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[Veterinarian: a healthy profession?].

Data of the insurance company Movir reveals that veterinarians are more often occupationally disabled compared to other occupations. The causes for this disability are: problems with the locomotion apparatus, accidents and psychological problems. Regarding the complaints of the locomotion apparatus is found that proportionally between 51 and 65 years there are more vets disabled. In absolute numbers the majority of the problems at Movir involves the farm animal vet. About the relative importance or indemnities of other insurance companies no statements can be made. The localisation of the affections are: lower back, knees, shoulders, neck and wrist/hand. Regarding the accidents is found that a lot of problems happen in the private situation, but that the high percentage of disability caused by accidents compared with other professions is probably caused by the profession related accidents. From the numbers of Movir comes forth that especially working with horses is dangerous, but there is no specific veterinarian skill very risky. Regarding the psychological problems comes forth that there are no differences between men and women. Proportionally from 46 years until 65 years there is a higher incidence of burnout then at younger ages. In absolute numbers more companion animal vets are burnout, but no statements can be made about the relative importance. There is no difference at Movir between the solopractice and the partnership regarding burnout. The professional circumstances playing a role in developing burnout are: a too high workload, problems with colleagues within the partnership, irregular shifts, organisation and management and financial management. The personal aspects of these veterinarians that play a role in burnout are: high expectations and demands, perfectionism and insecurity about the own abilities. In many of the files there were also problems within the private situation.

Accidents↗

1992 Omnibus Survey. Portrait of the professions.

The portrait of our professions has changed in recent years, and the changes are quite positive. For example, the number of speech-language pathologists and audiologists who reported that they are unemployed and seeking employment has decreased while salaries reportedly continue to increase. These findings are especially encouraging given the current economic times. They represent a continuing demand for the valuable contributions that speech-language pathologists and audiologists can make in today's society. Caseload characteristics illustrate a different picture compared with data from previous years. Audiologists and speech-language pathologists both reported an increase in service provision to the birth-5 population. In addition, the severity of caseloads for speech-language pathologists has substantially decreased from that of previous years. The issues of support personnel, the AuD degree, and gender discrimination evoked expression of strong opinion. Based on the responses to these questions and the comments that accompanied them, it is apparent that there are many questions that need to be addressed before these issues reach consensus. We must continue to work together until we create a balanced picture. All in all, the portrait of the ASHA membership is both colorful and attractive--definitely suitable for framing. We should be proud of the progress that we have made over the years and of the image that we are creating for our professions. As we continue to take brush in hand, remember that each one of us can make a difference in the direction of our future. So splash on the colors and keep it bright!

American Speech-Language-Hearing Association↗

Spiritual dimension in the dynamic relationship with the "helping professions".

The attention given to the spiritual dimension in the "helping professions" practice represents a major step for a coherent approach toward the ethical aspects in the resolving individual and familial conflicts; furthermore they can be used as a key in understanding dysfunctional relationship. Psychiatry interest for religion and mysticism must be considered within a wider framework of cultural changes of our society, from which neither religion, understood as a system of faith, nor medicine, as an answer to human suffering could remain indifferent. The evaluation of this aspect prevents the occurrence of "burn-out" syndrome in the "helping professions" workers, because it would give them the opportunity to a greater spiritual growth with expression of empathy, respect and better understanding of help request from their patients.

Burnout, Professional↗

[Stress, job satisfaction, and quality of life in the health professions: the role of burn-out and personality features].

Emotional exhaustion, depersonalisation and personal achievement represent the main dimensions of the "burn-out syndrome" (B.O.). The risk of B.O. is especially elevated among people working in helping professions. These professionals work in settings that are characterised by a very strong emotional involvement. The representative sample of this study consisted of 100 subjects of whom a part of them worked in a psychiatric setting and others who didn't. All of them have been assessed through the M.B.I. and the E.P.Q. The purpose of the present study was especially: 1) to explore the existence of B.O. and its level, and 2) to verify the existence of some personality characteristics of employees which could be considered as possible predictors of B.O. syndrome. The statistical analysis showed that the three B.O. dimensions and therefore the B.O. syndrome were within the group of persons working in helping professions. The outcomes of this study encouraged an intervention focused on three parts: job organisation, self-management of psychological well-being and teamwork effectiveness.

