Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Professional Practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 379 records · Page 21Linked to original sources
PubMed1993

Sustaining professional practice: an overview of opportunities.

Over the last decade the trend in surgical nursing has been towards more involvement of the patient in care and decision-making. The ideology of the nursing process can enable the family and the patient to become involved and to exercise individual rights. Within the framework of the nursing process the nurse has been encouraged to perceive and relate to patients in terms of their common and particular personal needs. Furthermore, the patient has a right to contribute to the decision-making process. From the patient's perspective this has been a welcomed change. In recent years patients' rights movements and the development of patients' charters within hospitals and health authorities have been focal. From the nurses' perspective this means that the patient has a right to challenge decisions and treatment. This in turn may lead to nurses' examining and questioning standards of care and professional accountability.

Humans↗
PubMed2005

Health professionals in multi-disciplinary and multi-agency teams: changing professional practice.

The article draws on an Economic and Social Research Council (ESRC)-funded research project that aimed to investigate the reality behind the rhetoric of "joined up thinking". The research project was a qualitative, multi-method study involving three phases, including observation and documentary analysis; interviews; and focus groups around decision making and knowledge sharing. The article reflects on the perspectives and experiences of health professionals and their colleagues in multi-agency teams about the impact of multi-agency teamwork on their professional knowledge and learning, and on their ways of working. Actual and potential conflicts between professionals are explored about models of understanding, about roles, identities, status and power, about information sharing, and around links with other agencies. Dilemmas of team building and of conflicting values and knowledge are exemplified from health professionals' accounts, using theoretical models of "communities of practice" and "activity theory". The article presents groups of strategies that health professionals and their colleagues in multi-agency, multi-professional teams use to overcome barriers and to strengthen team cohesion. The conclusion reflects on some implications of our findings in theory and practice for professionalism within integrated, multi-professional teams that are building new ways of working.

Allied Health Occupations↗
PubMed1999

Reflective education for professional practice: discovering knowledge from experience.

To continually develop as a discipline, a profession needs to generate a knowledge base that can evolve from education and practice. Midwifery reflective practitioners have the potential to develop clinical expertise directed towards achieving desirable, safe and effective practice. Midwives are 'with woman', providing the family with supportive and helpful relationships as they share the deep and profound experiences of childbirth. To become skilled helpers students need to develop reflective skills and valid midwifery knowledge grounded in their personal experiences and practice. Midwife educators and practitioners can assist students and enhance their learning by expanding the scope of practice, encouraging self-assessment and the development of reflective and professional skills. This paper explores journal writing as a learning strategy for the development of reflective skills within midwifery and explores its value for midwifery education. It also examines, through the use of critical social theory and adult learning principles, how midwives can assist and thus enhance students learning through the development of professional and reflective skills for midwifery practice.

Adult↗
PubMed2004

Changing professional practice in tuberculosis care: an educational intervention.

AIM: This paper describes the development and implementation of an experiential, participatory in-service education programme focusing on patient-centeredness, problem-solving and critical reflection for primary providers delivering care to tuberculosis patients in South Africa. BACKGROUND: Tuberculosis is a major contributor to the disease burden in developing countries. In South Africa, approximately 90% of tuberculosis patients are managed by nurses at the primary level. Despite efforts to improve quality of care for these patients, many fail to complete their treatment as prescribed. Poor rapport between health care providers and patients with tuberculosis is a major reason for non-adherence to treatment. Methods of improving the quality of care delivery and communication between health care providers and patients with tuberculosis is therefore a priority. DISCUSSION: The paper outlines the stages of developing and implementing the education programme and reflects on this process. Data is drawn from an in-depth qualitative evaluation of the delivery and impacts of the intervention. The approach was acceptable to health care providers and adaptable to the needs of specific clinics. Participants evaluated the educational intervention positively, noting that it facilitated critical reflection on their work; encouraged problem-solving; and heightened their awareness of communication with patients and with colleagues. However, important structural barriers to practice change were identified, including conditions of service, relations with colleagues and support from management. CONCLUSIONS: Experiential, participatory in-service education can be implemented on a large scale in primary care settings. However, the process is resource intensive and the impacts of such education may be limited by barriers at other levels of the health system.

Adolescent↗
PubMedDate not supplied

[Professional practice in the family health program: representations and subjectivity].

The Family Health Program ("Programa Saúde da Familia", PSF) is a new way of thinking-making health, a new proposal that brings as basic question the process of humanization in the care of user(s) of health service. The professionals that take part in this process are important for this change. Based on the principles of the theory of social representations, this article shows the opinions elaborated by PSF professionals, which are related to their practice, identifying the way they see themselves as well as how others see them, including the way society represents itself in this practicing. This practice is classified between positive and negative poles by the actors responsible to carry it out every day.

Brazil↗
PubMed1993

[Graduates from Tromsø--do they stay in Northern Norway? Geographic origin determines selection of professional practice location in Northern Norway].

The impact of the Medical School, University of Tromsø on the distribution of physicians in rural areas in North Norway was evaluated by means of a mailed questionnaire. The survey covered eleven graduation classes (417 physicians), and the response rate was 84.2%. The establishment of a new medical school in North Norway has clearly had beneficial effects: A total of 56.1% of the graduates stay on as doctors in these areas. Among those who also grew up in the northern parts of Norway, the proportion is 82.0%, compared with graduates who grew up in the southern parts where the proportion is 37.7%. The results clearly demonstrate that one of the main objectives of the Medical School at the University of Tromsø, to educate physicians who prefer to work in these areas, has been achieved.

