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Women priests: from exclusion to accommodation.

The debate within the Church of England on opening the priesthood to women is analysed from the perspective of grid/group theory as a struggle between two competing models of the Church: the accommodationist and the exclusivist. The ascendancy of the accommodationist Church reflects the decline of status professionalism and rise of the formally rational modern profession, in which the criteria of occupational closure are themselves rationalized.

Christianity↗

A model curriculum of health care informatics for Dutch higher professional education.

This paper describes the results of a two year project to design a model curriculum of health care informatics for Dutch higher professional education. The core of the curriculum are sixteen modules which cover the broad range of medical informatics and which are closely related to the profiles of the professions involved (nursing, physiotherapy, speech therapy, occupational therapy and dietetics). The curriculum emphasizes the need of using structured data and information to perform tasks in health care delivery and management, for which modern information technology is indispensable. The model curriculum will enable faculty to redesign existing undergraduate programs and to select the contents they see appropriate. In this way we hope that the model curriculum will contribute to an innovative attitude of future graduating health care professionals. A new three year project just has started to develop learning materials using professional health care software based on the sixteen modules of the curriculum.

Curriculum↗

On the professions.

Explore the source record for details and available documents.

Health Occupations↗

Occupational therapy education in health promotion and disease prevention.

Educational experiences and didactic materials on health promotion are necessary for occupational therapists to remain current in the profession. This paper reviews health promotion learning experiences to determine the "state of the art" in this important area. It was found that few papers or workshops have been given at recent AOTA Annual Conferences; five universities received Allied Health Grants, which included occupational therapists, to develop health promotion learning materials; and occupational therapy educational curricula for the most part do include something on health promotion. The AOTA Special Interest Sections have shown interest in health promotion.

Curriculum↗

[Nickel eczema in young girls. Contribution to the question of the predictive patch test and the prevention of occupational diseases].

This is a review on contact allergy to nickel, based on the new literature (56 references) and our own case studies of 29 patients. The great majority of persons having an eczematous reaction to nickel are women. To what extent these allergies are due to occupation or to constant contact with nickel-containing articles such as buckles , jeans buttons and jewelry is examined in detail. An opinion is given as to whether nickel eczema should be recognized as an occupational disease. Its importance in selecting one's profession is also discussed. The professions which frequently bring one into contact with nickel are summarized on a table. The various localisations and their causes are included on another table. The cases analyzed here indicate that nearly all patients with nickel eczema acquired their contact allergy outside their occupations, often before they had even entered professional life. It is therefore very important for one entering a "nickel profession" to be given a predictive test for nickel allergy, but above all to be inquired as to any eczematous conditions the prospective employee has experienced previously.

Adolescent↗

Whither thou goest? Report of the AOTA Task Force on OT/PT issues.

The Task Force on OT/PT Issues through its recommendations attempted to raise to the conscious level some problems that for too long lay hidden or ignored. Most of the Task Force's recommendations have been appropriately channeled for completion by a specified date. Many of the issues identified are not easy ones with which to deal. The professional involvement of all of us is needed to resolve these issues. We, as individuals, need to evaluate objectively our own daily practice about whether or not it falls within the parameters of the official statements given in the Philosophical Base, Principles of Ethics, Standards of Practice, Educational Essentials, and so forth. We cannot blithely continue to wait for the AOTA to do something about it. We are the AOTA! And each of us must do his or her part. An organization and a profession are only as strong as each individual who claims to be a part of it. I believe very strongly in both occupational therapy and physical therapy. I believe that each profession has a unique contribution to make to the client. I believe these contributions are separate but enhancing-if we dilute them the patient/client is the loser. One person cannot be all things to a patient/client. It takes the combined expertise of many specialists to meet the patients'/clients' needs. Each of us is an ambassador of the profession we represent. Each of us, therefore, has an obligation to be a positive representative in all that we do and to responsibly and ethically influence the direction of the profession. Only you and I in our daily professional responsibilities can determine whither thou goest.

Occupational Therapy↗

[Occupational dermatitis in the agriculture-food industry environment].