Adult↗

A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles.

Health care providers who feel prepared are more apt to assume tobacco interventionist roles; therefore, educational preparation is critical. A nonprobability sample of health professions students at an urban academic health center were asked to respond to a twenty-two-item survey eliciting demographic, behavioral, and tobacco-related attitudinal information. Frequency distributions were assessed with Pearson chi-square statistics. The overall response rate was 76.7 percent, and final sample size was 319. Current use of spit tobacco (ST) was 2.5 percent and current smoking 5.6 percent. In comparing current smokers to nonsmokers and current ST users to nonusers, we found that no differences in proportion agreeing with any of the five questions about attitudes and opinions were statistically significant at p-value 0.05. At least 70 percent of students from each of six health professions programs agreed it was their professional responsibility to help smokers quit, and at least 65 percent agreed to the same responsibility for helping ST users quit. The proportion agreeing that their programs had course content describing their role in helping patients quit tobacco use varied widely by program from 100 percent agreement among dental hygiene and pharmacy students to 14.6 percent of physical therapy students (p-value <0.001). When asked whether their program adequately prepared them to help smokers quit, agreement ranged from 100 percent among dental hygiene students to only 5.5 percent among physical therapy students (p-value <0.001). Almost 90 percent of dental hygiene students agreed that they were adequately trained to help ST users quit, but no other program had a percentage of agreement above 34 percent (p-value <0.001). Consistent and comprehensive multidisciplinary tobacco-related curricula could offer desirable standardization.

Adult↗

Evaluating career values of dietetic students. A model for other allied health professions.

Increased job opportunities in health professions make recruitment of students imperative. Effective recruitment requires a knowledge of what students value when making career decisions. This study of dietetic (n = 514) and other college students (n = 352) showed that achievement and economic security were the most important factors in their career selection regardless of major or race. Dietetic majors rated achievement, economic security, ability utilization, personal development, altruism, and working conditions significantly higher than did nondietetic students (p < or = 0.001). Economic security was rated significantly more important by dietetic and allied health majors than by other students. Many of the values important to students in this study are attainable through careers in dietetics and other allied health professions. The results of this study should be examined further with a larger sample of allied health majors to assist educators in recruiting and providing career counseling to students.

Allied Health Personnel↗

An analysis of a health professions appeal board--should a mediational style of hearing matters be adopted?

The Ontario Health Professions Board is a statutory Board that carries out a supervisory function and review function of certain matters arising from twenty-three health professions in the province. This paper examines the board, how it functions, and the nature and type of disputes, which come before it. Having regard to key concepts in the areas of conflict analysis and process design, the paper critically discusses whether the Board ought to adopt a mediational style of hearing matters. The conclusions are that there are very real dangers that the current practices of the Board may contribute to conflict rather than resolve it, that there is no legal impediment to the Board adopting a mediational style of hearing matters, and that such an approach would contribute to the Board effectively carrying out its statutory functions.

Governing Board↗

Is dentistry a profession? Part 2. The hallmarks of professionalism.

In this second in a series of 3 articles, the author builds on the definition of professionalism developed in the first article, arguing that the social contract between the profession and the public entails a collective responsibility of the members of the profession to serve the public good. Several specific professional duties are deduced, such as the duties to attain and maintain competence, to review one's peers, and to serve all in need of expert care. The third and final article will examine whether and to what extent dentistry fulfills these responsibilities and outlines some future challenges.

Clinical Competence↗

Critical thinking among environmental health undergraduates and implications for the profession.

During a study conducted in 2000-2002, the critical-thinking dispositions of undergraduate environmental health students at Illinois State University were found to have significant shortcomings. The critical-thinking-disposition scores were comparable to those of other undergraduates throughout the United States and Canada; nevertheless, these findings have significant implications for environmental health academic programs and the profession. Environmental health professionals commonly confront "ill-structured" problems, for which critical thiking is an essential skill. In addition, the challenges faced by the profession in terms of recognition, funding, and public support require a high level of critical thinking. This paper provides a number of recommendations for academic programs and professionals.

