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Fathers and sons. Practices not necessarily made in heaven.
Partnerships result in many pluses to a dental practice. Interpersonal relationships result in many minuses to the partners' rapport. This is magnified manyfold when the relationship is father and son. This article attempts to resolve some of the problems.
[Do physicians experience spousal support in their medical career?].
BACKGROUND: The professional life of physicians is characterised by long working days and pressure for efficiency. Family life represents an arena for developing other aspects of life. It is not well known to what extent physicians' spouses are supportive of the physician's total situation, or how gender, age, family or professional aspects influence this perception. MATERIAL AND METHODS: In a nation-wide survey of the medical profession, 1594 male and 512 female physicians answered 12 attitude statements relating to work and family life. The responses were grouped by factor analysis into three dimensions: emotional support, instrumental support, and conflict. The statistical analysis for associations between social support and age, family and professional factors was performed separately for men and women in multivariate models. RESULTS: Physicians were generally satisfied with the support given by their spouses. Female physicians reported more emotional support; male physicians perceived or reported more practical support as well as more conflict. The experience of conflict was most pronounced among physicians aged 35-44 and among those reporting long working hours. The strongest positive association between social support and spouse's profession was found for spouses who were physicians themselves. INTERPRETATION: Experienced spousal support among Norwegian physicians is influenced by gender and various aspects of work and family life. Physicians with same-profession spouses expressed the greatest satisfaction with the support they received.
Neuroscience and psychodynamics.
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Constraints on women's intersectoral health partnerships: lessons from Canada.
Issues that constrain women's organizations from developing partnerships that promote women's health through health policy development and implementation are discussed in terms of lessons drawn from 3 studies. Key issues are the values underlying notions of partnership and participation, communication across sectors, different worldviews, and the resource limitations of feminist organizations. By attending to constraints and learning from successes and failures, women's organizations will be able to promote women's health through intersectoral partnering. The health sector and health professionals need to respond to the constraints in order to benefit from the expertise that resides within women's organizations.
The Arizona Consortium of Complementary Healing Organizations: the work and rewards of collaboration.
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Tackling the nursing shortage in rural America. Linking of education and service in a differentiated practice environment.
The need for solutions to the nursing shortage in rural areas, teamwork, and new ways of thinking about management and nursing education prompted the development of an innovative clinical activity in a rural hospital that utilizes a differentiated practice nursing model. The activity is part of a project titled University and Community College Partnership in Education (supported by a grant from the Fund for Improvement of Postsecondary Education). The activity links baccalaureate students at a mid-western university with associate degree students at a rural community college to study the management model in a two-day immersion clinical experience.
[Present and future of the practice of medical oncology and multidisciplinary cancerology].
The Assembly of French Professors in Cancerology, consisting of medical and surgical oncologists as well as radiotherapists, has introduced a new diploma for specialized studies in medical oncology. This diploma is entitled oncology, medical option; the pre-existing diploma for radiotherapy is entitled oncology, radiotherapeutic option. Both diplomas are awarded after a common training period followed by specific studies for each one. A third diploma requiring a shorter study period (2 years) has been in existence for a few years and is awarded after complementary pluridisciplinary studies in cancerology. It provides medical oncologists and radiotherapists, as well as surgical and medical specialists in organs with the possibility, if they wish, to acquire global knowledge in cancerology over and above that connected with their specific area of expertise. It familiarizes them with a pluridisciplinary cancerological approach to setting up diagnostic and treatment protocols with subsequent applications to clinical and therapeutic trials. The recent reforms in post-graduate studies have now made available teaching models and state diplomas for all areas of clinical cancerology including an optional pluridisciplinary course--and should constitute an invaluable contribution to both public and private practice. They should also facilitate the work of the state bodies and those in charge of health expenditure.
Managing different generations requires new skills, insightful leadership.
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In praise of boundaries. A conversation with Miss Manners. Interview by Diane L. Coutu.