The agricultural and food professions are those that touch agriculture, but also the restoration, the kitchens, and the employees of slaughterhouses. Various occupational skin diseases touch these salaried employees or craftsmen: eczemas or contact hives with plants or meats and fleshes of animals and all chemical substances that are added: pesticides, food additives and various preservatives. Irritation contact dermatitis or real skin burns are observed with housekeeping products imposed by the sanitary norms, increasingly powerful, but as increasingly caustic. Infectious illnesses transmitted from the animal to the man are sometimes observed especially among the breeders and employees of slaughterhouses.

Agriculture↗

[The possibilities of occupational rehabilitation of radically treated patients with rectal cancer (author's transl)].

The analysis of social and occupational rehabilitation of 372 patients with recta cancer in working age radically treated at N. N. Petrov Research Institute of Oncology of the USSR Ministry of Health in 1950--1970 revealed, that not less than 50% of patients returned to work and were readapted in their family and social environment. About 70% of patients are working, having an invalidity group. The interrelationship and the direct influence of different factors (characterizing the state of the patient's organism, the type of tumor, the stage of the disease, the character of treatment, the presence of complications and functional disturbances, as well as age, sex, profession, length of service) on the process of occupational readaptation, and also on the conclusions of expert comissions for evaluation of working ability were determined with the method of correlation analysis. These findings permit to evaluate the role of each factor, the degree of its stability and the character of its influence. The decisive factors, which determine occupational readaptation of patients with rectal cancer after radical treatment, are: sex, age, profession educational level, severity of functional disturbances. The influence of stage of disease (if radical operation is possible) on the success of occupational rehabilitation of patients with rectal cancer is not considered significant.

Adult↗

Risk for occupational transmission of HIV infection among health care workers. Study in a Spanish hospital.

The aim of this study was to evaluate the HIV seroconversion rate associated with different types of occupational exposures in health care workers. A longitudinal study was conducted from January 1986 to October 1992 in a teaching hospital in Spain, where HIV infection is prevalent among patients. Each health care worker was asked to complete a questionnaire regarding age, sex, staff category, lace of exposure, other exposures, type of exposure, body fluid, infected material and HIV status of source patient. These health care workers were then followed up at 6 weeks, 3 months, 6 months and 12 months with repeated test for HIV antibody. Four hundred twenty three reports of occupational exposure were analysed. Nursing was the profession with more exposures (42.8%). Ninety five percent of total exposures were percutaneous, 4% mucous membrane contacts and 1% skin contacts, 88.3% were described as blood contact and 71.8% had resulted from needlestick and suture needles. Exposures from HIV-positive patients comprised 23.2% of occupational exposures. There was a significant difference in the length of follow-up in physicians (p = 0.00009) and nurses (p = 0.00001), when we compared HIV-positive patients with patients in whom the HIV status was unknown or negative. The HIV seroconversion rate was 0.00%. We consider that the risk of acquiring HIV infection via contact with a patient is low, but not zero. Well documented cases of seroconversion have been published.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Occupational stress and radiography.

CONTEXT: Stress is a very common problem. There has been considerable research on stress in certain health care professions; however, very little is known about the importance of occupational stress on radiographers. The studies that do exist indicate that the prevalence and impact of stress on radiographers is considerable and that occupational stress in the radiography field is a very common health problem. OBJECTIVE: The aim of this article is to review the available evidence to assess the effect of occupational stress on radiographers and compare it to health care workers. METHODS: Several major databases were searched using various keywords. Additionally, references from selected articles were used to retrieve other papers relevant to the topic. RESULTS: A review of the literature revealed significant stress-related consequences on the physical and mental health of health care workers. These findings can be applied to radiographers and used to reduce stress in the workplace. SUMMARY: Future research in the area of health promotion, including interventional relaxation and stress relief courses, among radiographers is needed.

Conflict, Psychological↗

Japanese occupational therapy in community mental health and telehealth.

Help for people with mental health problems in Japan has traditionally centred on inpatient medical care. In a revision of the Mental Health Welfare Law planned for 2001, responsibility for the support of people with mental health problems will be transferred from central government to local government. Furthermore, local government will, in turn, delegate administrative tasks to a 'community life support centre'. We believe that such a centre could be linked to a university with a telehealth network. Connection to the network could benefit people with mental health problems living at home. We also believe that occupational therapists are ideally positioned to play a significant role in community life support centres. With the expected sustained growth in Japanese occupational therapy, it could become a key profession in the rehabilitation of people with mental health problems.

