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PubMed2006

The national suicide prevention strategy for England: the reality of a national strategy for the nursing profession.

Suicide is recognized as a global phenomenon and many countries now have national suicide prevention strategies. International guidance on suicide prevention and accepted epidemiological and treatment-based research underpins healthcare policy relating to suicide reduction. There has been an established comprehensive strategy in England since 2002. However, the rate of suicide continues to be a concern and nurses hold a key role in the implementation of national, regional and local policy into practice. The aim of this paper is to consider the current implications of the national suicide prevention strategy in England for nursing. This discussion paper draws upon both empirical evidence-based literature, governmental guidance and policy-related documentation. The national suicide prevention strategy for England currently continues to have a multifaceted impact on the nursing profession. This ranges from clinical practice issues such as risk assessment through to broader public health responsibilities. If nurses and allied health professionals are to be effective in their role within suicide prevention, they will need to be supported in building awareness of the wider context of the national policy. In particular, this will mean working effectively and collaboratively with the voluntary sector, service users and other non-medical agencies.

Cooperative Behavior↗
PubMed1988

Educational priorities in mental health professions: do educators and consumers agree?

Empirical comparisons of priorities of consumers and educators in university-based programmes in psychiatry, psychiatric nursing and social work are described. Data resulted from a Q-sort of 200 objectives for mental health education. The results of the tests of validity and reliability of the instrument are described, followed by a discussion of the similarities and differences among the four samples of subjects: consumers and educators in the three mental health professions. Suggestions for applications of this methodology by inter- and intradisciplinary service providers are described.

Attitude of Health Personnel↗
PubMed2006

What should other healthcare professions learn from nursing ethics.

This paper analyses the question what other healthcare professions should learn from nursing ethics, e.g. what should medical ethics learn from nursing ethics. I first analyse and reject all strong versions of the claim that nursing ethics is unique, because nursing is a unique practice. I then move to the question of whether the link between nursing ethics and nursing theory can be a model for other areas of healthcare ethics. I provide an analysis of the possibility of creating a theory of medicine and find that there cannot be a theory of medicine, and I argue briefly that this finding is also applicable to nursing. If there cannot be a theory of nursing, this entails that nursing ethics cannot be justifiably based on such a theory. In the final section, I then analyse the success of nursing ethics in resisting certain of the vices of Anglo-American analytic ethics, in particular the reductionism and individualism that characterizes much of healthcare ethics. I conclude that other healthcare ethics could usefully learn from this aspect of nursing ethics.

Ethical Analysis↗
PubMed2000

Empowerment of nursing as a socially significant profession in Vietnam.

PURPOSE: To describe nursing education and practice in Vietnam, and strategies that support empowerment of nursing as a socially significant profession for that country. DESIGN: The Jones-Meleis health empowerment model was used as a framework to examine barriers and identify strategies that support empowerment. METHODS: Fieldwork, interviews, and participation-observation in collaborative partnerships with the Ministry of Health, the national nurses association, and schools of nursing in Vietnam. FINDINGS: Nurses in Vietnam are eagerly poised to make significant and essential contributions to the well-being of society. CONCLUSIONS: Baccalaureate and master's degree nursing curricula taught by nurses are necessary for professionalization of nursing practice in Vietnam.

Humans↗
PubMed1992

Attitude of the medical profession to psychiatry.

The attitude of the medical profession to psychiatry carries important implications for the quality of personnel attracted into the specialty and for the treatment, in a general medical setting, of patients with mental disorders. This article examines the components of doctors' attitudes and reviews the literature with regard to their attitudes to psychiatrists themselves, psychiatric patients and psychiatry as a vocation. The implications of these findings for psychiatrists are discussed.

Attitude of Health Personnel↗
PubMed1983

Boom or bust: future of health profession education.

The future of allied health education depends greatly on the nature of economic, social, political and health trends. It behooves educators and administrators to consider such trends as dramatic cutbacks in educational funding, revision of Medicare and Medicaid hospital reimbursement policies, establishment of diagnosis related groups (DRG), increasing technology, the wave of conservatism and the aging population. The effect of the health profession is speculative, however, knowing these trends and properly preparing, revising and reorganizing for them will keep allied health educational programs viable. This paper addresses the trends and their impact on education.

Forecasting↗
PubMed1988

A marketing strategy for the dental public health profession: what is it? Why is it needed?

