scales were used to assess work-family conflict (WFC) and family-work conflict (FWC). Based on a distinction of time- and strain-based and individual factors for WFC, bivariate correlations and multiple linear regression analysis were computed. The relationship between WFC and intention to leave the nursing profession was also analyzed. Quantitative demands indicating intensity of work, regularity of working time, and being pressured to work overtime were the dominating predictors for WFC, explaining 13-23% of the observed variance. The association between WFC and intention to leave the nursing profession was pronounced in all countries except one. Most European countries lack qualified nurses. Attempts to retain nurses in their profession should take into consideration the WFC, the regularity of working time in particular, and overtime issues.

Adult↗

PubMed2005

Investigating the effectiveness of rehabilitation professions--a misguided enterprise?

Some research studies investigate the effects of 'professional therapies' (such as physiotherapy) given to certain classes of patient. This presupposes that therapists (a) only deliver treatments and (b) all deliver the same treatment(s), and neither assumption is true. Moreover the study design usually ignores the fact that rehabilitation is or should be a team activity. It is rarely valid to investigate one part of a team's activity in isolation from the activities of other team members. Therefore the research is often flawed, and cannot answer the question(s) posed. Two consequences arise. First, invalid conclusions may be drawn, especially that the input of a therapy profession is ineffective. Second, purchasers may fail to learn that rehabilitation is a team activity, where the team needs to encompass a range of knowledge and skills rather than comprise specific professions, and may stop funding effective rehabilitation by not funding (enough) input from specific professions. The better approach is to investigate the rehabilitation processes and specific interventions that should be specifically described.

Humans↗

PubMed2002

Health human resources: consider the health technology professions.

Any analysis of health human resources must take into account the critical shortages in the health technology professions, such as medical laboratory technology, medical radiation technology, respiratory therapy and other allied health professions. These professions are often overlooked or invisible to patients, but they provide a vital role in diagnostic and therapeutic services. If projected shortages are not addressed, there will be a major impact on patient care. Accurate human resources information about these professionals must be collected; funding for additional spaces in educational institutions is essential; and a reconsideration of scopes of practice to allow more effective utilization of health technologists' knowledge and skills should be initiated as soon as possible.

Allied Health Occupations↗

PubMedDate not supplied

From vocation to profession: the quest for professionalization of nursing.

This article examines some of the complex factors in the transition of nursing from vocation to profession. These factors include university education, knowledge, gender, and workplace environment. It argues that the conventional definitions and characteristics of the professions and knowledge are tainted with gender bias. The uniqueness of nursing knowledge lies in the combination of scientific and holistic knowledge required for patient care, which is different from other healthcare professions. It suggests an alternative means of recognizing the clinical expertise of frontline nurses so that their contribution to patient care can be acknowledged. Together with the extended and expanded role of specialist nurses and nurse managers, nurses can impose their presence and consolidate their power base in the quest for professionalization.

Education, Nursing↗

PubMed2003

Feminism and women's health professions in Ontario.

Historically, prevailing gender ideologies were an important element in both the exclusionary strategies employed by male occupational groups and the countervailing responses by female groups. The way in which evolving gender ideologies, and feminism in particular, influence the continuing struggle for greater status and recognition by female professions, however, remains to be fully explored. In this paper, we examine the impact and the role of feminism and feminist ideologies within three female professional projects: nursing, dental hygiene and midwifery in Ontario. We argue that feminism provides an ideology of opposition that enables leaders in these professions to battle against professional inequalities by laying bare the gender inequalities that underlie them. Framing their struggles in feminist terms, female professions also seek recognition for the uniquely female contribution they make to the health care division of labour. At the same time, there exists a tension between ideals of feminism and ideals of professionalism, that has the potential to undermine female professional projects.

Female↗

PubMed2004

Professional hazards? The impact of models' body size on advertising effectiveness and women's body-focused anxiety in professions that do and do not emphasize the cultural ideal of thinness.

Previous experimental research indicates that the use of average-size women models in advertising prevents the well-documented negative effect of thin models on women's body image, while such adverts are perceived as equally effective (Halliwell & Dittmar, 2004). The current study extends this work by: (a) seeking to replicate the finding of no difference in advertising effectiveness between average-size and thin models (b) examining level of ideal-body internalization as an individual, internal factor that moderates women's vulnerability to thin media models, in the context of (c) comparing women in professions that differ radically in their focus on, and promotion of, the sociocultural ideal of thinness for women--employees in fashion advertising (n = 75) and teachers in secondary schools (n = 75). Adverts showing thin, average-size and no models were perceived as equally effective. High internalizers in both groups of women felt worse about their body image after exposure to thin models compared to other images. Profession affected responses to average-size models. Teachers reported significantly less body-focused anxiety after seeing average-size models compared to no models, while there was no difference for fashion advertisers. This suggests that women in professional environments with less focus on appearance-related ideals can experience increased body-esteem when exposed to average-size models, whereas women in appearance-focused professions report no such relief.

Adult↗

PubMed1997

Correlates of alcohol, tobacco and marijuana use among Scottish postsecondary helping-profession students.