The past three decades have been a time of increasing informality in the American workplace. It's easy to characterize this growing comfort with the casual as a positive step for workplace culture, an outgrowth of the American democratic belief in workers' equality. Informal environments are said to be more trusting and open, and workers who are free to express their personalities are more comfortable and thus more creative--right? According to etiquette guru Judith Martin--known far and wide as Miss Manners--informality in the workplace may do more harm than good. Without some formality in social intercourse, Miss Manners argues, human interactions end up being governed by laws, which are too heavy-handed to serve as a guide through the nuances of personal--or professional--behavior. Since our earliest beginnings, we have developed formal rules to accompany shared human experiences, such as eating and mourning. Yet, says Miss Manners, something in us rebels against form and etiquette, and every so often, an anti-manners movement takes hold, and people come to believe that following etiquette is unnatural. One recent such movement has led to the belief that a distinction between our work life and our professional life is unnecessary. If we hope to reassure our customers that we are indeed professional, however, we need to be aware of the boundaries of professional behavior. On the whole, Miss Manners argues, informality in the workplace leads to a host of problems, from making employees feel pressured to "socialize" with coworkers during weekends and evenings to sexual harassment. Despite the shortcomings of informality in the American workplace, though, Miss Manners believes that we have the best code of manners the world has ever seen-in theory. In practice, American etiquette is undoubtedly still a work in progress.
Communication in health care delivery in developing countries: which way out?
Most governments in developing countries have adopted frameworks for health development which stressed community based initiatives and intervention at all levels of the health pyramid (WHO, 1992). But even today, most of the rural communities in these countries are still not developed in terms of available health facilities. What then is/are responsible for these failures? Various authors have come up with various reasons, principal amongst which are inadequate resources, lack of planning, insincerity/non-commitment of the governments, lack of modern information technology, etc. This paper examines some of these factors in relation to how they accentuate or hamper healthcare delivery in developing countries, using African rural communities as a study field. The resultant suggestions are a consortium of varying factors, some of which are economic in nature, policy changes, human resources development, and re-orientation of social and government attitudes towards achieving meaningful results in healthcare delivery, particularly in the rural communities.
[Experiences with telemedicine in psychiatric care in the county of Vasterbotten. A practical working tool which is used more and more].
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A living-in community for adolescents: a systemic methodology for training and management.
An experience in managing a lodging house for young psychotic girls is described. Model is referred to the relational theory. Meetings with families and educators, institutional crises and results are considered. Results pointed out the importance of managing on the Department territory in order to treat and rehabilitize psychotic patients.
Partnering in the cultivation of the next generation of ethnic minority nurse scientists: responding to a compelling national agenda.
Health disparities continue to exist between communities of color and the poor and the health of the nation as a whole. Highly competent and culturally sensitive nurse researchers are needed to contribute to the elimination of disparities. There is however, an inadequate supply of nurse researchers of color and an insufficient number of students in the pipeline aspiring to careers as nurse researchers. The purpose of this article is to analyze a partnership model between nursing programs in a Historically Black Colleges/Universities (HBCU) with an evolving research presence and an Ivy League university with an research extensive environment. After four years of collaborating, minority undergraduate students have an increased interest in nursing research and the problems of health disparities, conduct original pilot studies, produce and deliver scholarly papers based on their pilots, publish in referred journals with their mentors, engage in networking with accomplished nurse researchers and leaders, and demonstrate increased enrollment and interest in graduate study. Faculties at both institutions exhibit enhanced competencies in the design and conduct of research related to eliminating disparities and in strengthening their respective research environments. The model demonstrates that the career trajectory of minority nursing students and the research capacity of faculty can be influenced through the deliberate application of elements of the model.
Integrating child welfare, juvenile justice, and other agencies in a continuum of services.
This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This infrastructure facilitates integrated service delivery.
A mentor gap in nursing?
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Recruitment realities: building a HR/nursing partnership.
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