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PubMed2003

Open-mindedness: a virtue for professional practice.

This paper introduces the notion of open-mindedness before proceeding to outline its value to the practical activity of nursing. An argument is constructed to point to the desirability of the development of a virtue of open-mindedness in nurses in order to complement evidence-based practice. Attention is drawn to two failures of open-mindedness (the vices of closed-mindedness and credulousness), which have the potential both to restrict autonomous practice and to cause harm.

Attitude of Health Personnel↗
PubMed2006

Challenges for professional practice in the next decade.

This article is presented in a question and answer format and shares the thoughts of the 2006 President of the American Speech-Language-Hearing Association (ASHA), Alex Johnson, and current Executive Director of ASHA, Arlene Pietranton, regarding several regulatory issues that the professions of audiology and/or speech-language pathology are likely to have to address over the next decade. Specific topics mentioned include: trends affecting our professions; anticipated service delivery changes; public (i.e., Medicaid and Medicare) and private (i.e., health plans, consumer-driven plans) reimbursement; competing for funding dollars; pay-for-performance; the Individuals with Disabilities Education Act; No Child Left Behind; and ASHA's work with various national organizations and federal agencies in the regulatory arena. Several ASHA resources for further information are listed.

American Speech-Language-Hearing Association↗
PubMed2006

Psychosocial aspects of aphasia: speech and language therapists' views on professional practice.

BACKGROUND: Although the psychosocial dimensions of aphasia are relatively well understood, there may be variations in how these effects are managed in routine intervention. Speech and language therapists may hold a variety of views about this dimension of the aphasic experience, and these views may play a role in how intervention is managed.Aims. To survey practitioner views on the pertinence of psychosocial dimensions in the management of the aphasia speaker. METHODS AND PROCEDURES: Five hundred and twenty-one speech and language therapists who were members of the British Aphasiology Society were surveyed by questionnaire about their views on the importance and role of psychosocial effects (response rate to questionnaire, 33%). The questionnaire was composed of (i) background details of the participants' work context; (ii) attitude towards preparation for working in this area; (iii) attitude towards the importance of psychosocial effects in the management of aphasia; (iv) perceptions of clinical time devoted to this aspect of management; (v) attitude towards the rated importance of specific dimensions of psychosocial effects; (vi) details of methods used; (vii) an open question asking for further comments. OUTCOME AND RESULTS: Overall, strong agreement was shown about the importance of this aspect of aphasia intervention. Participants who believed that psychosocial aspects were important to overall management of the client also believed that these factors were important to the outcome of the intervention. Quality of life (QOL) was found to be an important dimension in psychosocial function, and premorbid experiences were perceived as affecting the outcome of interventions. A range of methods for working on psychosocial functions were reported. Concerns about managing service delivery in this area were expressed, with variations in reported time spent on this type of intervention. CONCLUSIONS: For this population of participants, the psychosocial dimensions were reported as important to management and outcome from intervention. Although variations in views and reported practice were evident, there were a range of responses, which showed a majority view, and these form the basis of key questions to be examined in further studies.

Anxiety↗
PubMed1996

Occupational health and safety in the biotechnology industry--a survey of practicing professionals.

A survey was created to gauge how health and safety (H&S) resources are allocated in the biotechnology industry and to help understand the concerns of industry H&S professionals. A questionnaire was distributed to "the person most responsible for health and safety" at 34 companies; 12 commercial firms responded. Nearly 68% of the work force monitored did not fall into any biohazard classification. Almost 80% of work involving biohazards was considered "exempt" or "BL-1" under the Centers for Disease Control and Prevention classification system, indicating that most work was performed involving organisms of low pathogenic potential. H&S program development and administration is mature; 100% of respondents report having written programs for chemical, biological, and physical hazards. Chemical safety programs occupied, on average, the greatest percentage of the H&S professionals' time (46%), followed by biosafety (29.6%) and physical hazards (16.4%). The person most responsible for H&S averaged 65% of work time on H&S issues, while only 25% described their full-time responsibilities as H&S related. Staffing levels for companies with more than about 100 technical workers approximated 1.0-1.5 full-time H&S staff equivalents per 100 technical workers. This figure compares favorably with levels reported in a benchmarking survey of hospitals. Investigation into accident rates as a measure of H&S program effectiveness suggests that the biotechnology industry is a relatively safe one. Lost time injury and illness rates were significantly lower for the 12 participating companies than the accident frequency rates in the Standard Industrial Classification codes selected for comparison.

