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At least 109 records · Page 6Linked to original sources
PubMedDate not supplied

A multi-disciplinary professional practice model: supporting autonomy and accountability in program-based structure.

This article addresses the challenge of maintaining high quality patient care in a large, diverse health care organization as it merged and moved from a functional to a program-based management structure. The article describes the Professional Practice Model (PPM) which was developed to address the professional issues inherent in a program-based management structure. The operationalization of the PPM, including the committee structures which were put in place to support it, are discussed. The final section of the article highlights the strengths and challenges which have arisen through the development and implementation of the Professional Practice Model.

Decision Making, Organizational↗
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↗
PubMed2001

A model for implementing the "Scope of Professional Practice".

Safe and effective administration of intravenous therapy to children is essential. The training, education and assessment (TEA) programme aimed to integrate the essence of the Scope of Professional Practice with a competency based approach to teaching and assessing essential skills. The TEA programme was developed to reflect the Scope of Professional Practice, individual accountability, and current best evidence. A significant part of the programme is the development of an innovative assessment document providing individuals with documented evidence of related knowledge and skills which can form part of their Professional Portfolio. The TEA programme has been implemented within the trust in line with trust clinical governance strategy. The framework for implementing this programme has also been used for developing TEA for other expanded roles within the trust. Further comprehensive evaluation of the programme through areas such as audit of practice and clinical incidence analysis is needed. Further research to broaden the evidence base for practice is also needed. These will be initiated through established clinical governance frameworks.

Clinical Competence↗
PubMedDate not supplied

Research for a practice professional.

Research for any practice profession necessarily deals with professional arts and skills, with the base of knowledge underlying the practice field, and with the initial and continuing education of the professional. Recent developments and activities in the above areas are discussed, including growth in the investigator pool and studies that deal with the process and outcomes of nursing care.

Education, Nursing, Graduate↗
PubMedDate not supplied

[Opinion of the primary care veterinarians of Andalusia concerning the management of their professional practice].

BACKGROUND: This study describes the opinion of the veterinarians in Andalusia regarding the organization and management of their professional practice and pinpoints solutions to the problems found for the purpose of providing planning and management aspects in view of the reforms undertaken in the Andalusian Health Service Strategy Plan. METHOD: Descriptive opinion poll employing a questionnaire filled out by each individual among all of the Primary Care (PC) veterinarians in Andalusia (including those who have been currently employed who possess at least one year's experience, except substitutes). A description was provided of their personal traits, their opinion of the management-related factors involved in their professional practice. A description was also provided of the suggestions for improving the problems found to exist. RESULTS: Over 70% said they were aware of the objectives, although only the coordinators found them to be clearly motivating the practice. Their opinion was that the indicators of activity neither include any quality-related criteria nor afford the possibility of evaluating the activity they are carrying out. They believed that the contributions from other members of the multidisciplinary team improve their work and are in favor of continuing their involvement therein. They were satisfied with doing their work (the coordinators to a greater degree). They found the productivity pay to be too low and not useful as regards providing them with any incentive. They were not satisfied with the training with which they are provided and thought that what they are offered is far less than their other colleagues in the health care field. Most were of the opinion that they should remain under the authority of the Andalusian Health Service. CONCLUSIONS: This group prefers to continue working for the same organization, but improving the following management aspects: training offer, practice incentives and activity indicators.

Adult↗
PubMedDate not supplied

Toward an integrative model of professional practice.

A review of nursing practice demonstrates repeated attempts to focus on direct professional responsibility to clients, but failure to do so consistently in an effective professional model. The cycles of growth of the profession depict the long-standing subordination of nursing to hospital administration and medicine and suggest that nursing is ready to move into an integrative, collaborative stage of development. A trilevel model of professional practice is proposed, based on differentiated roles for graduate, baccalaureate, and associate degree levels of education. An organizational structure that places nursing clinicians directly responsible to clients would facilitate nursing's response to clients' health concerns whenever and wherever they occur.

Education, Nursing↗
PubMed1997

Interdisciplinary professional practice leadership within a program model: BC Rehab's experience.

In restructuring from a departmental to a program management model, BC Rehab successfully developed the role of professional practice leader to address clinical standards of practice and other concerns related to individual disciplines. A review of the role of professional practice leader is presented. Practice leaders are in a unique position to promote interdisciplinary, client-focused service. Because practice leaders' mandates cross program boundaries, they are able to keep the broad scope and goals of rehabilitation in the forefront, offering a balance to the program-specific perspective. It is imperative for practice leaders to maintain connections to operational and clinical issues to avoid isolation.

Adolescent↗
PubMed1996

The effect of a professional practice model on staff nurse perception of work groups and nurse leaders.