Adolescent↗

[Attitude of nursing staff towards the nursing profession and work community].

This study discusses the attitudes of nurses and other nursing staff towards the nursing profession; their views on the community in which they carry out their daily work; and their opinions on how their job is being affected by ongoing efforts to develop the hospital organization. The study was carried out in two hospitals, where we selected for closer analysis the nursing staff of the inpatient wards (N = 153). The data were collected using a semi-structured questionnaire. Methods of statistical description included percentage distributions, means and standard deviations, and cross tabulation. Content analysis was used in the case of the open-ended answers. The majority of the nursing staff described the general atmosphere of their work community as open. It was also widely agreed that cooperation among different occupational groups on the ward was good or fairly good. Both of these factors were considered essential in view of the common objective of improving nursing quality. All occupational groups had a high regard for their profession. Similarly, most of the respondents believed that with the general development of nursing they would be able to further develop their own professional competence. About half of nursing staff took a positive attitude towards the ongoing campaign to develop the hospital work organization; they were described as justified and meaningful. This campaign implied, for example, a stronger patient-orientation and an improved quality of nursing. Most of the respondents felt they had good opportunities to influence decision-making in matters related to their own daily job. However, there were also critical voices saying that most innovations are in practice implemented by hospital management.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude of Health Personnel↗

[Intention to leave the nursing profession].

BACKGROUND: The NEXT Study (Nurses' Exit Study) was initiated in 10 European countries in order to shed light on nurses' working conditions and reasons of shortage. OBJECTIVES: The study objective was to determine organisation and psychosocial conditions that lead to premature departure from the nursing profession. METHODS: The questionnaire we used took into account aspects such as work history, work demands and organisation, career prospectives and individual resources. This article describes steps related to the construction and validation of the questionnaire and sampling methods. Preliminary results are also reported. Data analysis, performed in relation to the intention to leave the nursing profession, showed the distinctiveness of the situation in Italy compared to other European countries. RESULTS: Conditions related to intention to leave are multifaceted, but they can be summarized as inadequacy of facilities to support the family needs of staff low level of trust in official structures, together with poor support by colleagues and superiors, work overload, and lack of independence at work--although the latter is foreseen in current legislation--and scant career and development possibilities. CONCLUSIONS: These results confirm the existence of a difficult situation, although certain legislative changes are aimed at solving these problems.

Adult↗

Wage increases in the clinical laboratory: how are workers faring against inflation and in comparison to other health professions?

High vacancy rates in the clinical laboratory profession have led to the use of wage increases and financial incentives to attract and retain workers. American Society for Clinical Pathology (ASCP) surveys indicate that wages for Medical Technologists and Medical Laboratory Technicians have been steadily rising in the past few years following years of little or no increases. When adjusted for inflation, the real wage increases have even modestly exceeded the inflation rate. However, wages in the clinical laboratory remain lower than in several other allied health professions with comparable educational preparation. Achieving competitive wages will be important in addressing the long-term need to attract more students to the clinical laboratory.

Allied Health Personnel↗

WHO framework convention on tobacco control and its relevance to the dental professions in South Africa.

One in nine deaths in South Africa is related to tobacco use. Recognition of the need for global partnership to curb the tobacco epidemic has led to the WHO member states' adoption of the first global public health treaty--the framework convention for tobacco control (FCTC). Relevant to the dental profession, within the FCTC's guiding principle of the need to protect all persons from the initiation, maintenance or increase of tobacco use are articles 12 and 14. These challenge parties to take action to train health workers and to secure treatment for tobacco dependence. Preventing initiation of tobacco use by youths is as fundamental to the prevention of periodontal disease and oro-pharyngeal cancer as providing fluoride and dental sealants for the prevention of dental caries. Tobacco control, whether in private practice or in public service, must be viewed within the context of an ethical obligation for primary prevention. There are science-based clinical guidelines for implementing tobacco prevention and tobacco cessation. Dentists who implement an effective cessation programme in their practices can expect to achieve quit rates of 10-15% each year. However, this primary prevention effort can be no better than the knowledge, skills and values of the practitioners providing the service. The FCTC may change the environment that dentistry is practised in globally. The relevant stakeholders in the dental profession should therefore assume stewardship by providing support for the training of dental professionals in tobacco counselling and advocate for the adequate reimbursement of practitioners providing such services.