Community Mental Health Centers↗

European dissemination of a web- and case-based learning system for occupational medicine: NetWoRM Europe.

OBJECTIVE: Occupation has a large impact on health in Europe. In order to prevent and recognize occupational diseases, medical students and physicians should know about the potentially causal relationship between profession and diseases as well as the basic legal aspects of occupational medicine (OM). However, the opportunity of bedside teaching, the students' most favoured way of teaching, is limited. METHODS: One possibility to complete and improve traditional training in OM is computer-oriented case-based learning. Using the authoring system "CASUS" (INSTRUCT AG) cases can be created and handled without knowledge in computer sciences. RESULTS: So far, 19 cases have been created and evaluated by students of German universities. Due to the great efforts arising from the creation of such multimedia cases it is desirable and cost-effective to use the existing cases at several medical universities. Therefore, the Net-based Training in Work-Related Medicine (NetWoRM) project shares cases on an international base. In February and April 2005, 13 case-authors from 12 centres were trained in the basics of case creation during a 3 week programme in Munich. The overall evaluation of the participants indicated that this way of teaching case creation is very efficient. Up to now, nine cases were translated into English and five into Spanish. First implementation of the cases in Spain and Finland showed a good acceptance by the students but more evaluation has still to be done. CONCLUSION: Based on these results we conclude that exchange of case-based e-learning in OM is feasible and rewarding on an international base.

Case-Control Studies↗

Conceptual models of the professions and their implications for the professionalization of health administration.

The extent to which health administration can be considered a profession is examined in the context of the five major models of the professions in the literature (historical, trait, functional, economic and power). A synthesis of the various models into a proposed integrative model, or typology of occupations, is also presented. Control over entry and control over conduct are identified as the two major dimensions by which the professional status of various occupations is measured. Health administration is seen as a profession in this context, and the prospects for further professionalization are discussed.

Canada↗

Approaching the 21st century. Congressional agenda for health care and occupational health.

1. Major health related legislative issues for occupational health nurses in the 1990s are OSH Act reform and restructure of the health care system. 2. OSHA reform issues have been consolidated into the Comprehensive Occupational Safety and Health Reform Act (S1622 and HR3160). 3. Health care reform is being addressed by many legislative initiatives and by organized nursing in Nursing's Agenda for Health Care Reform. 4. As the professional association for occupational health nurses, AAOHN serves as an advocate for the profession with the federal government.

Health Priorities↗

Rest: a qualitative exploration of the phenomenon.

The founders of occupational therapy perceived rest as one of the performance areas of the profession. They believed that an optimal balance between work, play and rest was crucial in obtaining maximal function and health. However, few occupational therapy theorists or researchers have explored the phenomenon. The authors explored the phenomenon of rest as reported in the literature and through a qualitative study. The results of the literature review showed that rest is differentiated from sleep; rest is equated with interrupting physical and mental activity resulting in a relaxed state. Rest can be achieved by listening to music, hypnosis, reading, walking and sitting quietly. In this exploratory study, seven individuals working at Tel Aviv University were interviewed regarding their definitions of rest. The results indicated that rest was defined as an activity that was personal, quiet and effortless, experienced alone or with friends, and helped in doing daily activities. It is concluded that there is a need for occupational therapists to explore further the phenomenon of rest as it relates to occupational performance, ergonomics and health maintenance. Examining the concept of rest is a challenge that involves returning to the theoretical origins of the profession.

Humans↗

EAP's response to personal stress and productivity: implications for occupational social work.

Ethical and practice issues regarding the beneficiary of social work services in the workplace have been raised in the literature. However, no empirical studies could be found that specifically address these issues. This study's findings indicate that although personal stress and employee productivity are related, employee assistance program interventions improve employee productivity without reducing employee stress. Challenges and implications for occupational social work are discussed in light of the profession's person-in-environment configuration.

Absenteeism↗