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Results for “Professional Autonomy”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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PubMedDate not supplied

Nurse-physician communication: an organizational accountability.

Dysfunctional nurse-physician communication has been linked to medication errors, patient injuries, and patient deaths. The organization is accountable for providing a context that supports effective nurse-physician communication. Organizational strategies to create such a context are synthesized from the structural, human resource, political, and cultural frameworks of organizational behavior.

Attitude of Health Personnel↗
PubMed2005

Registered nurses working alone in rural and remote Canada.

This paper describes the demographics of Registered Nurses (RNs) who work alone in rural and remote Canada, their workplaces, and the benefits and challenges of this unique nursing employment situation. Data presented are from a national survey, one of 4 principal approaches used in conducting the project The Nature of Nursing Practice in Rural and Remote Canada. Of the total survey sample, 412 nurses (11.5%) were employed as the only RN in their work setting. Variables of interest included level of education, employment setting, and regional distribution of workplaces. An exploration of predictors of work satisfaction confirmed previous research findings with respect to the importance of continuing education and face-to-face contact with colleagues. Findings from this analysis may inform policy decisions regarding the employment of RNs in rural and remote Canada.

Adult↗
PubMed1992

Essentials for nurses in the year 2000.

As the health care delivery system changes ever faster, nursing is positioned to play a larger role than ever before. Such a role demands cognitive skills that nursing has yet to embrace effectively. A selected group of these essential skills is offered for consideration.

Forecasting↗
PubMed2004

The professions.

The professions have been described in terms of their prestige and income, specialized skills and knowledge, protected markets, control over entry and discipline of members, common identity and values, long careers, managed relationships with nonprofessionals, licensure, ethics, and service to clients and the public. As useful as these characteristics are, they fail to capture the essence of the professions, especially the classic ones such as medicine and dentistry. A five-part definition is proposed, consisting of a community (including patient, professional, and peers), treating individuals in a customized private and personal fashion based on diagnosis, in a trusting relationship where the professional acts as an agent rather than engaging in economic exchanges. The evolution of the medical profession is discussed as an illustration of the way professions evolve and to reveal some of the historically "taken-for-granted" aspects of professionalism. The fact professional knowledge is both public and scientific and personal and unsusceptible to objective reduction is a paradox. The continued viability of professions such as dentistry depends on protecting against threats to the five essential characteristics that define professionalism.

Ethics, Professional↗
PubMedDate not supplied

Professionalism and the role of the UKCC.

Professionalism and the role of the UKCC concern every registered nurse, midwife and health visitor, and yet many practitioners do not understand the complex nature of the concept and the professional body.

Ethics, Nursing↗
PubMed2005

Assessing the degree of involvement of Certified Registered Nurse Anesthetists in airway management and trauma stabilization in rural hospitals.

Certified Registered Nurses Anesthetists (CRNAs) are airway experts who can stabilize the condition of trauma patients with skills acquired from practice as an anesthetist. CRNAs practice in a variety of settings; one of the most challenging is the rural hospital. Anesthetists have a wide range of skills. However, the setting in which CRNAs practice may influence the skills needed. This study was designed to address the issue of CRNA involvement in airway management and trauma stabilization in rural hospitals through a descriptive, quantitative, nonexperimental design study. A random sample of 382 CRNAs who practice in rural hospitals were invited to answer questions using a practice pattern questionnaire about these experiences developed for this study. Data were analyzed descriptively. The 13-item Airway Management and Trauma Stabilization Practice Pattern Questionnaire performed reliably (alpha = .8320). Results revealed the majority of CRNAs working in rural and semirural settings manage airways and stabilize the condition of trauma patients. Practice patterns suggest that nurse anesthesia students be trained to manage airways and stabilize trauma, particularly if they plan to work in rural or semirural settings.

Adult↗
PubMed2005

Milk and honey.

Explore the source record for details and available documents.

Health Care Reform↗
PubMed2005

A Dental Hygiene Professional Practice Index (DHPPI) and access to oral health status and service use in the United States.

PURPOSE: The purpose of this article is to summarize a larger study that developed a statistical index that defines the professional practice environment of dental hygienists (DHs) in the United States, and to determine the extent to which the index scores are related to the number of DHs and dentists, the utilization of dental services, and selected oral health outcomes across the 50 states. METHODS: A Dental Hygiene Professional Practice Index (DHPPI) defines the professional status, supervision requirements, tasks permitted, and reimbursement options for DHs in each of the 50 states and the District of Columbia, as of December 31, 2001. Spearman rank order correlations between the DHPPI and numbers of oral health professionals, utilization of oral health services, and oral health outcomes in the 50 states are also presented. RESULTS: The analyses revealed that: There are significant differences in the legal practice environments (as reflected in the DHPPI) across the 50 states and the District of Columbia. Between 1990 and 2001, the number of DHs per capita increased by 46% in the United States, while the number of dentists per 100,000 population increased by only 10%. The DHPPI was not significantly correlated with the number of DHs or dentists in the 50 states in 2001. The DHPPI was significantly positively correlated with the salaries of DHs in 2001. The DHPPI was also significantly and positively correlated with a number of indicators of utilization of oral health services and oral health outcomes. CONCLUSIONS: Both access to oral health services and oral health outcomes are positively correlated with the DHPPI. This suggests that states with low DHPPI scores would be logical candidates for revised DH practice statutes and regulations to accomplish these objectives.

Dental Health Services↗