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PubMed1997

Psychiatric nursing in Victoria, Australia: a profession in crisis.

The introduction of the Nurses Act in 1993 resulted in the cessation of separate undergraduate education as preparation for psychiatric nursing practice in Victoria, Australia. The focus of this paper is to present the nature and implications of the current legislation in light of the relative size of the psychiatric component within Victorian courses and the relevant literature and research findings regarding the position of psychiatric nursing within comprehensive courses. The potential crisis faced by the psychiatric nursing profession in securing a viable workforce for the future will be highlighted.

Australia↗

PubMed1998

Promoting the nursing profession: the perceptions of non-English-speaking background high school students in Sydney, Australia.

By using an ethnographic approach, this paper explores the perceptions of nursing among the non-English-speaking background high school students in Sydney, and describes how the nursing profession could be promoted to them. A volunteer sample of four groups of high school students with parents from Lebanon, Vietnam, Korea and mainland China were recruited. In-depth focus group interviews were conducted. Through constant comparison of categories, 10 concepts emerged from the three major themes to describe the students' career preferences and their influencing factors; their image of nursing and their suggestions on how nursing could be promoted to them. These findings highlighted the significance of social, cultural and political factors that influenced the students' perceptions of nursing and their career choice. Implications and suggestions for marketing and recruitment strategies are discussed.

Adolescent↗

PubMedDate not supplied

Use of Giger and Davidhizar's Transcultural Assessment Model by health professions.

Nursing science is increasingly gaining recognition. Witness the growing use by other disciplines of nursing's models and ideas. One example is the adoption of the Giger and Davidhizar Model of Transcultural Assessment by non-nursing disciplines to understand and address the needs of a pluralistic multicultural society. Below the authors describe a model to understand culturally diverse clients and show how health professions are using it to provide culturally competent care.

Cultural Diversity↗

PubMed2002

Working in partnership to develop evidence-based practice within the massage profession.

In view of changing policy and recommendation for complementary medicine, the moves towards regulatory mechanisms and an evidence base for practice, there is a need to establish the extent to which this is happening within professions and identify away forward that will benefit the individuals and organisations involved. This paper outlines the views and opinions of professional masseurs at the Northern Institute of Massage in the North of England and discusses how such a professional organisation for massage can work in partnership with Higher Education to develop a stronger evidence base for practice. The study concludes that a significant number of practitioners of the Northern Institute are aware of the need for an evidence base for practice but need to be supported in finding, reading and applying research findings to their practice. A partnership between professional organisations for massage and higher education can benefit both parties and help to facilitate change for the future.

Adult↗

PubMed1999

The KID Study V: the natural history of type 2 diabetes in younger patients still practising a profession. Heterogeneity of basal and reactive C-peptide levels in relation to BMI, duration of disease, age and HbA1.

In a detailed evaluation of the data accumulated for 493 type 2 diabetics who participated in the KID Study, pre- and postprandial C-peptide was correlated with blood glucose level, HbA1, body mass index (BMI), duration of disease and age. As described earlier the KID-Study examined a younger cohort of type 2 diabetics predominately practising a profession. Our investigations demonstrate a significant increase of pre- as well as postprandial C-peptide levels with increasing obesity. However, delta C-peptide, as an indicator at the reaction capacity of pancreatic secretion, decreases significantly and continuously. Pre- as well as postprandial C-peptide levels decrease significantly with up to 15-20 years duration of disease. The preprandial pancreatic secretion is usually even at a high normal level at such a late stage whereas the secretory reserve of normal or mildly overweight as well as of obese type 2 diabetics is more impaired. In contrast to patients with a BMI < 30, obese patients with a BMI > 30 will also develop impairment of basal insulin secretion over decades. The patient's age did not influence the pre- or postprandial insulin secretion. The quality of metabolic control as measured by the HbA1 has nearly exclusive impact on the secretory reserve capacity. Correlation with increasing HbA1 concentrations, the postprandial but not the preprandial C-peptide levels decreased significantly and continuously. Predictive factors for a deterioration in pancreatic function are in order of importance: the extent of obesity, the quality of metabolic control and only last the duration of diabetes. Fortunately, consistent diabetic care can have an impact on the first two.

