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[Psychosocial guidance of nursing home personnel by group therapy. Basic considerations and initial experience].

Support groups for those professional caregivers who work in homes for the aged are seldom. Focussing on occupational stressors in this profession and the burnout research as a conceptual framework, a support group is introduced. To sustain the social competence and the coping skills of the caregivers are the basic aims of this group. Based on role taking and psychodrama as intervention techniques, outcomes from this group are discussed. Recommendations for future groups as a support system for caregivers in homes for the aged are derived.

Adaptation, Psychological↗

[Clinical and radiological results after cruciate ligament repairs using the meniscus (author's transl)].

The postoperative clinical course and late x-ray results after plastic reconstruction of the cruciate ligament with a meniscus. Presented here are the postoperative results after plastic reconstruction of the anterior cruciate ligament with the medial meniscus. The periods of observation cover up to 29 years. 14 patients were personally re-examined, 3 were accounted for after answering a questionnaire. Only 2 cases showed severe instability and 13 cases gonarthrosis of varying degree. 13 cases were satisfied with the results of the operation. 16 patients were able to maintain their occupations, 5 changed their professions. The majority of patients is involved in athletic activity of wide variety, 6 participate in competitive sports.

Adolescent↗

[Current aspects of neurologic and neurosurgical rehabilitation in ambulatory medicine].

Nearly all neurological and neurosurgical diseases can cause lasting disabilities. Therefore, neurorehabilitation is needed. The German Pension Insurance Association has developed a concept of phases working as a chain of treatment, rehabilitation and care. This was confirmed as the one official system by the German Federal Society for Rehabilitation consisting of all social insurances and wellfare sponsors. The goals and tasks of each phase are defined by the functional status of the patients and their requirements for recovery. The costs are mostly determined by the social health or the social pension insurances. Different professions (physicians, nurses, physiotherapists, occupational therapists, speech therapists, (neuro-)psychologists, social workers) have to cooperate as a "therapeutic team" to improve the patient's impairments, disabilities and handicaps and to make full use of their individual resources of recovery. Only this can be the basis for valid prognostic decisions. In the long term treatment and care of the general practitioner, stroke patients are the most important group. Special problems are seen after traumatic brain injuries. Other relevant diagnoses are Parkinson's syndrome, multiple sclerosis, diseases and injuries of the spinal cord or the peripheral nervous system. In many patients, special aids have to be prescribed for several aspects of human living.

Brain Damage, Chronic↗

Professions as "callings".

The idea of an occupation as a "calling" refers to some moral and perhaps religious motives and to a vision of the larger ends and purposes that work serves. Professions are characterized by mastery of technical information, concepts and theories that guide choices, institutionalization that exercises social controls, and, at least traditionally, a service orientation. "Calling" without professionalization is inept, and a profession without a calling lacks moral and humane roots, loses human sensitivity, and restricts the vision of the purposes of human good that are served.

Health Occupations↗

Occupational medicine as a specialty.

Occupational medicine is one of the more recently accepted specialties and is best defined by the social context in which it is practiced. The current structure of the specialty is more easily understood in the light of its historical background. Occupational medicine brings together knowledge from a wide spectrum of disciplines which is reflected in its academic and research bases. A great variety of activities and environments are covered and this has posed problems in defining and organizing higher specialist training. Occupational considerations impact on almost every aspect of medical practice and there is a need for wider understanding of occupational medicine principles in the profession as a whole both in this country and abroad.

Humans↗

Ethics and occupational therapy practice.

Professional ethics are guiding principles which are intended to orient the individuals within the profession, ensure our clients best interests and to protect the profession itself and its position in the public mind. Professional ethics are the rules we use to make certain that each therapist is operating in a fashion which protects the integrity of our profession and hence the viability of all occupational therapists. Our professional ethics, in addition to our special training and acquired skills, explain our profession to the health care community and those patients whom we serve. Professional ethics are a method by which our membership defines itself and guides its members throughout their career. Professional ethics ensure a place of trust within the Canadian health care system for those who choose to practice occupational therapy.

Canada↗

Do new roles contribute to job satisfaction and retention of staff in nursing and professions allied to medicine?

BACKGROUND: Studies have suggested that job dissatisfaction is a major factor influencing nurses' and occupational therapists' intention to leave their profession. It has also been related to turnover of qualified nurses. However, literature relating to these factors among nurses and professions allied to medicine in innovative roles is scarce. AIMS: This paper considers the views of 452 nurses and 162 professionals allied to medicine (PAMs) in innovative roles, on job satisfaction, career development, intention to leave the profession and factors seen as hindering and enhancing effective working. METHODS: A self-completion questionnaire was developed as part of a larger study exploring new roles in practice (The ENRiP Study). FINDINGS: Overall there was a high level of job satisfaction in both groups (nurses and PAMs). Job satisfaction was significantly related to feeling integrated within the post-holder's own professional group and with immediate colleagues, feeling that the role had improved their career prospects, feeling adequately prepared and trained for the role, and working to protocol. Sixty-eight percent (n = 415) of respondents felt the role had enhanced their career prospects but over a quarter of respondents (n = 163; 27%) said they would leave their profession if they could. Low job satisfaction was significantly related to intention to leave the profession. CONCLUSIONS: The vast majority of post-holders in innovative roles felt that the role provided them with a sense of job satisfaction. However, it is essential that the post-holders feel adequately prepared to carry out the role and that the boundaries of their practice are well defined. Career progression and professional integration both being associated with job satisfaction.

Adult↗