OBJECTIVE: The objective of the study was to measure the effect of an enhanced professional practice model on perception of work groups and nurse leaders. BACKGROUND: Previous studies of staff nurse perception of work environment and nurse leaders were used to guide development of the professional practice model and the selection of variables. Implementation of the model was expected to result in more favorable perceptions of the work group and a desire for facilitative leadership style. METHODS: A quasi-experimental design was used to compare change over time in five-hospitals--an urban medical center, two community hospitals, and two rural hospitals. FINDINGS: Introduction of the model resulted in more favorable perceptions about the work group and a desire for a more facilitative nurse leader. CONCLUSION: Change in perception of work group and leader rather than job satisfaction may be an early indication of favorable outcome of planned change. Changes in nurse satisfaction may be a late outcome, which may be the reason findings from previous studies are mixed.

Attitude of Health Personnel↗
PubMedDate not supplied

Promoting scope of professional practice in a large organisation.

The UKCC's Scope of Professional Practice document opened up major opportunities for nurses, but many have problems relating its principles to their everyday practice. This article describes how workshops were held in a large teaching trust to raise nurses' awareness of the document.

Education, Nursing, Continuing↗
PubMed2000

Does being a woman make a difference in professional practice? A qualitative view to the practice of rheumatology.

OBJECTIVE: To explore to what extent female rheumatologists perceived that gender had an influence on their professional practice or on their choice of specialty. METHODS: We collected data from 29 female rheumatologists and used qualitative and quantitative methods to describe the findings. RESULTS: Three groups of respondents were identified (cluster analysis). Most of these rheumatologists perceived that gender influenced the way they practiced, although the specific weights of the topics were different in the 3 groups. Gender also influenced these physicians' choice of specialty field. CONCLUSION: The differences in practice style may have a potential effect on health systems as feminization of the medical profession increases.

Female↗
PubMed1997

Perspectives of sport physiotherapists on the frequency and significance of psychological factors in professional practice: implications for curriculum design in professional training.

A two-part study was conducted with sport physiotherapists to examine their perceptions of both frequency and significance of emotions and behaviours displayed by injured athletes during treatment, and the importance of psychological skills in rehabilitation. A questionnaire, developed from a preliminary study (Part 1) with experienced sport physiotherapists (N = 10), was mailed to 500 sport physiotherapists in Australia, New Zealand and Canada (Part 2). Responses from Australian (N = 147), New Zealand (N = 65) and Canadian (N = 45) subjects suggested that: (i) anxiety and frustration is experienced frequently by injured athletes, and non-compliance to the rehabilitation program is a significant problem preventing effective recovery and rehabilitation; (ii) psychological skills training and learning to deal with psychological responses to injury would facilitate more effective treatment; and (iii) athlete self-presentation styles influence the support and attention received from physiotherapists. Results are discussed in relation to previous research and recommendations for improving both the art (applied skills) and science (theoretical content) of professional training programs for sport physiotherapists are provided.

Adult↗
PubMed1997

Regional experience of evaluation of professional practice and quality assurance implementation in Aquitaine.

We report the establishment of a voluntary programme for developing the assessment of professional practice and quality assurance conducted since 1989 in the Aquitaine region of south-west France. This experience, in a region where there are 14,000 hospital beds in about a hundred institutions, has aimed at two objectives: (1) the adoption by the region's health professionals of medical guidelines for good practice and methods for measuring quality and outcomes obtained, by means of university training in evaluation and the conducting of several surveys of professional practice and clinical audits; (2) similar adoption by the regional political, administrative and medical directors of quality assurance procedures defined by an organizational audit concerning the prescription of preoperative tests in the university hospital and in the main public hospitals of the region. The critical impetus that this experience has created, together with other factors related to the political decision-makers and health managers of the region, has led to an operational regional structure for developing clinical evaluation and quality in Aquitaine.

Decision Making, Organizational↗
PubMed2000

[Changes in professional practice of nurses at a teaching hospital in the inner Sao Paulo, as a result of the emergence of HIV/AIDS].

This investigation was conducted with the purpose of identifying the changes in the professional practice of nurses at a public teaching hospital as a result of the arrival of HIV/AIDS. Through interviews with 100 nurses it was found that 76 (76%) referred changes in their professional practice. Of these, 52 (68.4%) referred to the use of garments; 17 (22.3%) to continuing education; and 7 (9.2%) to nursing care. Of a total of 76 reasons presented by the nurses, 46 (60.5%) were related to fear of becoming infected; and 30 (39.5%) related to nursing care. The study revealed that the advent of HIV/AIDS has risen various changes in practical activities of nurses, especially in those related to garments, having as the main concern the fear of becoming infected. Continuing education programs that aim not only to identify the causes that determine low adherence to standard precaution measures and undesirable behavior as well as biosafety surveillance are needed.

Acquired Immunodeficiency Syndrome↗