A personnel management problem exists within dental public health that interferes with its mission of improving the nation's oral health. A major cause of this problem may be that many administrators who write position descriptions and hire professional staff are unaware of differences between clinical and public health dental practitioners. A marketing plan has been developed to address this lack of awareness about proper use of dental public health professionals. Its main goal is to establish more appropriate personnel and employment practices within dental public health. The expected outcomes of this plan could assist both recipients of dental public health services and members of the profession. The purpose of this article is to introduce the marketing strategy to dental public health professionals.

Administrative Personnel↗
PubMed2005

Tobacco control and the dental profession. A survey of the Organisation for Economic Co-operation and Development (OECD) national dental associations.

AIM: To explore the current role played by national dental associations (NDAs) in tobacco control and to assess relevant policy initiatives across OECD countries. DESIGN: A self-complete questionnaire survey. SAMPLE: Chief Executive Officers of NDAs of OECD countries. RESULTS: A response rate of 74% was achieved. An overview of tobacco control policies from OECD member states was obtained. Half of the NDAs reported that they had a policy on tobacco control. Furthermore, a minority of OECD countries appear to have tobacco control guidelines that specifically include reference to the role of dental professionals. Dentists are able to prescribe nicotine replacement therapy (NRT) in less than a third of OECD member states. In a small number of OECD countries there was funding available to encourage dentists to become more actively involved in tobacco control activities. Undergraduate training focusing on tobacco control is not universally provided across all OECD countries. CONCLUSIONS: There is an urgent need to put tobacco control initiatives on the oral health policy agenda of NDAs across the OECD. A range of policy opportunities exist to facilitate greater involvement of the dental profession in tobacco control activities.

Dental Staff↗
PubMed1978

Need for reform in health professions accrediting.

At least 50 vocational or professional groups, exclusive of specialties within categories, now provide a health service. Many have established accrediting procedures for maintaining educational standards, and the number is increasing. So great is the demand from the accrediting bodies that universities and academic health centers find that the cost in terms of money, time, and duplication of effort has become exhorbitant, and thereby a major problem in the management of educational institutions. The duplication of effort leads to fragmentation of the entire accrediting process, and this, in turn, fosters inadequate sharing of health professions educational experiences. A model is presented that would lessen the burden of accrediting on educational institutions and simultaneously permit testing of the feasibility of a multiprofessional accrediting mechanism.

Accreditation↗
PubMed1992

For public or profession?--The new GMC performance procedures.

The upheaval in the General Medical Council two decades ago came from doctors not the consumers the council was set up to protect. Since then there have been repeated calls for doctors to improve their self regulation by amending the disciplinary procedures. Private member's bills have failed and the GMC has now proposed performance procedures to deal with doctors who exhibit a "pattern of poor performance." After months of wide consultation in and outside the medical profession the GMC will decide next week whether to endorse the procedures, which unlike the conduct hearings will be inquiries by peers. Professor Margaret Stacey suggests that the procedures lack clarity, smacking of that "trust me" principle whose subtext is "but I'm not telling you what I'm up to."

Clinical Competence↗
PubMed1975

Homosexuality and the medical profession: a behaviourist's view.

That a homosexual -- man or woman -- is neither a sinner nor a sick person is the thesis of this paper by an authority on sexual deviation. Therefore, such a man or woman neither needs penance and pardon nor cure in the medical sense. Nevertheless such individuals sometimes need the help of doctors and must be treated with understanding. The medical profession also has, in the view of the behaviourist school of psychiatrists, of which Dr Bancroft is a member, the duty of influencing social attitudes towards homosexuals. Obviously homosexuals who come into conflict with the law are special cases, and must be treated as such but this is not 'medical' treatment so much as social control even if drugs and other forms of therapy are used.

Attitude↗
PubMed2002

Preventive detention must be resisted by the medical profession.

A policy of "preventive detention" has recently been debated in the British Parliament. Alarmed by the high-profile criminal activities of people suspected of having dangerous severe personality disorder (DSPD), the government have made clear their intention to "indeterminately but reviewably detain" people with DSPD, after diagnosis by forensic psychiatrists, even if the individuals are yet to commit an offence. Such a policy may improve the safety of the public, but has obvious implications for civil liberties. This essay criticises the morality of the government's intention and rejects the notion that the medical profession could ethically collude with such a policy.

