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Results for “INTERPROFESSIONAL RELATIONS”

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At least 73 records · Page 4Linked to original sources
PubMed2004

Interprofessional collaboration and job satisfaction of chiropractic physicians.

BACKGROUND: Despite the fact that chiropractic physicians (DCs) are growing in number and legitimacy in the community of health care professionals, little recent research describes how their relationships with medical doctors (MDs) affect their job and career perceptions. OBJECTIVE: This study explores interprofessional relations by identifying factors associated with variations in how DCs evaluate their interaction with MDs. It also adapts a previously validated multifaceted measure of MD job satisfaction for use with DCs. DESIGN: Cross-sectional survey of 311 DC physicians in North Carolina. RESULTS: The hypothesized multifaceted nature of DC job satisfaction was confirmed. Four distinct job facets and global career satisfaction were measured effectively in DCs. DCs' career satisfaction is related to satisfaction with compensation, intrinsic motivation of relating to patients, and having positive relationships with DC colleagues. DCs report referring patients to MDs more often than they report MDs referring patients to them. Satisfaction with relationships between DCs and MDs is relatively low and is strongly linked to the quantity of referrals from MDs and the perception that MDs practice collaboratively with DCs. However, DCs' global career satisfaction is unrelated to their relationships with MDs. CONCLUSION: Global career satisfaction of DCs is relatively high and unaffected by the low level of satisfaction DCs report having with their relationships with MDs. These findings suggest that despite increasing interaction and interdependence, DCs' relationship with MDs is of minor importance in their professional self-image.

Attitude of Health Personnel↗
PubMedDate not supplied

[Interprofessional and interinstitutional relations of power at a hospital].

The purpose of this article is to make a critical analysis about power relationships, which permeate daily professional and/or institutional actions in the hospital environment. This reflection is based on a concrete situation experienced by a group of nursing professors from a state university in Paraná, which unleashed conflicts concerning interprofessional and interinstitutional power relationships. This study focuses on power relationships in the hospital emphasizing the interrelations that characterize nursing practice. We believe that these relationships can only be understood, reflected upon and rebuilt in the context of daily practice, as new ways of collective action are sought.

Brazil↗
PubMedDate not supplied

A look in the mirror: a critical and exploratory study of public perceptions of the chiropractic profession in New Jersey.

This paper reports the results of a telephone survey of 693 respondents which was commissioned by the New Jersey Chiropractic Society. This exploratory study provides a broad-ranging and critical examination of key aspects relating to the chiropractic profession as it is practiced in New Jersey. The study concludes that chiropractic in New Jersey is a viable means of treating various disorders, but there remains much confusion and distrust among prospective and current patients as well as the threat of heightened competition from other health professionals. Chiropractic must develop clear boundaries around the number and extent of the conditions it claims to treat, and must substantiate its claims with valid clinical trials. A research-based education campaign is necessary if the discipline is to encourage nonusers to become users. The most powerful vehicle for influencing public opinion and the number of referrals is family and friends. The findings also indicate that comparisons with medical doctors can backfire, making the "chiropractic physician" (the professional label preferred by most respondents) less qualified by comparison. Rather than reject the paradoxical nature of their role as primary care physicians and specialists in spine-related disorders, chiropractors should embrace this uniqueness and establish themselves as a integral component of the health care network. Clearer boundaries, a grounding in scientific clinical research and better interprofessional relations can ensure continued growth and success in New Jersey.

Adult↗
PubMed1998

Nurses' participation in audit: a regional study.

OBJECTIVES: To find out to what extent nurses were perceived to be participating in audit, to identify factors thought to impede their involvement, and to assess progress towards multidisciplinary audit. RESEARCH DESIGN: Qualitative. METHODS: Focus groups and interviews. PARTICIPANTS: Chairs of audit groups and audit support staff in hospital, community and primary health care and audit leads in health authorities in the North West Region. RESULTS: In total 99 audit leads/support staff in the region participated representing 89% of the primary health care audit groups, 80% of acute hospitals, 73% of community health services, and 59% of purchasers. Many audit groups remain medically dominated despite recent changes to their structure and organisation. The quality of interprofessional relations, the leadership style of the audit chair, and nurses' level of seniority, audit knowledge, and experience influenced whether groups reflected a multidisciplinary, rather than a doctor centred approach. Nurses were perceived to be enthusiastic supporters of audit, although their active participation in the process was considered substantially less than for doctors in acute and community health services. Practice nurses were increasingly being seen as the local audit enthusiasts in primary health care. Reported obstacles to nurses' participation in audit included hierarchical nurse and doctor relationships, lack of commitment from senior doctors and managers, poor organisational links between departments of quality and audit, work load pressures and lack of protected time, availability of practical support, and lack of knowledge and skills. Progress towards multidisciplinary audit was highly variable. The undisciplinary approach to audit was still common, particularly in acute services. Multidisciplinary audit was more successfully established in areas already predisposed towards teamworking or where nurses had high involvement in decision making. Audit support staff were viewed as having a key role in helping teams to adopt a collaborative approach to audit. CONCLUSION: Although nurses were undertaking audit, and some were leading developments in their settings, a range of structural and organisational, interprofessional and intraprofessional factors was still impeding progress. If the ultimate goal of audit is to improve patient care, the obstacles that make it difficult for nurses to contribute actively to the process must be acknowledged and considered.