Age of Onset↗

PubMed2000

[Expectations and attitudes of medical students concerning work stress and consequences of their future medical profession].

In the following cross-sectional study 245 medical students from two different terms (three years apart) were being questioned about work stress and the consequences of their future medical profession. Attitudes and expectations regarding future work stress, work satisfaction, coping strategies, gender specific problems, effects on private life and future quality of life were studied. As expected, students in the upper term were able to judge their professional and private future more realistically. The expectations of the advanced students are more realistic and as a consequence it is likely that a disillusioning process is taking place. The results contribute to a better understanding of the present study situation and well-being of medical students concerning their professional and private future which is also important for teaching and the teaching professionals.

Adult↗

PubMed2006

[When is a doctor a good doctor? An analysis of the contents of statements by representatives of the medical profession ].

BACKGROUND: Several professional bodies have developed influential documents which have tried to describe the essential competences of a good doctor. Such an initiative has not been previously conducted in German-speaking countries. Differences between the published statements point towards the significance of differences in the respective sociocultural setting. METHODS: The first step was to take advantage of a series of standardized written interviews [including the item "What makes a doctor a good doctor?"], conducted with leading German physicians and published serially in the Deutsche Medizinische Wochenschrift. Responses were qualitatively analysed by three assessors in accordance with Grounded Theory. Text fragmentation and assignment of categories was built successively: it was based on the actual material and repeatedly revised. RESULTS: 261 statements were extracted from a total of 83 interviews. It was possible to assign 249 of them to one of the following nine categories: "knowledge", "empathy" and "patient orientation" and, less frequently "practical competence", "genuineness", "helper", "awareness of limits", "life-long learning" and "cooperation". Results were similar for older and younger physicians, or when comparing representatives of clinical and theoretical disciplines. CONCLUSIONS: It will be worthwhile to survey and evaluate the opinion of additional members of the medical profession and of patients and others with a stake in the health system--comparing and delineating results from different countries--so that a more comprehensive picture can be drawn of "the good doctor".

Germany↗

PubMed1999

The "Phoenix" ADR database of the Drug Commission of the German Medical Profession--a clinically useful approach to optimize evidence-based medicine in Germany.

The innovative "Phoenix" database system of the Drug Commission of the German Medical Profession (AkdA) permits rapid access to data on adverse drug reactions. It enables the user to conduct searches covering a wide variety of questions within a short period of time. No one needs to be an "expert" to extract scientific knowledge from a database that currently already contains some 106,000 reports on adverse drug reactions. While our traditional apprenticeship model of physician training has served us well, an adaptation will be required for the new millennium. New tools are needed to allocate the available resources. Clinical proposals of experts or opinion leaders, guidelines, and highly graded clinical studies, like the use of clinical databases may help to improve safety and efficacy of drug administration. Evidence-based critical care medicine is therefore a potential tool for improving the effectiveness of drug therapy and for the patient's outcome. Over and above, the Phoenix database might be interpreted as an initiative instrument, which is easy to use and contributes to highlight the determinants of clinical decisions.

Databases, Factual↗

PubMed2002

Collective bargaining in the nursing profession: salient issues and recent developments in healthcare reform.

This article examines practical workplace issues and recent developments related to collective bargaining in the nursing profession, with emphasis on issues affected by recent reforms in the healthcare industry. Included are examples of issues most salient to nurses in their efforts to organize, given the reforms. An overview of recent developments in the political, legal, and local areas is also provided.

Collective Bargaining↗

PubMed2006

Work-related stress in the veterinary profession in New Zealand.