Attitude of Health Personnel↗
PubMed1979

Mackellar Memorial Lecture. The veterinary profession in the EEC.

The European Economic Community was one of the major concerns of the later years of the late Campbell MacKellar. Besides being deeply involved in the affairs of the UEVP--the body representing the practising arm of the veterinary profession in Europe--he was one of the United Kingdom's representatives on the Federation of Veterinarians of the EEC over a period which saw that body emerge into an active pressure group with a real contribution to make to veterinary affairs within the Community. So said Alastair Porter in his introduction to the first MacKellar Memorial Lecture, which he gave last autumn. The following article is abridged from Mr Porter's address.

European Union↗
PubMed2005

Reducing the suicide rate among veterinary surgeons: how the profession can help.

A short communication on page 415 of this issue of The Veterinary Record draws attention to the high suicide rate among members of the veterinary profession. In this article, Professor Richard Halliwell, who has recently chaired a series of meetings on this matter at the Royal College of Veterinary Surgeons, and Mr Brian Hoskin, chairman of the Veterinary Benevolent Fund, describe some of the support mechanisms available to veterinary surgeons and discuss what more might be done.

Burnout, Professional↗
PubMed1995

U.S. radiologists' satisfaction in their profession.

PURPOSE: To determine characteristics associated with differences among radiologists in professional satisfaction and the effect of satisfaction on career plans. MATERIALS AND METHODS: The American College of Radiology surveyed 2,804 radiologists and nuclear medicine specialists in the United States. Single-variable and multivariate analyses were performed. RESULTS: Sixty-five percent of radiologists were currently satisfied with their profession; 31% were more satisfied than they were 5 years ago, 32% felt the same, and 37% were less satisfied. Current satisfaction was most likely for radiologists with a diagnostic radiology subspecialty, board certification, age over 45 years, an academic practice, a salaried position, a full-time practice, urban location, and location in the West. Professional satisfaction relative to that 5 years ago was particularly high for (among others) young radiologists. Poorly satisfied radiologists were more likely to plan a career change and eventual part-time work. Female radiologists were as satisfied as males. CONCLUSION: This study identifies sources of radiologists satisfaction and dissatisfaction and effects of satisfaction on career plans.

Adult↗
PubMed2004

[Gender, health professions and public health].

In this article we review the main results of historical-social research on gender and medical practice, propose a model for applying a gender perspective to the study of healthcare professions, and analyze some current forms of gender bias in Spanish public health societies and publications. The main conclusions indicate: the historic construction of gendered professional identities; the existence of vertical segregation by sex in scientific societies and in journal editorial boards; the existence of androcentric practices in the scientific journals, exemplified by the style of using the initial letter of the authors' first name; the fact that scientific societies do not collect data by sex; the difficulties that all of this implies for quantitative investigations that study the sex variable and adopt a gender perspective; and the need to promote qualitative research on the issue.

Female↗
PubMed1997

Venous insufficiency in male workers with a standing profession. Part 1: epidemiology.

BACKGROUND: Chronic venous insufficiency (CVI) in the occupational population is often poorly recognized. The dimensions of this problem have never been thoroughly investigated in the Netherlands. OBJECTIVE: To study the epidemiology and risk factors of CVI in males with a standing position at work. To develop a simple diagnostic instrument for screening an (occupational) population for CVI. METHODS: 387 male workers with a standing profession were examined by means of a questionnaire, physical examination, Doppler ultrasound investigation, light reflection rheography and optical leg volume measurements. RESULTS: CVI was present in 29% of the subjects and correlated with age, weight and duration of standing work. Complaints of the legs were reported by 81% of the individuals with CVI but also by 63% of the persons without CVI. The questionnaire had a predictive value of 80% in detecting CVI. CONCLUSION: CVI was a major problem because of the quantity (29%) and the accompanying complaints. Neither the questionnaire nor other investigative measures proved to be as efficient in diagnosing CVI as physical examination in combination with Doppler ultrasound investigation.

Adolescent↗
PubMed1994

Training of speech therapists and a psychological profile of the profession.

The psychological professional profile of 20 speech therapists has been investigated by Achtnich's BBT test. The results show three trends common to the profession: choice of the social factor, intense need for imagination and creativity, desire of self-assertion. However, the need for information and acquisition of new knowledge and control of activity is virtually absent among the sample tested.

Adult↗