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Social work stress and personal belief.

In an era of accountability and the application of scientific techniques and business methods to social work, there is a danger of overlooking the magic inherent in the personal relationship.

Adolescent↗

The practice manager. A review and discussion of the literature.

The limited amount of literature available which describes the work of practice managers has been used as the basis for compiling a tentative job description and for the discussion of a number of actual or theoretical issues which seem to be relevant. A comparison is made at a superficial level with experience in the U.S.A.The intention is to clarify some ideas in a newly emerging aspect of community medicine and primary care with a view to exploring the possibilities for research, training and consultancy in the future.

Administrative Personnel↗

Preventing worker burnout in child welfare.

Awareness is growing that worker burnout is a serious problem in the child welfare field. This paper examines the multiple causes of the phenomenon, and suggests approaches to prevention.

Child↗

Alterable correlates of extrinsic and intrinsic job satisfaction at a state residential facility.

A cross-section of employees at a state residential facility for mentally retarded persons was administered a composite questionnaire to assess factors associated with job satisfaction. Using a multivariate statistical approach, we examined two measures of job satisfaction (extrinsic and intrinsic) in relation to employee perceptions of organizational climate and selected job characteristics. Unique multiple regression analyses indicated that constraining conformity, decision frequency, and clarity of supervisor instructions were related to both measures of job satisfaction; organizational clarity, reward, and satisfaction with materials were related only to extrinsic satisfaction; and organizational standards and degree of resident contact were related only to intrinsic job satisfaction. Differences in variable contributions "ignoring" and controlling for other variables were emphasized. Variables were ranked according to their importance in predicting job satisfaction. Investigators are encouraged to consider the distinction between extrinsic and intrinsic job satisfaction in future research.

Humans↗

Observational study of job satisfaction in hospital pharmacy technicians.

Intrinsic and extrinsic factors contributing to job satisfaction of pharmacy technicians in two community hospitals were studied. A pharmacy student employed part-time as a pharmacy technician by one of the hospitals observed fellow technicians in a wide range of job activities for 22 months. In a second hospital, the same student conducted similar observations during one summer while posing as a social researcher. Both hospitals had technician training programs providing classroom instruction and on-the-job training. Data were gathered primarily from informal conversations with technicians and pharmacists and by recording activities through notetaking. Formal training programs, praise from pharmacists, opportunities to train other technicians, diversity of job activities, and autonomy in coordinating work with time demands were identified as factors contributing to job satisfaction of technicians. Negative aspects of the job that employers attempted to circumvent or clarify were the unchallenging nature of the work and the limited opportunities for advancement. Technicians' and pharmacists' attitudes toward job enrichment for technicians are discussed, and suggestions for improving technicians' intrinsic and extrinsic job satisfaction are provided. A reliable cadre of pharmacy technicians is necessary for further expansion of clinical pharmacy services under current hospital budgetary restraints. In addition to modifying job activities to promote technicians' intrinsic job satisfaction, pharmacy managers can improve extrinsic satisfaction by providing adequate salaries, job security, and flexible work schedules.

Humans↗

Vice-president of medicine/vice-president of nursing. Collaboration or conflict?

In the current environment of Diagnosis Related Groups and competition for the health care market share, there is a significant increase of vice-president of medical affairs or medical director positions on the hospital management team. This partnership is seen as vital for the survival of private practice physicians and hospitals. What does the addition of this role mean to the nursing administrator? What is the likelihood of a confusion of responsibilities between the vice-president of nursing and the vice-president of medical affairs or medical director? What involvement should the vice-president of nursing have in the vice-president of medical affairs or medical director's job description? These are some of the questions discussed in this article.

Administrative Personnel↗

Personnel management.

When a pathologist becomes the director of a clinical laboratory, his job description changes, and most of his professional training and experience becomes incidental and largely irrelevant. This article discusses the qualities necessary for effective leadership, the various styles of management popular today, and the tools a manager must develop and use in order to effect a chosen style of management.

Laboratories↗

Recruiting, interviewing, and hiring pharmacy personnel.

A practical approach to recruiting, interviewing, and hiring pharmacy personnel is presented. Recruiting applicants should be an ongoing function, and personnel departments can serve as an important resource. A good pool of applicants can be developed by contacts, referrals, and advertising and through schools of pharmacy and placement services. Federal and state regulations regarding equal employment opportunity and affirmative action are discussed. The first step of the interview process involves comparing the applications with a current job description. A strategy for conducting the interview should be developed before the meeting takes place. Some examples of basic questions and questions that can be used to explore the applicant's work experience, background, and motivational level are presented. Suggestions are made for documenting interviews. Details on making the hiring decision on the basis of the interview are discussed, and the process of actually offering the position is covered. Hiring new employees is a major commitment that demands careful consideration. Each step in the process of recruiting, interviewing, and hiring must be performed diligently to avoid problems later on.

Advertising↗

Basic skills for hospital pharmacy technicians: development of a programmed training manual.

The development of a programmed training manual to teach basic skills to hospital pharmacy technicians is described. Steps in the development of the manual included reviewing pertinent literature, writing a job description for a pharmacy technician position, performing a task analysis, writing learning objectives and sequencing course content into a programmed format. Five units of the manual cover dosage forms and routes of administration, drug nomenclature, abbreviations, calculations and medication orders. The programmed format should help to provide quality, economic and efficient training for technicians.

Goals↗

Personnel for the office surgical facility.

Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execute the assigned duties, the correct attitude toward patient care, and a sense of responsibility to the surgeon. The facility must be appropriately built and job descriptions organized so as to achieve efficient and good patient care and high employee satisfaction. This common sense approach has proved effective in our experience and should serve the prospective office-based plastic surgeon well.

Ambulatory Surgical Procedures↗