AIM: To investigate sources of work-related stress in the veterinary profession in New Zealand, perceptions of levels of stress being experienced, and the social support that veterinarians are using to manage work-related stress. METHODS: A postal survey was distributed to 1,907 veterinarians registered with the Veterinary Council of New Zealand (VCNZ). The survey collected information on respondents' age, gender, type and number of people in the workplace, stress levels, depression, suicidal thoughts and attempts, causes of stress and sources of support. RESULTS: Nine hundred and twenty-seven (48.6%) veterinarians returned useable responses. Veterinarians who were retired, working overseas or did not provide information about their type of work were excluded from the analysis, leaving data from 849 (44.5%) veterinarians. Women experienced more work-related stress and depression than men, veterinarians in small animal/mixed practice reported more stress and depression than those in other types of work, and younger veterinarians experienced higher levels of stress than older veterinarians. The main sources of stress were hours worked, client expectations, and unexpected outcomes. Respondents were also stressed by the need to keep up their knowledge and technical skills, and by personal relationships, finances and their expectations of themselves. Most respondents reported that they had good networks of family and friends to help them deal with stress. In general, respondents tended to rely on informal networks such as family and friends, other veterinarians and workmates to provide support. The small proportion of respondents who reported clinical depression or suicidal thoughts or attempts were more likely than respondents in general to have used health professionals, counselling, pastoral/spiritual support and the Vets in Stress phone line, but less likely to have sought support from employers and workmates. CONCLUSIONS: There is a need for a wide range of strategies to manage work-related stress among veterinarians. Sources of stress in the workplace must be identified and strategies developed to control those which present a significant hazard. Strategies may include attention to workloads and working hours, design of work processes, and increasing social support. Training in work-related skills such as communication, conflict management and stress management may be helpful where lack of these skills is contributing to stress. Support services such as help lines and mentor schemes are also available and information about these needs to be more accessible.

Adult↗

PubMed1998

Evelyn K. Oremland's contributions to the child life profession.

Evelyn K. Oremland, Ph.D., founded the first college-based Child Life Program on the West Coast. A pioneer in child life, in her twenty years at Mills College, Oakland, California, she developed a graduate curriculum to create the child life profession. Through her tireless activities in the international organization, Association for the Care of Children's Health (ACCH), and her co-chairing the Educational Committee of the Child Life Council, she helped establish standards for the child life specialist certification. Around the world, her teaching, research, and writing have helped protect the emotional development of sick children. She is best remembered as a devoted and beloved teacher. Graduates from her program now occupy many senior administrative positions in child life in the United States and in Europe.

Child↗

PubMed1996

"Love" and the mental health professions: toward understanding adult love.

This essay explores three aspects of the normal processes of adult-adult love: falling in love, being in love, and staying in love. It describes the emotions, defenses, and challenges inherent in each phase. Love is an ordinary but immensely powerful adult aspiration. As a term it is impossible to define in any singular sense. The attainment of its lofty purposes requires profound intrapsychic adjustments involving creative acts of imagination, the integration of ideals with reality, evolving adaptations to the partner, the maintenance of a positive internal image of the partner, and ongoing struggles to overcome self-interest. These adjustments have not been well characterized by the mental health professions. This is ironic since a large portion of our work involves caring for love's casualties--that is, people whose miseries relate to their inability to successfully negotiate the phases of love or whose happiness is limited by their partners who cannot. Six arguments for ending professional avoidance of the topic are offered, the most compelling of which are love's relevance to both the pathogenesis of mental suffering and to the art of psychotherapeutic healing.

Emotions↗

PubMed2004

Organizational commitment of a health profession faculty: dimensions, correlates and conditions.

Health professions depend on their faculties to prepare new practitioners, conduct research and provide essential services. Organizational commitment is an important aspect of faculty effectiveness and job performance, and may impact on turnover, absenteeism and interpersonal trust. A survey of organizational commitment, including faculty demographics and workplace variables, was conducted. Respondents were full- and part-time chiropractic faculty working in the United States and Canada. More than 54% of the study population (n = 609) completed and returned the instrument. A large majority of the respondents were male (68.4%) and employed full-time (81.6%). Almost half (47.5%) of the respondents were assigned to the area of patient care at their institutions. This study provides an initial assessment of organizational commitment among chiropractic faculty. Tenure in higher education, gender and age were found to be the most important predictors of organizational commitment.

