[For better interprofessional cooperation: expectation on physicians and other professions].
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This article presents research that explores how female occupational therapists define and experience their professional caring role. The research analyses the relation between female occupational therapists' self-perception, their moral stand and their professional behaviour as patients' advocates. Caring for others, helping people in need, being responsible for the good of others; these and other calls of duty have been a major theme in defining the roles of occupational therapists as well as of other health care professionals. In the present study, seven female occupational therapists from the New York metropolitan area participated. For the collection of the data the researcher interviewed each of the participant, using in-depth ethnographic interviews. From the research main theme named 'self-perception as a caring person', four sub-themes were identified: (a) the perception of being a caring person; (b) being a caring person leads to becoming an occupational therapist; (c) being available to patients; and (d) protecting and helping patients. In this article the first three sub-themes are briefly described. The focus is on the fourth one. It analyses how the interviewees' self-perceptions as caring individuals are central to their moral decision-making process and to their involvement in patients' advocacy as part of their role and functions in occupational therapy.
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Teachers are vulnerable to developing voice problems due to their specific occupational demands during teaching. Information on how the teaching profession is impacted by voice problems and what the profession perceives to be useful information for preventing voice problems is important for health care service providers. A total of 122 subjects from the teaching profession (55 practicing teachers and 67 prospective teachers) were therefore surveyed to ascertain their perception of their voice condition and the impact of voice problems on their communication, social life, personal emotions, and occupation. The results showed that the practicing teachers perceived their voice to be significantly worse than the prospective teachers. In addition, the teachers also faced significantly more difficulties in their daily communication than the prospective teachers. These two groups of subjects believed that information on breathing exercises and specific vocal hygiene strategies would help them prevent voice problems.
Occupational therapists, as well as other rehabilitation professionals, are aware that sexuality counseling is an important aspect of rehabilitation. However, occupational therapists have limited resources within their profession for training in this area. This paper describes the development, philosophy, goals, objectives, and format of the module "Sexuality and Disability" offered to occupational therapy students at Tufts University. Evaluations from the 288 students who have taken this module to date indicate that all students considered the module a pertinent part of their academic program. Other occupational therapy schools might wish to incorporate a similar component into their curricula to expand the resources within the profession for training in sexuality counseling.
It is increasingly emphasised that effective healthcare for the growing number of chronic disease and lifestyle issues must be grounded in a non-reductionist paradigm focused on understanding relationships and applying flexible problem-solving. To address these needs, key principles of complex adaptive systems theory (CAS) are being applied to healthcare planning and research. The aim of this clinical commentary is to provide a brief overview of complex adaptive systems theory and illustrate its relevance to rehabilitation professionals. Further, the review will explore occupational therapist and physiotherapist profession-specific publications for evidence of CAS theory applications that can be used to illustrate the clinical usefulness of complexity science concepts. The commentary will also identify other resources that can assist healthcare providers in developing an understanding of the framework's assumptions and principles for affecting change. Lastly, the implications of failing to acquire a competent understanding of CAS principles and command of the terminology will be addressed and therapists challenged to assume an equal role in mapping healthcare delivery in the 21st century.
Hepatitis B infection is the most important infectious occupational hazard in the dental profession. Hepatitis B virus (HBV) is its etiology and can be transmitted by blood. Dentists were in a high risk of contracting this disease due to the procedures and instruments of dental treatment 1% of dentists were found to be carriers of HBs Ag whereas 13.6% demonstrated the presence of anti-HBs. In intraorally, the greatest concentration of hepatitis B infection was at the gingival sulcus. The role of saliva in transmission was not documented. Vaccination and practical infection control in the operatory could prevent transmission of infection from the patients to dentists or to the other patients.
Glutaraldehyde is considered the disinfectant of choice for sterilizing medical and dental equipment. Unfortunately, glutaraldehyde has many toxic side-effects, including the ability to induce allergic contact dermatitis. In a 5-year study at the University of Kansas, 468 patients were patch tested to glutaraldehyde. A comparison of results was made between those employed in a healthcare related field and those who were not. Health-care workers (HCWs) were more than 8x more likely to be allergic to glutaraldehyde than their non-health-care working peers (NHCWs). Statistically significant differences between HCWs and NHCWs were seen in their reactivity to glutaraldehyde, thimerosal, benzalkonium chloride and methyl methacrylate. A higher than expected co-reactivity between glutaraldehyde and formaldehyde was also noted among HCWs and NHCWs, which cannot fully be explained by concomitant exposure. Allergic contact dermatitis from glutaraldehyde often causes persistent dermatitis, which frequently forces patients to leave their jobs. Although the National Institute of Occupational Safety and Health has published guidelines for safe handling of glutaraldehyde, allergy appears to continue to rise, especially among those employed in health-care professions. Until a less sensitizing disinfectant is developed, it is in the best interest of those in health-care professions, and other professions exposed to glutaraldehyde, to heighten occupational safety standards and to improve methods of barrier protection.
Public policy is increasingly asking: What public policy objectives are achieved by a particular law regulating private acts or licensing a profession? These questions are particularly being asked of the health professions. There is a growing feeling that state legislatures are using licensing laws for purposes other than consumer protection and quality assurance, which are widely believed to be the only legitimate goals of occupational regulation. Are we protecting the profession or the public? These questions will not go away. Two jurisdictions, Ontario and Maine, illustrate this debate.