Adult↗

Factors influencing the selection of dental hygiene as a profession.

Since the mid-1970s, the dental hygiene profession has experienced a decline in the number of applicants. Reasons cited for this decline are fewer traditional college-age students, an increase in the career opportunities available to women, and a decrease in student financial aid. Four-year dental hygiene programs have experienced applicant decline faster than two-year programs. The purpose of this study was to determine factors that influenced university freshmen to designate dental hygiene as a career choice. Factors examined included reasons for choosing or not choosing a career in dental hygiene, and retention in the college major chosen. A questionnaire was mailed to three groups of students who entered the University of North Carolina-Chapel Hill as freshmen from 1985 through 1987: (1) all students who designated dental hygiene as a major on their entrance application; (2) a random sample who did not; and (3) all the freshman during that time period who subsequently matriculated into the dental hygiene program. The overall response rate was 78% (n = 80). Subjects began to explore career opportunities at a mean age of 16. Having a family member/friend in the selected field was found to be the most influential factor in career selection. Among dental hygiene students, contact with a dental hygienist was perceived to be influential in their career choice. Entering college freshmen exhibited a lack of knowledge about the dental hygiene profession, and most had not received any information about dental hygiene in high school. These findings can be used to develop recruitment strategies.

Adult↗

Founders of a profession: the original subscribers to the first dental journal in the world.

A true profession is built upon a tripod: a formal organization, formal professional education, and a formal scientific literature. The United States was the leader in all three. In 1839-40, the American Society of Dental Surgeons was organized, the Baltimore College of Dental Surgery was established, and the first dental journal in the world, the American Journal of Dental Science, was founded. At that time there were only about three hundred trained and scientific dentists in the entire country; the rest were relatively untrained operators, outright quacks, or charlatans. In 1898, a list of the first subscribers to the first journal was discovered and published by G.V. Black. These initial subscribers may be considered the core group of truly professional American dentists. They became the leaders of the newly born profession of dentistry. Short biographies of some of them are included.

Dentists↗

[Our profession--as much an art as a science--Tidsskriftet 1881 - 1906].

The Norwegian journal entitled The Journal of Practical Medicine: (Tidsskrift for praktisk Medicin) was established in 1881. From the eighth volume and onwards, publishing responsibility was taken over by the Norwegian Medical Association. In 1890, the name of the journal was changed to the Journal of The Norwegian Medical Association (Tidsskrift For Den norske laegeforening):, which this year celebrates its 125th anniversary. Why did a new medical journal emerge in the 1880s and why did it survive? How was the journal influenced by its time and how did it itself influence time, profession and field? Investigating the 25 first years of the history of the journal might give us some answers to these questions. The journal was more or less established as a protest against the strong theorisation of medicine and the dominant role of the natural sciences. The aim of the "founding fathers" was, through practical examples, to strengthen the art and practice of medicine. Practical experience is, the editors proclaimed, an essential source of medical knowledge and understanding. Under the auspices of the Medical Association, a new editorial line was established. From now on hygiene and social medicine were highlighted as key issues within medicine. In this the journal reflected dominant traits within society in general. Around 1900 there was an increasing demand for the competence of the professions in solving general problems. Steadily more areas were politicised and theorised. The journal reflected these traits and played an important role in the process of professionalisation and education in citizenship--in raising doctors' attention and responsibility towards societal issues.

Editorial Policies↗

Mental health issues within the general health care system: implications for the nursing profession.

AIM: The aim of this paper is to briefly describe the prevalence of mental illness within the general health care population and the implications for the nursing profession. PRIMARY ARGUMENT: The nursing profession espouses holism as its philosophy of care. This philosophy embraces the essential interaction between the biological, psychological and social aspects of each individual. The mainstreaming of mental health services within the general health care system has increased the level of contact nurses have with people experiencing mental health problems, yet the research evidence suggests they are not confident or competent in meeting the associated needs. CONCLUSION: There is an urgent need for education of the current and future nursing workforce if the challenges presented by mental health issues are to be addressed.

Australia↗