Clinical Competence↗
PubMed2005

Perceptions of interprofessional collaboration in relation to children with mental health problems. A pilot study.

The primary aim of this paper is to present some findings from a pilot study and to outline a tentative model of interprofessional collaboration. A second aim is to reflect on how to design a main study. Seven professionals from school psychology services (3), a children's psychiatric clinic (2) and an elementary school (2), participated in the study. Two methods were used: Semi-structured interview in combination with a vignette and the Sentence Completion Technique. Categorization was used as the central analyzing tool together with condensation and interpretations. The data analysis is supported by the software program Nud*Ist N6. The results are presented in three main sections: (a) interprofessional group variations, (b) the situation of the central actors, and (c) collaboration as a working method.

Attitude of Health Personnel↗
PubMed2006

Mind the gap.

Explore the source record for details and available documents.

Adult↗
PubMed2006

Health industry practices that create conflicts of interest: a policy proposal for academic medical centers.

Conflicts of interest between physicians' commitment to patient care and the desire of pharmaceutical companies and their representatives to sell their products pose challenges to the principles of medical professionalism. These conflicts occur when physicians have motives or are in situations for which reasonable observers could conclude that the moral requirements of the physician's roles are or will be compromised. Although physician groups, the manufacturers, and the federal government have instituted self-regulation of marketing, research in the psychology and social science of gift receipt and giving indicates that current controls will not satisfactorily protect the interests of patients. More stringent regulation is necessary, including the elimination or modification of common practices related to small gifts, pharmaceutical samples, continuing medical education, funds for physician travel, speakers bureaus, ghostwriting, and consulting and research contracts. We propose a policy under which academic medical centers would take the lead in eliminating the conflicts of interest that still characterize the relationship between physicians and the health care industry.

Academic Medical Centers↗
PubMed1997

Collaboration between local public health and community mental health agencies.

Public health agencies (PHA) and community mental health agencies (CMHA) generally are organizationally and functionally autonomous. Collaboration between PHA and CMHA was explored in a statewide survey of nursing directors of PHA (n = 135) and executive directors of CMHA (n = 214). Findings indicated staff did not know each other well; clients, funds, and information were infrequently exchanged; public health nurses rarely were included in planning for the care of those with mental illness; and satisfaction with relationships was minimal. Path analysis was used to test an interagency collaboration model. Awareness of staff from other agencies increased satisfaction with interagency processes and interagency relationships.

Administrative Personnel↗
PubMedDate not supplied

Motivational patterns of management team members in a large hospital.

Management teams have been introduced as a means of solving conflicts and providing highly required co-ordination between professional groups, sub-units and their individual leaders in large, complex organizations such as hospitals. This study examines the motivational patterns of the three members of management teams of four clinical departments at a large university hospital. A strong professionalism was the dominant motivational orientation of all nurse managers (nursing directors of the clinics) and to a great extent also of the physician managers (head physicians of the clinics). The business managers' dominant motivational pattern was hierarchy in two out of the four teams, and professionalism in two teams. The respective comparison groups had rather similar motivational patterns in common with their leaders: ordinary physicians and nurses had a professional and administrative staff hierarchic orientation. The comparison group of mid-level managers from private firms was also hierarchically oriented, although task orientation was also often high in their motivational pattern. The results are consistent with the educational background and differences in the tasks of the groups studied. The role of different professional cultures in determining and designing efficiently functioning management teams is an important task for further research.

Conflict, Psychological↗
PubMedDate not supplied

Inter-organizational networks on the Dutch home health care market.

The demand for home care in the Netherlands is growing and changing. A decreasing rate of institutionalization, combined with an increasing number of elderly people with special age-related, often complex health problems, has led to new groups of patients, to be cared for in their home settings. This requires a strong coordination of services between suppliers from the primary and secondary health care sectors. In order to promote coordinated care, Dutch health care providers are building inter-organizational networks. The development of such arrangements was the target of 12 demonstration projects, selected by the Ministry of Health for the National Home Care Programme. This article presents some of the results of an evaluation study of the Programme, with special attention given to the question of the extent to which such inter-organizational networks contribute to the balance between quality and cost.

Comprehensive Health Care↗
PubMedDate not supplied

Bridging the generation gap.

Generational differences will always exist among nurses and patients. However, with our limited resources, the aging of our patient population, and increased longevity, it is pivotal that we identify effective strategies to transcend generational differences that may compromise patient care. By joining forces, we can maximize our knowledge and skills and in the process enhance our ability to value the contribution of these generational differences to improve quality nursing care and rehabilitation practice. Although the solutions may not be simple, we must persist in discovering creative solutions to overcome the multiple conflicts emerging from patient and nursing generational differences.

Humans↗