Accidents, Occupational↗
PubMed2000

Intuition in professional practice. Executive and staff perceptions.

Intuition, as part of our thinking, is often misunderstood or held in mystical regard. It is important to understand the aspects of this instinctual process and to appreciate the differing perspectives of both the registered nurse in the staff position and the executive in a leadership role. We compare responses to a Socratic dialogue of the definition of intuition and offer suggestions for nursing leaders to develop clinical judgment using nursing examples of intuition.

Humans↗
PubMed1989

Shared governance at Saint Joseph's Hospital of Atlanta: a mature professional practice model.

Quality in work comes from people who care about what they do, are consistent, and have a desire to make a difference. This is not something that can be taught, but it can be nurtured. Patient care is the perfect place to start. Nurses participating in a shared practice situation can extend their working system to others. The rewards of quality care are felt by the patient, by the staff, and ultimately by the hospital. The desire to make a difference grows as more people become involved in a system. Developing systems that are positive, goal oriented, and rewarding is the first step toward shared practice. Shared governance then becomes a natural progression in determining the framework in which a nurse functions.

Constitution and Bylaws↗
PubMedDate not supplied

Nursing education and professional practice: a collaborative approach to enhance retention.

Factors that have led to the current shortage of nurses include a decrease in school of nursing enrollments, an aging workforce leading to retirement attrition, and a decrease in the numbers of nurses remaining within the profession. Compounding the workforce shortage problem, nurses are becoming more frustrated with work and their work environment. Negative work environment can lead to turnover, or worse still, nurses leaving the profession entirely. The purpose of this article is to identify how schools of nursing can work together with hospitals to achieve quality educational preparation for graduates, promote positive experiences for the student nurse, and assist hospitals with maintaining a positive nurse-friendly environment for the nursing staff.

Education, Nursing↗
PubMed2005

Health visiting and refugee families: issues in professional practice.

AIM: This paper reports on the perceptions of experienced health visitors working with refugee families in Inner London. BACKGROUND: Women who are refugees and asylum seekers in the United Kingdom are more likely to experience depression than either non-refugee women or male asylum seekers. Health visitors provide a universal public health service to all women on the birth of a child, or with children aged under five, and as such are well placed to identify emotional and mental health problems of women who are refugees. Despite successive waves of refugees to the United Kingdom in the 20th century, there are no empirical studies of health visiting practice with this vulnerable group. There is also no body of evidence to inform the practice of health visitors new to working with asylum seekers and refugees. METHODS: An exploratory study was undertaken in Inner London in 2001. Semi-structured interviews were conducted with a purposive sample of 13 health visitors experienced in working with women and families who are refugees. FINDINGS: A range of structural challenges was identified that mediated against the development of a health-promoting relationship between health visitors and refugee women. With refugee families, who were living in temporary accommodation, health visitors were prioritizing basic needs that had to be addressed: in addition, they prioritized the needs of children before those of women. Health visitors were aware of the emotional needs of women and had strategies for addressing these with women in more settled circumstances. Health visitors considered themselves ill-prepared to deal with the complexities of working with women in these situations. CONCLUSIONS: This study identifies issues for further exploration, not least from the perspective of refugee women receiving health visiting services. Health visitors in countries receiving refugee women are framing their work with these women in ways that reflect Maslow's theory of a hierarchy of needs. This study suggests ways that public health nursing practice could be improved, and identifies issues for further study.

Attitude of Health Personnel↗