Arctic Regions↗
PubMed1991

The professional practice of nursing administration. Integrated nursing practice.

The role of the nurse executive is dynamic, requiring a high degree of leadership skill and managerial competence linked with clinical nursing knowledge and research. Preparation for the role requires an integrated curriculum in nursing administration and life span leadership development. Recognition of the professional level of differentiated practice as nursing administration is essential if professional nursing is to remain vital in the 21st century. Transformed schools should be named schools of nursing administration, and the new product should be the nurse executive who has the ability to function in a wide variety of settings on earth and in space.

Clinical Competence↗
PubMed1995

Pioneers of professional practice: an interview with a CRNA. Interview by Sister Sarah Bertler.

Developing professional interdependence is imperative to ensuring clinical outcomes for patients as well as outcomes within the structure of the integrated health care models where advanced practice nurses (APNs) will provide care. Defining roles and building partnerships that are based on trust and result in synergy provide both challenges and opportunities critical to the future success of care providers in integrated health care models.

Humans↗
PubMed2000

Physician views on practicing professionalism in the corporate age.

Arnold Relman argues that medical education does not prepare students and residents to practice their profession in today's corporate health care system. Corporate health care administrators agree: Physicians enter the workforce unskilled in contract negotiation, evidence-based medicine, navigating bureaucratic systems, and so forth. What about practicing physicians? Do they agree as well? According to this study, they do. Feeling like decentered double agents and unprepared, physicians find themselves professionally lost, struggling to balance issues of cost and care and expressing lots of negativity toward the cultures of medicine and managed care. However, physicians are resilient. A group of physicians, who may be called proactive, are meeting the professional demands of corporate health care by becoming sophisticated about its bureaucratic organization and the ways in which their professional and personal commitments fit within the system. Following the lead of proactive physicians, the authors support Relman's thesis and education for both students and physicians requires a major overhaul.

Attitude of Health Personnel↗
PubMed1999

Australian speech pathologists' views of what professional practices lead to successful outcomes of therapy.

The relative importance attributed to factors perceived by speech pathologists as contributing to successful levels of therapeutic outcomes were addressed in a survey of 372 practicing therapists in Australia. The survey consisted of 42 items derived from interviews with a sample of ten speech pathologists in Sydney. Therapists were asked to rate the importance of each item on a seven-point scale ranging from "not at all important" to "critically important." The findings indicate that the most important ingredients of successful therapy incorporate a mix of support and therapeutic activity outside the clinic; the clinicians' organizational skills and involvement in conducting therapy and their use of techniques; the positive therapeutic relationship between clinician and client; and, finally, the client's attitude to therapy. These findings suggest that speech pathologists, like other allied health professionals, endorse a humanistic or holistic approach to health care. The results provide insights into the practices that should be addressed and fostered in undergraduate speech pathology programs.

Adult↗
PubMed2006

AEDs availability and professional practices in delivery outlets in a city center in southern Vietnam.

In developing countries, from 80 to 90% of the people with active epilepsy do not have access to treatment. A multitude of factors such as nonavailability of antiepileptic drugs (AEDs) contributes to the treatment gap in epilepsy. Our study carried out in 2003 in southern Vietnam showed that 57% of pharmacies had AEDs. A majority of these pharmacies were located in specific areas like market area or hospital area. The pharmacist in charge was present in only 24% of the pharmacies. The different kinds of AEDs available were carbamazepine (94%), phenytoin (61%), valproate (56%) and diazepam (16%). The maximum stock of a drug was two box. The availability of AEDs in southern Vietnam can be regarded as sufficient but does not allow an adequate treatment for a long time. An effort must be made to sensitize professional health workers to decrease the treatment gap in epilepsy.

Adult↗
PubMed2004

The bereavement model, stroke and rehabilitation: a critical analysis of the use of a psychological model in professional practice.

PURPOSE: This pilot study aimed to explore with stroke survivors, carers and professionals, the impact of stroke and the process of recovery and rehabilitation. One theme that emerged in interviews with professionals was their use of the bereavement model in relation to recovery from stroke. The purpose of this paper is to explore the ways in which professionals use the bereavement model to explain and manage the rehabilitation of stroke survivors. METHOD: A person-centred study using qualitative research methods, semi structured interviews and self report diaries to explore with stroke survivors and carers the impact of stroke on their lives. Twenty-five interviews with stroke survivors, 23 individual or with carers and seven in two focus groups. Evidence from four self- report diaries provided more detailed examples of the everyday experiences of the survivors. A set of parallel interviews involving 17 professionals involved in the care and support of such individuals, nine individual and one group interview involving a community rehabilitation team. RESULTS: The bereavement model can be identified in the literature aimed at professionals, and was evident in some professional accounts of stroke but was absent from survivors' and carers' accounts of stroke. In over half the interviews, professionals made reference to the bereavement model to explain a process of loss and readjustment. While survivors in their accounts of life after a stroke did acknowledge the ways in which stroke disrupted every-day life and resulted in losses and disabilities, their perception of such losses and disruption was shaped by the context of their every-day life. Most survivors sought to actively manage their recovery by setting goals. They wanted professional support in achieving their goals. The bereavement model appeared to be used by professionals in situations where there was a conflict over goals and professionals felt that survivors had become 'stuck' and their goals unrealistic. CONCLUSIONS: Following stroke, people try to make sense of what has happened and normalize their lives by setting themselves goals to progress towards recovery. It is important that professionals communicate effectively so that their interventions are grounded in and support the survivors' goals and strategies.

Adult↗