Adult↗

PubMed2005

Applying the case method for teaching within the health professions--teaching the teachers.

The case method provides training in problem solving and is useful in clinical education within health professions. The method consumes less teaching resources and might be useful in a situation with increasing numbers of students and staff cuts. As it is a relatively new method within the Faculty of Medicine, University of Lund, a training program for teachers has been established with a short, practical, course. This paper describes the application and introduction of the case method and evaluation of the introductory course by 106 teachers. In this course the case method is introduced and demonstrated. The participants construct cases and take an active part as both students and teachers. Almost everyone was planning to incorporate the case method in their teaching practice, at both undergraduate and graduate levels. To have constructed and led cases themselves was considered a great strength. More time was requested as well as a follow-up session after practically using the case method.

Education, Medical, Graduate↗

PubMed2001

Portrait of the physiotherapy profession.

As a profession integral to health promotion, prevention, acute care and rehabilitation physiotherapy plays an essential role in the health care system. This paper explores the nature of physiotherapy, the role of physiotherapy in health care, the practice of physiotherapy internationally, the education of physiotherapists, the regulation of physiotherapy practice and the maintenance of practice standards.

Allied Health Occupations↗

PubMed2002

The state of the world's pharmacy: a portrait of the pharmacy profession.

Pharmacy is the health profession that has the responsibility for ensuring the safe, effective and rational use of medicines. As such it plays a vital part in the delivery of health care world-wide. However, there remain wide variations in the practice of pharmacy, not only between countries but also within countries. Nevertheless, in recent years there has been significant convergence, driven by a number of key factors. These include World Health Organization declarations concerning the role of pharmacists, changes in the political climate of many countries, and the pursuit by pharmacists themselves of the goals of medicines management and pharmaceutical care. This paper considers the main activities undertaken by pharmacists, describes their education and regulation, and explores the current state of pharmacy around the world.

Developing Countries↗

PubMed2002

Commitment to health: a shared ethical bond between professions.

It is commonly assumed that Codes of Ethics are supported by concrete ethical principles, that adherence to Codes of Ethics guarantees ethical behaviour and that there is widespread agreement about ethical standards. Each of these assumptions is false. Codes of Ethics are inevitably open to wide interpretation, and it is impossible to demonstrate absolute moral standards. Health and social care workers should not adhere to unexplained 'ethical principles' insufficient to guide practical decision making. Anyone who recognises that all human actions potentially have ethical content may choose to make an ethical commitment. In order to work for health, health workers ought to commit to a substantial theory of health. One such theory--the foundations theory of health--is briefly explained and illustrated. The foundations theory can form a shared ethical bond between health and social care professionals, since both professions regularly strive to achieve foundational health for their patients and clients.

Attitude of Health Personnel↗

PubMed2004

Institutionalizing interdisciplinary health professions programs in higher education: the implications of one story and two laws.

The interdisciplinary education of health professionals in the USA has increasingly been tied to renewed efforts directed toward quality improvement in the healthcare system, where problems with communication, collaboration, and cooperation are seen as endemic. Many of the published reports and recommendations on interdisciplinary programming, however, have omitted or downplayed the difficulties and challenges of developing and sustaining efforts in this area. Through the presentation of a detailed case study and the exploration of two laws of interdisciplinary programming proposed from it, this paper explores the fundamental difficulties of developing and, more importantly, sustaining interdisciplinary health professions programs in higher educational settings. The utilization of strategies based on emerging forces in the healthcare system and in higher education itself is suggested for initiating interdisciplinary projects, and structural and procedural factors are explored as critical in guaranteeing the long-term sustainability of such programs. Recommendations for the successful development and implementation of interdisciplinary programs in higher educational contexts are suggested, focusing particularly on the role of an advocate in the top down and bottom up development and maintenance of the resources needed for the success of such programs.

Curriculum↗