OBJECTIVE: There is limited information about the prevalence of recreational drug use over the postsecondary experience in Scotland. The purpose of this study was to investigate the patterns of alcohol, tobacco and marijuana use in postsecondary helping-profession students (medical, nursing, education and psychology) in Scotland in regards to gender, age and course of study. METHOD: The Queensland Alcohol and Drug Study Questionnaire was completed by students enrolled in helping-profession courses from 22 departments at universities and colleges in five Scottish cities. The sample consisted of 717 male and 2,537 female students. RESULTS: A slightly (p < .05) higher percent of women (92.7%) consumed alcohol compared to men (90%), but men consumed significantly (p < .001) more drinks per week (26.7) compared to women (17.3). There was no difference between the two groups when U.K. recommendations of maximum limits for each gender were considered. About 50% of men and women consumed over 21 drinks and 14 drinks per week, respectively. A higher (p < .05) percent of men (42.5%) smoked compared to women (36.9%) and a higher (p < .001) percent of men (40.1%) consumed marijuana compared to women (24.1%). There was no difference in the quantity of tobacco consumed. For both men and women, the prevalence of alcohol and marijuana was highest 2 or 3 years before the maximum use of tobacco (students over 24 years of age). Male and female psychology students consumed the most marijuana. Psychology students, together with nursing students, also consumed the most tobacco. CONCLUSIONS: In view of the increasing prevalence of tobacco over the university experience, especially among nursing and psychology students, and heavier alcohol consumption among younger students, health education programs for Scottish postsecondary helping-profession students should expand from the recently introduced school programs.

Adolescent↗

PubMed2001

[Nursing: idealism and realism. Perspectives of nursing students on the nursing profession].

Exploratory and descriptive study with the following objectives: to identify the nursing students' feelings related to the undergraduate course and their perception towards the nursing profession. After the four-year course, 57.4% of students perceived nursing in a positive way as a profession for the future, valued, recognised, compensating even with some limitations. However, 25% of students still perceived nursing as a mechanical, manual and sacrificed profession, with a limited scientific vision and with a gap between theory and practice and as a consequence a lower recognition by the society. If current trends are maintained, the nurse's value would be much greater in the next decades within the Brazilian society according to 61% of respondents.

Adult↗

PubMed2000

[Estimation of the number of minimum salaries attributed to professions in function of their prestige].

The purpose of this study was to verify the relationship between professional prestige scaled through estimations and the professional prestige scaled through estimation of the number of minimum salaries attributed to professions in function of their prestige in society. Results showed: 1--the relationship between the estimation of magnitudes and the estimation of the number of minimum salaries attributed to the professions in function of their prestige is characterized by a function of potence with an exponent lower than 1,0,2--the orders of degrees of prestige of the professions resultant from different experiments involving different samples of subjects are highly concordant (W = 0.85; p < 0.001), considering the modality used as a number (estimation of magnitudes of minimum salaries).

Attitude to Health↗

PubMed1988

The medical profession and the pharmaceutical industry: an unhealthy alliance.

The Canadian medical profession has a long history of allying itself with the Canadian pharmaceutical industry. This alliance exists on two levels: medical associations and medical journals. As a result of the alliance the traditional emphasis of the medical profession on the primacy of the welfare of the patient has been subverted in favor of the profit motive of the drug industry. Elements of the medical profession promote useless pharmaceutical research, poor physician prescribing, and physician involvement in educational activities controlled by the industry. Specific reforms to loosen the alliance are outlined, but ultimately the alliance will only be broken when the values of Canadian physicians change.

Advertising↗

PubMed1998

Inventory-derived task handedness preferences of nine professions and their associations with self-report global handedness preferences.

The handedness preference (laterality) of 1,196 professionals grouped in nine professions previously reported using self-reported global handedness and scores on a modified Edinburgh Handedness Inventory was further defined by evaluating the association between profession and the 10 manual tasks of the inventory. The previously reported ranking of professions in order of increasing righthandedness of laterality score arose from the handedness of specific inventory tasks. A similar association was found for self-reported global handedness. The evidence continues to support the hypothesis of an association between handedness preference and specific aptitudes or skills in this sample of professional persons.

Aptitude↗

PubMed1997

Psychiatry: an impossible profession?

OBJECTIVE: To examine the disconcerting question as to whether psychiatry is a fully-fledged profession or not. METHOD: A review of pertinent literature regarding the criteria of a profession, the vulnerability of psychiatry to abuse, and potential models for the proper practice of psychiatry. RESULTS: Psychiatry lost its professional anchorage entirely with its misuse to suppress dissent in the former Soviet Union and in the so-called euthanasia program in Nazi Germany. It remains vulnerable to abuse unless psychiatrists recognise the professional criteria they must satisfy. A new symbol, a humble stool, is proposed. Its, three legs represent the three equally significant dimensions of psychiatric practice: science, art and ethics. CONCLUSION: Psychiatry just 'scrapes home' in constituting a profession but only subject to three provisos:namely (i) that psychiatrists appreciate the need to achieve a coherent body of special knowledge through a genuine creative process which necessarily results in uncomfortable tension from time to time; (ii) that we promote the art of psychiatry by cultivating an ethos of caring and sensitivity; and (iii) that we function within an articulated ethical framework with respect for codes of ethics as guidelines.

Ethics, Professional↗

PubMed1997

[Genesis of a profession: pharmacists in Quebec in the 19th century].

Before pharmacy was legally recognized as an autonomous profession and before pharmacists were sufficiently numerous and organized to represent their own interests, some "underground" developments marked the appearance of this group in the field of health care. The purpose of this article is to identify and analyze some of the events which led to the emergence in Quebec of pharmacy as a distinct medical profession and the restructuring of the medical community with advances in commercial and industrial activity in the pharmaceutical field. These developments are important to understand the particular orientation of pharmacy in Quebec and also to demonstrate the importance of pharmaceuticals in the health profession.

Canada↗